Leveraged subject matter expertise analytical skills and attention to detail to evaluate contractdata and identify opportunities for improvement in medical and treatment facilities. Responded to rate structures, changes, levels, and contract language, resulting in enhanced business processes and increased operational efficiency.• Collaborated effectively with cross-functional teams, including Analytics, Claims Operations, and Network Development, to track service performance and provide accurate claim data and rate reimbursement inquiries. Ensured seamless communication and alignment between departments, contributing to improved decision-making and customer satisfaction.

Expertise in entering medical information, including patient demographics, diagnosis codes,procedural codes, and treatment details, with a focus on precision and attention to detail.• Proficient in working with electronic health record systems to input, update, and retrieve medicaldata efficiently. Familiarity with various EHR platforms and the ability to quickly adapt to newtechnologies.• Diligently review and validate entered data to identify errors, inconsistencies, or missinginformation. Implement corrective measures to ensure data integrity and reliability.

Proactively drove high claim resolution rates, resulting in fast turnaround times and exceptionalcustomer satisfaction.• Utilized strong communication skills, both oral and written, to effectively translate complexprocesses into clear and simple language for improved understanding.• Applied physician contract pricing as needed, optimizing efficiency in claims processing.• Assisted in the development of process flows for new protection plans, contributing to efficientand effective claims handling by making recommendations for automation of redundant tasks, enhancing operational efficiency and streamlining the customer experience.

• Manage and Maintain main floor with larger group of workers while “going the extra mile” to ensure customer focus.  • Schedule and plan work and volunteer schedules for 15-20 employees using several scheduling systems  • Plan and coordinate volunteer hours with Danada Farms and Feed My Starving Children • Focus on Onboarding process and associate development through sales (Assist in Management Training Program)