SUMMARY

• Goal - oriented, motivated professional with extensive expertise in data analysis and processing procedure updates.
• Competent in strategic logistical planning and tactical execution.
• Compile research and disseminate information regarding data analysis.
• Proficient in customer requirements analysis, including IOM, ISP, SOW, PMR, QMR, and SLA.

AREAS OF EXPERTISE

• Research & Analysis
• Logistics & Tactical Execution
• Strategic Planning/Analysis
• Industry Networking
• Customer Relations
• Competitive Intelligence
• Oral/Written Communication
• System Operations
• Operations Improvement
• Coaching & Training
• Project Management
• Conflict Resolution

PROFESSIONAL EXPERIENCE

Data Performance Analyst

Responsibilities:

• Efficiently generate reports to provide accuracy information, error assessments, and deficiencies analyzes, as well as conduct specialized studies to provide thorough feedback of data analysis; restructured production of monthly reports from 5 days to 2.
• Directs weekly meetings with all levels of personnel to discuss performance data, assessment resolutions, and audits; consider changes based on CMS/QASP audit information and IMO/ISO/SOW/QMR/SLA research.
• Conduct monthly cross-departmental calibration to promote processing consistency; scores have improved by 80% over the course of a year.
• Direct, manage, and mentor 27 department reviewers by organizing training sessions to promote accurate and consistent educational assessments; collaborate with reviewers, supervisors, and operations to ensure appropriate assessments and resolutions to adhere to SLA standards, reducing pending assessments by 54%.
• Developed and implemented multiple workbooks that include formulas and links to assist with internal analyses.
• Responsible for internal procedure updates and data collection structure.
• Managed internal process improvement projects; developed system request changes to Oracle database structure to ensure user-friendly experience and efficiency; actively research to identify systems and methods to continually improve the company in a cost-effective manner.
• Conducted inspections related to product delivery system to determine accuracy of processing aspects; recorded and categorized deficiencies and error trends of processing procedures.
• Swiftly finalized tasks with high accuracy levels to achieve SLA standards.
• Appropriately updated and edited processing instructions for operational areas to reflect IOM and CMS research; review and incorporate submitted improvement suggestions to ensure consistent, efficient, and accurate processing.
• Engaged in weekly meetings to discuss operational processing concerns and evaluate internal guidelines.

Confidential, Mechanicsburg, PA

Medicare Appeals Part B Representative

Responsibilities:

• Received and responded to first level appeal requests from beneficiaries, providers, and CMS.
• Provided accurate verification of initial processing and clerical error corrections, as well as researched and reviewed redeterminations in accordance with CMS policies and regulations.
• Responsible for processing 1490 forms and CERT submissions.

Confidential , Mechanicsburg, PA

Office Assistant

Responsibilities:

• Restructured filing system to boost efficiency and organized supply resources.
• Finalized data entry by recording prices, comparing customer estimates and labor cost, projecting completion dates, and applying debits/credits to accounts.
• Functioned as liaison between proprietors and customers.