Greensboro, NC 27406
As a Provider Data Analyst-Quality Auditor-Remote, my objective is to contribute to a positive and productive work environment. Communicate with team members, set clear goals, and perform tasks associated with performing audits in order to evaluate the accuracy of provider directories.
BA in Business Administration
Proficient in Typing
Proficient with Microsoft Word, Excel and PowerPoint
Accuracy and Attention to Detail
Insurance Verification Coordinator • Numotion
October 2008-June 2012
Customer Service Representative • United Healthcare
March 2003-October 2008
Credit and Activations Specialist • AT&T Wireless
Responsibilities: Complete insurance verification utilizing web-based platforms such as Medicare, Venu, Availity, Way star/zirmed, Medicaid, Tricare portal, etc. Verify coordination of benefits to ensure that the sequence of payers have been set up correctly. Interpret plan benefits and exclusions and communicate this information to both internal and external clients. Provide support to members and strategic vendors located in the U.S.
Implemented new policies and procedures to streamline operations and improve efficiency.
Successfully led team to improve order process reduction time from -3 days to -5 days.
Available upon request.