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Kathy Shields is listed as Healthcare Business Analyst at Anthem Health Plans, Inc., a company with 2 employees, based in Atlanta Metropolitan Area, United States, United States. AeroLeads shows a work email signal at anthem.com and a matched LinkedIn profile for Kathy Shields.
Kathy Shields previously worked as Business Information Analyst at Anthem Health Plans, Inc. and Outreach Care Specialist II at Anthem Health Plans, Inc.. Kathy Shields holds Bachelor’S Degree, Business Healthcare Management from Ohio Christian University.
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Healthcare Business Analyst with a demonstrated history in improving healthcare outcomes, training education, change management, and research tools.
Listed skills include Parallon, Microsoft Sql Server, Hospitals, Training, and 29 others.
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Atlanta, GA
Served as business analytics liaison for clinical quality complex core teams, nursing, health administration, and related clinical teams. Responsible for business system functions, resources person and teacher to clinical health population program teams. Experience in clinical support, claims informatics, clinical application training, workflows, medical.
Atlanta, GA
Utilization management operation outreach providing support for client engagement.Identify barriers through obc assessment tool related to quality program that meet best practices. Provided support and guidance on system training, clinical management, quality improvement, and clinical quality operations. Provided onboard system training to case managers.
Greater Atlanta Area
Managed Insurance verification, pre-certification, billing, computer skills and effective communication for advanced cancer treatment for 46 physicians provide care in 27 Northside Hospital Cancer Institute locations in Metro Atlanta, North and Central Georgia. Predetermination, and redetermination approvals for outpatient, and inpatient cancer drug.
Norcross, GA
Maintained departmental policies and procedures, objectives, patient, and customer service policies to effectively resolve contractual claims issues, and improve goals for managed facilities that include more than 170 hospitals and 119 freestanding surgery centers. Utilized technical MEDITECH, Parallon and EPIC skills that improved organizational business.
Greater Atlanta Area
Problem solve, research and analyzes claims issues. Claims adjudication of professional, national, speciality and inpatient claims for members and providers. Provided professional representation on multiple claims benefit configuration level. Helped managers, specialists, external vendors and co-workers on system and claims issues. Utilized network pricing.
Activities and Societies: Dean's List Fall 2015-March 2018health informatics, reporting & data analysis, research & professional.
Activities and Societies: Dean's List Spring 2013-2014 Dean's List Fall 2014- 2015 Spire's Honors GraduateAssociate of Arts program with a.
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Kathy Shields works for Anthem Health Plans, Inc..
Kathy Shields is listed as Healthcare Business Analyst at Anthem Health Plans, Inc..
AeroLeads has found 1 work email signal at @anthem.com for Kathy Shields at Anthem Health Plans, Inc..
Kathy Shields is based in Atlanta Metropolitan Area, United States, United States while working with Anthem Health Plans, Inc..
Kathy Shields has worked for Anthem Health Plans, Inc., Georgia Cancer Specialists, Hca, and Blue Cross Blue Shield.
You can use AeroLeads to view verified contact signals for Kathy Shields at Anthem Health Plans, Inc., including work email, phone, and LinkedIn data when available.
Kathy Shields holds Bachelor’S Degree, Business Healthcare Management from Ohio Christian University.
Kathy Shields is listed with skills including Parallon, Microsoft Sql Server, Hospitals, Training, Hitech, Multi Claims Enviroment, Project Management, and Epic.
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