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Skills

  • Competitive analysis
  • Data governance implementation
  • Gap analysis
  • Cross-functional collaboration
  • First Aid/CPR
  • Project management
  • Time management
  • Data management systems expertise
  • Financial Management
  • Operational improvement

Work Experiences

  • Generated over $9 million in revenue per year through implemented and improved.
  • Collaborated with insurance companies to ensure alignment of provider data across third-party systems, thereby reducing claim errors.
  • Analyzed provider network performance metrics.
  • Addressed ongoing provider data needs.
  • Achieved Excellence Award for compliance efforts.
  • Compiled current business intelligence data into reports and polished presentations, highlighting findings and making recommendations for improvements.
  • Combed through files, records, and other documents in order to gather business data and key data that would help me respond to development requests.
  • Achieved annual cost savings of $16 for the company.
  • By closely supervising the workflow of claims analysts and mail clerks, I was able to close process gaps and encourage optimal productivity.
  • Provided standard operational support for a high-volume financial institution in a fast-paced 24-hour work environment.

Summaries

  • Adept in batch processing and provider data automation.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved higher accuracy in provider directories.
  • Analytical Provider Data Analyst.
  • Analytical and data-driven Provider Data Analyst with a commitment to enhancing data quality. Led data validation initiatives that improved provider data accuracy by 76%, while supporting cross-functional teams to ensure compliance.
  • Cut incorrect entries by 66%.
  • Successful in advancing the company's goals and improving metric performance.
  • Business Analyst with extensive experience in the Salesforce portfolio asset management system.
  • Consistently meets revenue targets by utilizing BI data and producing well-executed recommendations.
  • Adept in identifying trends for strategic decision-making.

Accomplishments

  • Automated provider data validation workflows using Adobe Creative Suite, reducing manual errors and improving processing speed by 7 days.
  • Managed a team that audited and corrected historical provider data inaccuracies, resulting in a 36% error correction rate and enhanced data integrity.
  • Directed the integration of provider data with third-party verification platforms, successfully eliminating duplicated entries and ensuring consistent data flows.
  • Led the migration of provider data to a new system, enhancing data accuracy and reducing entry errors by 28% during 2020.
  • Developed and implemented key performance indicators (KPIs) to track the completeness and accuracy of provider data, improving decision-making processes for leadership teams.
  • Collaborated with stakeholders to resolve credentialing data discrepancies, which reduced verification delays by 31% and enhanced provider onboarding efficiency.
  • Assessed vendor solutions for ongoing data reconciliation needs, selecting a tool that reduced discrepancies by 38% across the enterprise.
  • Collaborated with team of 6 in the development of metric.
  • Developed a process to track certification expirations, reducing provider credentialing issues and improving compliance reporting by 54%.
  • Configured provider data reports using Tableau, improving organizational visibility into credentialing workflows and reducing manual report generation time by 16%.

Affiliations

  • National Association for Healthcare Quality (NAHQ)
  • American Health Information Management Association (AHIMA)
  • College of Healthcare Information Management Executives (CHIME)
  • International Association of Administrative Professionals
  • Health Financial Management Association (HFMA)
  • SQL Server User Group
  • American Marketing Association
  • Lions Club
  • American Medical Informatics Association
  • Institute for Operations Research and the Management Sciences (INFORMS) – Health Applications Section

Certifications

  • Certified in Healthcare Compliance (CHC)
  • SQL Certification for Data Analysis – procedure
  • Professional Data Engineer Certification - Salesforce
  • Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR)
  • Foundations of Healthcare Data Analytics – Cedar Works
  • Alteryx Designer Core Certification
  • Certified Health Insurance Executive (CHIE)
  • CompTIA A+ Technician
  • Certified Health Data Analyst (CHDA)
  • CompTIA Security+

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