Data Entry and Provider Data Analyst Professional

Melanie Rudolph

Thomasville, NC 954-***-**** ********@*****.***

Detail-oriented administrative and data professional with extensive experience in healthcare provider data management, auditing, disability claims, and customer service. Strong background in medical databases, regulatory accuracy, and quality assurance processes. Recognized for reliability, precision, and the ability to manage high-volume data while maintaining strict confidentiality standards.

Key Skills

• Medical terminology

• Provider data management

• Data auditing and quality assurance

• STD and LTD case management

• Alpha and numeric data entry (60 wpm)

• Microsoft Word, Excel, Outlook

• Multi-platform database systems

• Call center software systems

• Customer service and needs assessment

• Administrative support and file management

Professional Experience

UnitedHealthcare Greensboro, NC

Provider Data Analyst / Auditor (Remote) December 2015 to August 2023

• Audited provider demographic data across six platforms: NDB, PULSE, NICE, ProBase, RV Facets, PIMS.

• Submitted and tracked data correction requests to maintain database integrity.

• Supported quality assurance initiatives within the QUEST (Quality Every Single Time) team.

Provider Data Specialist (PVO) October 2013 to December 2015

• Managed and verified medical provider data through inbound/outbound calls, fax, and email.

• Collaborated across departments to maintain accurate provider records.

• Served as “Source of Truth” for NY C&S White Gloves pilot project.

Ralph Lauren Corporation High Point, NC

Seasonal Customer Service Representative September 2012 to March 2013

• Assisted customers with inquiries, order support, and issue resolution during peak season.

• Maintained professionalism and accuracy in high-volume call environment

Aetna Plantation, FL

Disability Claim Analyst June 2006 to October 2011

• Processed and reviewed short-term and long-term disability claims.

• Evaluated documentation and ensured compliance with policy guidelines.

• Maintained confidential medical and employment records.

Administrative Support July 1996 to June 2006

• Provided administrative support including documentation management and data entry.

• Maintained organized filing systems and processed internal communications.

• Assisted departments with reporting and general office operations.

Education and Certifications

Career Readiness Certificate Silver 2013

High School Diploma Tamalpais High School

Associate of Theology The Way College of Biblical Research

Christian Leadership Training Program The Way Corps

Franklin Covey Time Management and Productivity Seminar

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