STEFANIE STEWART

SENIOR BUSINESS PROCESS COORDINATOR

CONTACT

240-***-****

adzbn0@r.postjobfree.com

Windsor Mill, MD 21244

ABOUT ME

Dedicated, hardworking, and reliable professional committed to a strong work ethic. I’m seeking a challenging, yet supportive position that utilizes my extensive analytical background and vast knowledge in healthcare operations. I’m a team player and strive to do my best. I am looking to grow with a company that has a supportive team culture.

SKILLS

Data Analysis; Strong interpersonal skills; Able to work collaboratively as part of team.

EXPERIENCE

UnitedHealthcare – Optum Health Care

Senior Business Process Coordinator 1/2020 – 8/2023

Maintain relevant operations information (e.g., SOPs; policies and procedures; process changes; problem resolution steps) within appropriate tracking and documentation systems

Trained co workers and other departments on new and existing processes that were created

Audit annual Medicare and Medicaid claims that were assigned and provided feedback on status team leads

Searched in Eye Manager system for benefits information for claims being audited

Conduct process mapping to define new business processes and/or identify potential failure points in existing business processes

Ensure reports and operational tasks are completed within stated deadlines and follow set policies and procedures

Monitor and/or report performance against contract service deliverables and/or Service Level Agreements (SLAs) with internal and/or external partners (e.g., clients; CMS; vendors)

Provider Data Specialist 8/2010 – 12/2019

Research claims, analyze issues, and reconcile discrepancies

Audit standard files, demographic information, rates, fee schedule applications, fee schedule builds, contract verifications (pre-mail), special project and other requests as assigned

Create contracts, which include amendments, e-contracts and multi-type contracts using policy and procedures

Complete weekly reports for the management team

Maintains accurate records and information management, such as prepares, generates and reviews paperwork to enter into systems

Make and receive calls to providers about contracts and other corresponding paperwork to correct any errors

Contacted healthcare professionals in regards to credentialing paper to verify information and enter into CAQH and CVone

Researched and data entry of credentialing information in CAQH and from paperwork.

BrightKey

Customer Service Representative 2009 - 2010

Analyze customer needs and assist with processing orders

Enter data into computer system

Reconciling payments, answering phones and general questions

Coding and entering orders, processing mail, packing order in the warehouse

Kelly Services

Customer Service Representative/Admin Assistant 2008-2009

Key responsibilities include but are not limited to answer phones, filing, copying, and Faxing.

Dispatched maintenance crew

Inform members about SECU products, assist with deposits, withdrawals and questions

Maintained and demonstrated knowledge of program specific protocols and guidelines

Service member's financial needs

Accurately process transactions, deposits or withdrawals

Accurately supply official checks to members

Answer member questions on products and services

Operate computer and navigate CuStar/TCCUS to process member transactions

Shimadzu Scientific Instrument

Customer Service Representative 2006 - 2008

Answering multiple phones in a call center setting (50 plus calls a day)

Data entry of sales orders and tech support calls, troubleshooting, RMA issuance

National Business Products

Customer Service/Accounts Payable 2005 – 2006

Managed Customer Service/Accounts Payable, take customer orders and enter in computer

Accounts Payable and Receivable, help with sales and enter furniture quotes

Administrative duties, research products for customers, print invoices and daily sales reports

Prepare packages for shipping via UPS or other services

SOFTWARE APPLICATIONS

Microsoft Word & Excel 365, Outlook 365, Adobe Reader, Nitro Pro, Doc360, SAP, Transcription Machine, Salesforce, AS400, VAS, Payspan, Eye Manager, CAQH, Business Objects, NPI Registry, CVOne

EDUCATION

High School Diploma

1999

Fort Meade High School, MD

REFERENCES

Available Upon Request

Contact this candidate