CIARA LEE
ATLANTA, GA - 213-***-**** - *********@*****.***
CAREER OBJECTIVE
Highly motivated and results oriented professional seeking an Analyst position with a leading healthcare organization, leveraging extensive experience in Epic systems, project coordination, and administrative support to optimize clinical and revenue cycle applications.
SUMMARY OF QULIFICATIONS
Epic Proficiency: Proficient in Epic since 2015, with hands-on experience utilizing MyChart for member correspondence and EMR systems for data entry and patient information management.
Project Management & Coordination: Proven ability in planning, implementing, and overseeing healthcare programs, including managing budgets, coordinating staff, and ensuring compliance. Experienced in managing complex projects independently and leading technical consulting and support services.
Application Support & Maintenance: Skilled in providing Epic and other application software support, including build for break-fixes, optimizations, and upgrades. Adept at resolving application errors and system issues independently.
Data Management & Authorization Expertise: Experienced in obtaining demographics and third-party payer information, creating authorizations for outpatient procedures, and navigating payer portals for authorization transmission.
Communication & Collaboration: Excellent interpersonal and communication skills, demonstrated through coordinating internal/external meetings, facilitating communication between stakeholders, and maintaining positive relationships with vendors and co-workers.
Compliance & Documentation: Ensures compliance with regulations and organizational policies, and maintains clear documentation for support, status, and issue resolutions.
WORK EXPERIENCE
MEMORIAL CARE LONG BEACH CA
Utilization Review Assist Outpatient December 2015 - Present
Utilize and proficient with EPIC since 2015.
Obtain demographics and third-party payer information necessary for admission and billing of patient accounts.
Create up to 45 55 authorizations for outpatient pediatric procedures.
Provide UM support services to ensure efficient authorization coordination, including registering patients.
Navigate 3rd party payer portals for transmission of authorizations.
Communication with members and insurance companies regarding hospital billing and eligibility
Select appropriate chart documents to submit timely requests to government insurances, private health plans, medical groups, and IPAs to secure authorizations and document activities.
Utilize EMR system for data entry of billing and updating/maintaining patient information.
Utilize Mychart to correspond with members.
LOS ANGELES COUNTY PUBLIC HEALTH LOS ANGELES CA
Project Coordinator October 2004 – December 2015
Responsible for the planning, implementation, and oversight of specific healthcare programs within a facility or organization.
Managed program budgets, coordinated staff, tracked patient outcomes, and ensured compliance with regulations.
Facilitated communication between various stakeholders to achieve program goals.
Maintained Director/Senior Improvement Lead meeting schedules and project deadlines.
Coordinated internal and external meetings, speaking engagements, conference attendance, and travel arrangements.
Prepared presentations and speeches, and screened incoming calls, emails, and correspondence.
Managed and oversaw external communication with vendors to coordinate events, including online programming and meetings.
Provided administrative support for the online learning platform, including content posting, solving technical problems for participants, and implementing design components.
EDUCATION
UNIVERSITY OF PHOENIX GARDENA CA
Associates of Arts in Business Fundamentals
Bachelor of Science in Business w/ Concentration in Administration
ANGELES INSITUTE ARTESIA, CA
Lvn Certification
MANUAL ARTS COLLEGE PREP LOS ANGELES CA
High School Diploma
ADDITIONAL SKILLS
Computer Skills: Microsoft Word, Excel, Adobe, Medical PHIS, Auth Accel, Salesforce, Link & Epic
Detail-Oriented: Able to balance competing priorities and tight deadlines, known for quality timely completion of projects.
Effective Communicator: Polished customer service skills, energetic, patient, and diplomatic.