Experienced healthcare analyst with expertise in data reporting, claims review, and patient education in healthcare environments.
Utilized various data systems like VectorCare, CRM, Excel, and WDE to obtain and analyze healthcare and transportation data.
Handled patient, provider, and internal inquiries effectively, resolving issues and providing education on benefits and charges.
Applied knowledge of ambulatory care practices, claims review, and medical transportation programs to support healthcare delivery.
Coordinated and supervised data/reporting needs, and assisted in program planning and implementation within healthcare settings.
Kaiser Permanente, Regional SCPMG
Answers inquiries and educates patients, physicians and hospitals on covered benefits and charges., Frequent contacts with other organizational units and outside facilities staff to obtain, verify and/or provide information, e.g., works with Regional Claims and outside hospitals to reconcile...
Kaiser Permanente, Regional SCPMG
Ensures projects/cases are completed on schedule following established procedures and schedules., Provides information and assistance to Health Plan members during claims review process and coordinates authorized and non-authorized claims review., Recommends and evaluates processes to improve...
Kaiser Permanente Regional SCPMG
Frequent contacts with other organizational units and outside facilities staff to obtain, verify and/or provide information, e.g., works with Regional Claims and outside hospitals to reconcile billing charges., Utilizes various data systems to obtain the medical transportation program information...
Bachelor of Science
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