Public Relations Business Analyst
Resume:
GEORGE BAYMON
Contact
********@*****.***
Tolleson, Arizona 85353
Career Objective
Proactive student with knowledge of process improvement, public relations, and relationship management. Aiming to leverage my abilities to successfully fill the vacancy on your team. Frequently praised as hard-working by my peers, I can be relied upon to help your team achieve its goals.
Experience
CONTRACT SPECIALIST
MERCY CARE ARIZONA — Phoenix, Arizona
Nov 2019 - Present
Negotiated, renegotiated and administered contracts with suppliers, vendors, and other representatives.
Prepared monthly reports summarizing the status of contracts under management.
Negotiated changes to existing contracts as necessary to meet business objectives.
Conducted detailed reviews of contract documents to ensure accuracy and completeness.
Identified ways to improve efficiency in operations and implemented process changes.
CLAIMS ADJUSTER
UNITED HEALTHCARE — Phoenix, AZ
Apr 2015 - Nov 2019
Paid and processed claims within the designated authority level.
Demonstrated strong problem-solving skills when addressing challenging disputes between parties involved in a claim.
Reported overpayments, underpayments, and other irregularities.
Skilled in using various software applications and programs including Microsoft Office and Adobe Creative Suite.
Met deadlines while maintaining high-quality deliverables.
DENTAL CLAIMS EXAMINER
AVESIS INC. — Phoenix, AZ
Jan 2014 - Apr 2015
Conducted quality assurance audits on processed claims as needed.
Involved persons to obtain missing information.
Documented detailed notes about each claim for accurate tracking purposes.
Compiled data for reports detailing trends in dentistry costs and utilization rates.
Utilized problem-solving techniques to resolve difficult billing disputes.
Applied knowledge of CPT codes and ICD-10 coding systems during the review process.
PCRS SPECIALIST
UNITED HEATHCARE — Phoenix, AZ
Aug 2011 - Dec 2013
Processed adjustments for Arizona Physicians IPA for the state Medicaid program
Made outbound phone calls to providers based on results of claim investigation
Implemented strategies to improve performance, accuracy, and quality.
Assisted senior management in developing long-term business strategies.
Utilized tools to analyze data and recommend solutions.
Participated in ongoing training to enhance own job skills and knowledge.
Skills
Team Leadership
Customer Service
Creativity
Active Listening
Problem-Solving
Teamwork
Goal-Oriented
Positive Attitude
Contract Negotiation
Research and Analysis
Database Administration
References
Steven Gilbert — Cognizant
Business Analyst Friend
**********@******.***
Terrance Liddile — Open Door
Supervisor Friend
***********@***.***
BUSINESS ANALYST
Contact this candidate