Janae Johnson

• Conducted thorough data validation and cleanup, ensuring accuracy and reliability of datasets used for analysis.
• Optimized SQL queries for faster processing times, increasing overall productivity within the team.
• Enhanced data visualization capabilities for better decision-making with the use of advanced BI tools.
• Identified opportunities for cost savings within the department through an extensive audit of current processes and resource allocation models.

• Analyzed and manipulated large datasets in Excel, providing actionable insights that supported strategic decision-making
• Generated comprehensive monthly reports utilizing advanced Excel functions to convey key business metrics
• Collaborated with cross-functional teams to discern business requirements and delivered analytical support for various projects
• Enhanced claims processing efficiency by implementing new analytical methods, resulting in a measurable reduction in processing time.

· Reviewed payment denials and discrepancies identified through EOB, Remittance Advices, Enterprise now and take appropriate action to correct these accounts.

· Process Medicare, Medicaid, Professional, and Facility claims.

· Analyzed and processed complex medical claims for coverage and reimbursement, including determining eligibility, and calculating benefits according to policy provisions.

· Maintained accurate and up-to-date records of all claim activities, including claims status, payment information, and correspondence with clients and providers.

· Process adjustments, rework claims, corrected claims, reconsideration request, and appeals.

· Provide service to providers by researching, analyzing, maintaining, and collecting overpaid and underpaid claims.

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• Monitored and interpreted cardiac rhythms, alerting medical staff of any abnormalities or changes in patient cardiac status to facilitate prompt and appropriate responses
• Conducted equipment operations, including the application and removal of Holter and event monitors, ensuring accurate cardiac activity recording and analysis
• Provided comprehensive training to new technicians on best practices and safety protocols, in addition to performing regular maintenance and troubleshooting of cardiac monitoring devices to guarantee consistent performance.

• Addressed customer concerns and delivered personalized solutions, improving overall satisfaction
• Refined the onboarding process, facilitating quicker product adoption and bolstering retention
• Coordinated with the sales team to achieve smoother customer transitions and supported revenue growth through strategic upselling initiatives.