Experience

Educology Solutions

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Training Specialist

  • Jul 2023 - Sep 2023

  Contacted trainer for healthcare software. Contacted trainer for healthcare software.



BJC HealthCare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Supervisor Q/I Education

  • Nov 2021 - Jul 2023

• Revenue Management Cycle Trainer

  • Feb 2020 - Nov 2021



HCSC

• Developmental Specialist

  • Feb 2014 - Feb 2020

  Working with a team of peers to put into place processes and procedures to build and maintain processes that ensure we are meeting regulatory compliance. Training other employees, provisioning access for my entire department. Working with a team of peers to put into place processes and procedures to build and maintain processes that ensure we are meeting regulatory compliance. Training other employees, provisioning access for my entire department.



Health Care Service Corporation

• Quality Assessment Analyst II

  • Mar 2011 - Jan 2014

  Auditing complex claims for financial and coding accuracy. We audit both from a systemic and operator view.I look for trends and system errors and prepare reports for leadership. When trends are identified I partner with my customer to offer them suggestions in ways to correct the issue. Auditing complex claims for financial and coding accuracy. We audit both from a systemic and operator view.I look for trends and system errors and prepare reports for leadership. When trends are identified I partner with my customer to offer them suggestions in ways to correct the issue.



Health Care Service Corporation

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Customer Advocate

  • Aug 2005 - Mar 2011

  As a Customer advocate I answered inbound member and provider calls and written inquiries. I also adjusted claims, researched payments and contractual agreements, diffused difficult customer situations. In general I helped our members to resolve their issues the first time they called and maintained a professional demeanor and a high level of custumer satisfaction. As a Customer advocate I answered inbound member and provider calls and written inquiries. I also adjusted claims, researched payments and contractual agreements, diffused difficult customer situations. In general I helped our members to resolve their issues the first time they called and maintained a professional demeanor and a high level of custumer satisfaction.



Texas department of mental health and mental retardation

• Direct Care

  • 2001 - 2003

  Directly interacted with mentally handicapped clients. I worked with them through behavioral modification programs and charted all of their progress. Directly interacted with mentally handicapped clients. I worked with them through behavioral modification programs and charted all of their progress.