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Business Analyst
Center for Fiduciary Management (CFFM)
2014 - Present (10 years)
*Participate in the initiation, requirements, design, testing, and conversion/implementation phases of a project to develop, modify, or implement effective information systems solutions.
*Accurately gather, translate, and document and document user requirements to serve as functional specifications from which technical solutions are developed.
*Analyze user requirements and their impact on the application and system performance expectations.
*Communicates project information to all appropriate internal and external parties.
*Write, publish and maintain project documentation.
*Create workflows and processes to document system enhancements and project direction. Work closely with technical personnel to outline project requirements.
*Assisted in product layout and user testing for new company initiative.
*Focus on user interface design and information architecture of web and desktop applications.
*Structuring and design of business reports, including mockups and requirements.
*Assist in reviewing modifications to the company system, perform independent tests and complete necessary documentation.
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Business Analyst
DST Systems/Argus Health Systems
Aug 2013 - Sep 2014 (1 year 1 month)
*Participate in the initiation, requirements, design, testing, and conversion/implementation phases of a project to develop, modify, or implement effective information systems solutions. Review and ensure all appropriate documentation has been completed accurately for the change.
*Accurately gather, translate, and document and document user requirements to serve as functional specifications from which technical solutions are developed.
*Analyze user requirements and their impact on the application and system performance expectations.
*Lead and participate in external/internal ceremonies/meetings while acting as product owner on multiple teams, concurrently.
*Communicates project information to all appropriate internal and external parties.
*Write, publish and maintain project documentation (summaries, issue tracking logs, workflows, business requirement documentation, etc.).
*Create workflows and processes to document system enhancements and project direction. Work closely with technical personnel to outline project requirements.
*Assisted in product layout and user testing for new company initiative.
*Analyzed completed work of Pharmacy Benefit Analysts and performed accompanying claim tests of the customer’s request.
*Performed a complete analysis, including reviewing the customer's request and making sure it was interpreted correctly, reviewing the changes input into the system, performing independent claim tests and ensuring all appropriate documentation is attached.
*Reviewed all documentation associated with the request, including e-mail requests from customer, internal forms, claim tests, etc.
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Claim Specialist
Kansas Department of Health and Environment
Dec 2010 - Dec 2012 (2 years)
*Investigated potential worker’s compensation claims for Kansas state employees.
*Contacted claimants and human resource personnel to determine/verify incident information.
*Approved/denied claims and determined compensability, as well as prepared loss of time summaries, denial letters and other necessary documentation.
*Calculated and paid on temporary total disability, request impairment ratings, and extended settlements offers.
*Maintained medical, legal, subrogation and death claims up to $65,000. Assigned nurse case managers and review medical records.
*Contacted billing departments to ensure proper handling of claimant bills and to correct any payment issues.
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Juvenile Intake Counselor
Kansas Children's Service League
Jul 2011 - Nov 2012 (1 year 4 months)
*Completed intake reports on all juveniles in relation to arrests, detention assessments, and police protective custody arrangements.
*These were utilized by many entities to provide an accurate and detailed report in regards to each *Assisted law enforcement with admission processing and placement screening.
*Referred families to community resources; provided offenders with crisis intervention; transported juveniles to court or placements.
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Customer Service Representative
Blue Cross and Blue Shield of Kansas
Dec 2009 - Dec 2010 (1 year)
*Investigated and adjusted claims, issued ID cards, and routed customers to appropriate channels.
*Provided information, education and assistance to members, providers, other insurance companies, attorneys, agents / brokers or other member representatives on recorded phone lines regarding benefits, claims and eligibility.
*Processed procedure certifications and ICD9 inquiries.