Description
SUMMARY: Professional analyst with extensive experience in the Healthcare Insurance Industry for members and providers. Recent experience and education in business analysis with a focus on SQL and Scrum Agile Methodologies. Effective working directly with providers to elicit business requirements. Successful analyzing and testing denied healthcare claims to ensure proper posting, payment and maximum dollars returned to the provider. Familiar with running live tests to identify potential risks. Strong background in Medicaid, Medicare and MMIS. Skilled in: Requirements Definition SDLC Project Management Requirements Analysis Cross-Functional Communication Test Plan Development
Work Experience
| COMPANY | POSITION HELD | DATES WORKED |
|---|---|---|
| (Confidential) | Account Manager | 1/2016 - Present |
| Independent Contractor | Claims Specialist | 1/2015 - 1/2016 |
| Hewlett Packard | Georgia Medicaid Claim Business Analyst | 1/2011 - 1/2014 |
| Home Billing Llc | Medical Billing And Appeal Specialist | 1/2003 - 1/2011 |
Accomplishments
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