Kimberly Scott work email
- Valid
- Valid
Kimberly Scott personal email
- Valid
Kimberly Scott phone numbers
Product Manager | Senior Business Analyst | Configuration Manager |LION | LinkedIn Open Networker Summary:Managed Care professional with healthcare payor experience with a unique combination of technical expertise, managerial experience, business leadership, and design and production support to lead the delivery and implementation of mission-critical software systems.A wealth of experience in data mapping of health plan data from various payor systems, data conversions, configuration and implementation, troubleshooting and researching client issues and training as well as HIPAA X12 transactions. CORE COMPETENCIES: Process ImprovementAgile MethodologiesHealthcare InformationProduct ManagementManaged CareSoftware ImplementationData Conversions/MappingResearch AnalysisAnalytical ThinkingCreate & Perform TrainingProject Management SkillsDevelop Functional RequirementsAcceptance TestingSoftware Documentation DevelopmentQuality AssuranceTroubleshootingSQLProblem SolvingCreative problem solver and results orientedCustomer service mindsetAchieve rapport with all levels of staffExcellent communication and interpersonal skillsExemplary analytical skillsPatient and an active listenerPerseverance in resolving issuesProduction & Technical SupportResearch analysis & troubleshootingStrong background working in a customer-facing environmentStrong multi-tasking abilitiesSystem configuration & implementationTeam-centricTechnical documentation developmentMedicaid/MedicareEDI TransactionsRequirements AnalysisClaims ManagementAnalyticsRelational DatabasesDecision SupportFunctional VerificationRecruiters, HR Managers, and Hiring Managers connect with me to get access to my network deep in industry leadership.If you are hiring a Product Manager, Senior Business Analyst or Configuration Manager, please call me at (520) 975-9212 or email me at kimberly.scott.az@gmail.com.
-
Business AnalystP3 Health Partners Jan 2021 - Apr 2023Henderson, Nevada, UsAnalyze health care and financial information and develop utilization and performance reports for the overall market, departments, and individual physician groups.• Developed reporting showing patients needing services based on previously identified diagnoses to meet Medicare Advantage regulatory guidelines.• Extracted data from multiple environments to provide the Market President with the necessary data for the monthly operating reports presented to senior leadership and the board of directors. -
Business Analyst - Technical ServicesHealthcare Information Management, Inc. Mar 2016 - Oct 2016Walnut Creek, Ca, UsManaged software development and implementation of multiple health plans. Researched client business requirements, translating client needs into system and functional software requirements. Developed and documented comprehensive health care systems.• Translated client business requirements into specific System/Functional software requirements used to create Robotic Process Automation eliminating the need for 3-5+ full-time employees• Collaborated in establishing a standard format for the requirements specification document -
Manager, Product ManagementHealthtrio, Llc Jun 2007 - Dec 2014Tucson, Az, Usf/k/a/ Monument Systems LLC and HealthTrio Inc.Spearheaded a variety of technical projects, including revamping to a web-based application and preparing for ICD-10 implementation. Consulted with clients during on-site visits to ensure optimal use of the Claims Management System and gathered requirements for new features. Identified and resolved process gaps to improve quality and efficiency. Collaborated with the sales department to create RFP/RFI responses and performed in-depth system demos to potential clients. • Facilitated client elicitation interviews and created use cases for requirements documents• Served on a task force to research and resolve complex client issues, train clients, and review system configuration. Increased client sites' processing performance by 30% by optimizing configuration and identified additional functionality, not in use that could increase production by an additional 20% -
Senior Manager, Configuration/Product ManagerHealthtrio, Llc Jun 2005 - Jun 2007Tucson, Az, UsOversaw client migration and data mapping to new production software. Recommended and developed new features, improvements, and revisions to ensure compliance with HIPAA and HITECH industry and state requirements. Analyzed client installations and recommended solutions for unique client environments. • Devised and conducted best practice webinar sessions to the install base on new features• Increased revenue by 35% by evaluating client environments and suggesting the implementation of functionality to increase clients' productivity and overall satisfaction• Monitored industry drivers, best practices, standards, and regulatory changes to develop a product roadmap and identify future release enhancements
-
Manager, Client Support & Quality AssuranceHealthtrio, Llc Jun 1998 - Jun 2005Tucson, Az, UsLed client support operations to ensure timely and cost-effective processes to ensure optimal system functioning. Developed and implemented test plans, test cases, data and scripts to verify product functionality, regression testing, and quality control.• Completed 98 percent of client issues within 3 business days • Resolved escalated problems to maintain strong customer experience levels, ensuring team achieved performance and customer service level agreements
-
Qc Tester | Managed Care Software DepartmentSunquest Information Systems Feb 1997 - Jun 1998Uk, Europe, North America And India, GbSunquest sold the Managed Care Software to Monument Systems / HealthTrio Inc• Quality control of software and reporting on a managed care product using SQL queries• Assist in software development, improvements and revisions with the programmers/developers and developed test plans, test cases, and data• Review user manuals for accuracy and provide additional content• Subject matter expert in the majority of the software application• Performed client support and training• Evaluation of new client requirements -
Claims Auditor | Trainer, Claims AnalystCarondelet Health Network Jun 1995 - Jun 1997Tucson, Az, Usf/k/a Strategic Medical Services• Audit medical/hospital claims for procedural and financial accuracy according to plan documents and industry regulations.• Trained new hires on system and plan documents. • Trained on problem areas found in system audits. • Collaborated with the IT department on system deficiencies/software updates by testing patches.• Assisted engineers by auditing report results.• Finalized claims for hospital and professional services using knowledge of Revenue, CPT, HCPCS, and ICD-9 codes, managed care rules, State and Federal regulations and medical terminology. -
Full Service Representative - Customer Service And Claims ProcessingCarefirst Bluecross Blueshield Sep 1989 - Apr 1995Baltimore, Md, Usf/k/a Blue Cross/Blue Shield of Maryland• Research and resolved written and telephone inquiries from subscribers, group administrators, and other plan representatives as well as internal requests for information. • Adjudication of Hospital and Professional medical claims with 99% accuracy rate.• Chosen to be one of two representatives to resolve inquiries for medical and dependent care Flexible Spending Account (FSA) benefits and claims.• Designated as Acting Team Lead in the supervisor’s extended absence.• Consistently surpassed|exceeded in departmental expectations for quality and productivity.
Kimberly Scott Skills
Kimberly Scott Education Details
-
University Of Maryland Baltimore CountyGeneral -
Hawaii Pacific UniversityGeneral
Frequently Asked Questions about Kimberly Scott
What is Kimberly Scott's role at the current company?
Kimberly Scott's current role is Business Analyst at P3 Health Partners.
What is Kimberly Scott's email address?
Kimberly Scott's email address is ks****@****3hp.org
What is Kimberly Scott's direct phone number?
Kimberly Scott's direct phone number is +152057*****
What schools did Kimberly Scott attend?
Kimberly Scott attended University Of Maryland Baltimore County, Hawaii Pacific University.
What are some of Kimberly Scott's interests?
Kimberly Scott has interest in Social Services, Education, Trending Analysis, New Technologies, Process Improvement, Poverty Alleviation, Science And Technology, Disaster And Humanitarian Relief, Human Rights, Animal Welfare.
What skills is Kimberly Scott known for?
Kimberly Scott has skills like Healthcare, Healthcare Information Technology, Product Management, Managed Care, Software Documentation, Software Implementation, Business Analysis, Process Improvement, Management, Quality Assurance, Hipaa, Sdlc.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial