Experience

Health Partners Plans

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Senior Business Analyst

  • Mar 2018 - Present



MultiPlan

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

• Senior Claims Resolution Specialist

  • Oct 2016 - Mar 2018

  Evaluated, and finalized financial settlements on Workman’s Compensation and Out of Network claims by applying technical and comprehensive healthcare knowledge to reduce loss ratio. Identified issues, problems and opportunities in order to set up ongoing agreements as needed and implemented solutions to improve department’s effectiveness, and efficiencies. Provided specialized administrative support for the claim audits, including file management, data management, and ensured that claims were closed accurately to expedite the payment process for Providers. Worked with large hospitals, and billing companies reviewing CPT/HCPCS coding errors that were present on UBs and HCFAs forms upon submission to Payers. Maintained precise organization of my work queue which consists around 150 complex high dollar claims that range from $15,000 to $1,000,000. Was instrumental on implementing a new “buddy” system for co-workers that were out of the office, and needed coverage working their queue of open claims. Mentored new hires during the orientation process. As an informal leader, displayed leadership qualities, putting team and company success first.



InstaMed, a J.P. Morgan company

• United States
• Information Technology & Services
• 300 - 400 Employee

• Account Manager

  • Apr 2012 - Jul 2016

  Dedicated point of contact for US Bank, InstaMed’s largest partner responsible for over $7 million in revenue annually. Managed all aspects of major partner escalations, involving troubleshooting of highly complex technical integrations and major stakeholders from some of the nation’s largest hospital and health systems. Drafted and delivered professional communications related to product releases, system downtime, and production interruptions. Represented all partner interests internally to InstaMed’s technical, product, marketing, support, and implementations teams and collaborated with said teams to reduce case age, case iteration, and partner dissatisfaction. Collaborated extensively with various Vendors, Trading Partners, Billing Services, and Healthcare Providers to troubleshoot integrated EMR software including Epic, NextGen, and Caretracker. Maintained and tracked all defect and enhancement cases impacting US Bank, negotiated with multiple partner stakeholders to prioritize the cases, and engaged internally across departments to bring such cases to resolution. Nurtured and maintained positive working relationships among diverse actors within the US Bank organization Analyze, investigate and perform root cause analysis due to product deficiencies, miscommunications between clients, software vendors and insurance groups Assisted with creating and improving upon customer support processes by working with executive management on a weekly basis Create daily reports generated in Salesforce.com that oversees InstaMed’s service level agreements with customers



Wells Fargo

• United States
• Financial Services
• 700 & Above Employee

• Account Manager / Senior Collections Representative

  • Aug 2008 - Jan 2012

  • Responsible for identifying, assessing and resolving issues concerning collections.• Review business account holder’s financial records and conducted cost benefit analyses to assess borrower’s risks to default and assess returns.• Negotiate and implement payment plans to minimize uncollected revenue.• Utilize dialer system to contact customers to determine reason for delinquency.• Contributed to company growth by acting as a mentor, and was in charge of training other team members.• Obtained the highest tier level at Wachovia, which can only be achieved by resolving the highest delinquent accounts, and for having outstanding customer service numbers every month.• Coordinated the United Way, “Live to Give” campaign for Wells Fargo.



CHRYSLER FINANCIAL 2004-2008

• Account Manager

  • Jan 2004 - Jul 2008

  • Utilized excellent customer service skills on a daily basis to assist customers with their delinquent/outstanding loan payment structuring. • Responsible for educating customers with a synopsis of how their auto loans are constructed and coordinated. • Received multiple Customer service awards for going above and beyond the criteria that was mandated. • Utilized excellent customer service skills on a daily basis to assist customers with their delinquent/outstanding loan payment structuring. • Responsible for educating customers with a synopsis of how their auto loans are constructed and coordinated. • Received multiple Customer service awards for going above and beyond the criteria that was mandated.