Detail-oriented Payer Integrity Analyst with expertise in data analysis and claims resolution. Optimizes operational efficiency through strategic communication and project management. Experienced in leading teams and improving workflows to enhance operational success and foster strong customer relationships.
Overview
29
29
years of professional experience
Work History
Payer Integrity Analyst
Hanger, Inc
Belton
01.2019 - Current
Served as subject matter expert in identifying and resolving claims issues with payers throughout Western U.S.
Led claims reprocessing projects to ensure timely resolution for payers.
Maintained key payer relationships to facilitate efficient problem-solving and escalation.
Communicated root causes and resolutions to stakeholders, ensuring clarity and alignment with payer expectations.
Analyzed systematic trends and reported results, recommending enhancements to improve claims processing.
Area Office Manager
Hanger Clinic
Belton
09.2018 - 01.2019
Supervised Southern CA Central Intake team and Billing Specialists, driving operational improvements.
Managed daily office operations remotely from Missouri, streamlining workflows for Southern CA teams.
Facilitated effective communication between clinical teams and administrative personnel.
Tracked invoices and payments to maintain accurate accounts receivable and payable records.
Trained new hires on office policies and procedures, facilitating quick integration and compliance.
Provided administrative support to management through report and presentation preparation.
Area Office Manager
Hanger Clinic
Anaheim
01.2014 - 09.2018
Streamlined daily office operations, enhancing workflow for clinic staff.
Trained new administrative staff on office procedures and software systems.
Developed and implemented policies to enhance operational efficiency.
Facilitated communication between clinical teams and administrative personnel, improving collaboration.
Assisted in budget preparation while monitoring expenses related to office operations.
Maintained organized office environment to support efficiency and professionalism.
Supervised staff and organized schedules, ensuring task delegation aligned with operational needs.
Administrative Assistant
Hanger Prosthetics & Orthotics
Anaheim
01.2007 - 01.2014
Managed scheduling and calendars for meetings to maximize time utilization.
Delivered comprehensive administrative support to regional executives, improving operational efficiency.
Composed letters, memos, reports, and presentations, ensuring high communication standards.
Answered phone calls and emails, ensuring prompt delivery of information for business correspondence.
Coordinated logistics for workshops, conferences, and meetings, reserving rooms and preparing supplies to support successful events.
Entered data into spreadsheets using Microsoft Excel, ensuring accuracy and organization.
Handled confidential documents according to protocols, maintaining data security.
Served as liaison for Regional Medicare RAC and Regional Patient Referral Source Initiative (PRSI), enhancing communication and collaboration among stakeholders.
Office Administrator
Hanger Prosthetics & Orthotics
San Bernardino
09.1996 - 01.2007
Coordinated daily administrative operations, ensuring smooth office function and support for team objectives.
Maintained organized filing systems for confidential documents and records.
Assisted in onboarding new employees by preparing essential materials.
Filtered emails by importance, escalating critical issues to leadership for timely resolution.
Developed strong client relationships through exemplary customer service.
Developed engaging PowerPoint presentations for internal and external clients to enhance communication.
Performed clerical duties, including photocopying, faxing, and scanning documents.
Collaborated with team members to improve workplace morale and dynamics.