Princess Brookes
Valdosta
Summary
Accomplished healthcare data analyst and product manager with expertise in accounts receivable and insurance claims analysis. Skilled in generating actionable reports with Tableau and SQL, enhancing processes through cross-team collaboration. Ready to apply analytical and operational expertise to drive client satisfaction and adapt to evolving industry standards.
Overview
13
13
years of professional experience
Work History
A/R Specialist
ReveLution LLC
Phoenix
02.2024 - 02.2025
- Review and analyze insurance claims denials, rejections, and underpayments.
- Research and interpret payer policies and denial reasons to determine appropriate follow-up actions.
- Prepare and submit appeals and corrected claims in a timely and compliant manner.
- Followed up with insurance carriers, patients, and internal departments to resolve outstanding A/R balances, reducing unresolved claims.
- Document all activities and communications in the billing system accurately and thoroughly.
- Collaborate with coding, billing, and clinical teams to resolve discrepancies or issues contributing to denials.
- Monitor aging reports and prioritize high-dollar or time-sensitive accounts.
- Identified trends and recurring issues in denials, recommending targeted process improvements to enhance claims resolution effectiveness.
- Maintained knowledge of payer guidelines, coding updates, and industry best practices to ensure compliance and optimize claim submissions.
Reporting Analyst
Cohere Health
Boston
01.2023 - 01.2024
- Created and maintained client-facing reports in Tableau, Excel, PowerPoint, and other mediums to enhance client insights
- Analytic and reporting support for Client and Provider success teams
- Attended client meetings as data SME, providing expertise to address client inquiries and enhance understanding of data analysis
- Handled ad hoc analysis and dashboard development both adhoc analysis as well assisting in developing dashboards for internal and external use
- Solved business needs through data-driven solutions, collaborating with engineering and data governance teams to curate necessary data
- Work autonomously to complete projects from ideation to final deliverable
- Defined specific reporting deliverables for new clients for new clients
- Be a subject matter expert in Cohere's external deliverables for new and existing clients
Associate Product Manager
Cedar Healthcare
New York
09.2020 - 01.2023
- Analyzed customer feedback to inform product decisions, prioritize feature requests, and develop user stories.
- Collaborated with cross-functional teams to define product requirements and specifications.
- Worked closely with UX and UI designers to create intuitive user experiences for web and mobile applications.
- Coordinated beta testing efforts with customers to ensure quality assurance before launch.
- Facilitated communication between internal stakeholders across multiple departments.
- Documented product features and maintained updated technical specifications.
- Supported developers through sprint planning sessions, daily stand-ups, retrospectives, demos.
- Provided technical support during the implementation phase including troubleshooting issues.
Patient Account Specialist
GOHEALTH URGENT CARE
Atlanta
01.2019 - 09.2020
- Processed and managed patient claims, reviewed and updated accounts for collections, resolved patient account issues, explained benefits, assisted with repayment terms, negotiated overdue balances for payment recovery, and sent itemized bill statements.
- Managed patient accounts and verified insurance eligibility for urgent care services.
- Processed medical billing and coding for accurate claim submissions and payments.
- Coordinated with healthcare providers to resolve billing inquiries and discrepancies.
Healthcare Billing Agent
TTEC
06.2018 - 12.2019
- Reviewed claims, verified patients' insurance information, ensured accurate payment allocation, and generated accounts receivable reports for management.
- Reviewed policy details with members to clarify claims process and resolve issues.
- Assisted members with billing inquiries, enhancing understanding of health insurance policies.
Order Entry Team Leader/ Revenue Specialist
American Home Patient Lincare
Valdosta
10.2011 - 11.2014
- Led a team of fifteen employees.
- Conducted team meetings and training for employees and new hires to enhance team cohesion and service quality.
- Contact insurance companies to process payments and claims.
- Facilitated communication between team members and healthcare providers to ensure timely and effective service delivery.
- Conducted regular performance evaluations to support staff development and improvement.
- Managed personnel scheduling to align coverage with patient needs across regions.
Education
Bachelor of Science - Biology
VALDOSTA STATE UNIVERSITY
Associate of Science - Psychology
KENNESAW STATE UNIVERISTY
Skills
- EHR systems
- Patient care strategies
- Analytical skills
- Product management
- User stories
- Agile methodologies
- UI design
- Data visualization
- MySQL management
- AWS cloud services
- JIRA management
- Microsoft Outlook proficiency
- Time management
- Collaboration
- Curriculum development
Timeline
A/R Specialist
ReveLution LLC
02.2024 - 02.2025
Reporting Analyst
Cohere Health
01.2023 - 01.2024
Associate Product Manager
Cedar Healthcare
09.2020 - 01.2023
Patient Account Specialist
GOHEALTH URGENT CARE
01.2019 - 09.2020
Healthcare Billing Agent
TTEC
06.2018 - 12.2019
Order Entry Team Leader/ Revenue Specialist
American Home Patient Lincare
10.2011 - 11.2014
Bachelor of Science - Biology
VALDOSTA STATE UNIVERSITY
Associate of Science - Psychology
KENNESAW STATE UNIVERISTY