Recovery Resolutions Representative at Optum (2020-05 – 2025-03)
- Conducted thorough reviews of triage and ICD codes to ensure accurate patient claims management.
- Resolved complex billing inquiries to enhance customer satisfaction and retention.
- Analyzed account discrepancies to ensure accurate and timely resolutions for clients.
- Collaborated with cross-functional teams to streamline recovery processes and improve efficiency.
- Managed high-volume caseloads while maintaining compliance with regulatory standards.
- Developed training materials to improve team performance in customer interactions.
- Implemented process improvements that reduced resolution time for outstanding accounts.
Clinical Data Abstractor at Optum (2019-07 – 2020-05)
- Abstract clinical data from electronic health records to ensure accuracy and compliance with regulatory standards.
- Strengthened the accuracy of clinical studies with careful attention to detail while abstracting relevant patient data.
- Reviewed patient charts to extract relevant information, supporting research initiatives with accurate data.
- Implement improvements in data abstraction methodologies, leading to increased reliability of clinical outcomes reporting.
- Mentored junior abstractors in best practices for data extraction and quality assurance, enhancing overall team capability.
Pharmacy Benefits Analyst at Optum (2018-07 – 2019-01)
- Performed detailed analysis and coding to ensure accurate and efficient pharmacy plan formulation.
- Coordinated wellness initiatives that promoted a healthy work environment.
- Analyzed employee benefits data to identify trends and recommend program enhancements.
- Developed and maintained detailed documentation for benefits policies and procedures.
- Collaborated with cross-functional teams to streamline benefits administration processes.
Pharmacy Benefits Analyst at Optum (2016-06 – 2017-01)
