Jennifer Matukaitis
Shavertown
Summary
Business Analyst recognized for exceptional productivity and efficient task execution. Specialized in data analysis, process improvement, and project management. Strong critical thinking and communication skills drive effective problem-solving and solution delivery. Focused on applying expertise to achieve success in dynamic business settings.
Overview
10
10
years of professional experience
Work History
Business Analyst
Centene
Mechanicsburg
04.2023 - Current
- Constructed reports with SQL queries for tracking alignment with key performance indicators.
- Coordinated brainstorming sessions with cross-functional teams to drive innovative problem-solving efforts.
- Conducted preliminary assessment of new providers to ascertain eligibility for network enrollment.
- Executed daily responsibilities with precision and efficiency.
Claims Processor
Loomis
Reading
05.2021 - 12.2023
- Managed high volume of incoming claims in alignment with established policies and procedures.
- Conformed to all applicable laws, regulations, and company standards throughout claims management.
- Leveraged understanding of coding systems like CPT-4 and HCPCS codes to facilitate proper reimbursement
- Optimized workload to consistently exceed productivity and quality standards.
Claims Supervisor
Broad-Path
Tucson
11.2015 - 05.2020
- Educated new staff on medical claim processing systems, policies, and procedures.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Administered quality assurance assessments on submitted claims to confirm completeness and accuracy ahead of submission.
- Assembled reports for management outlining status of current claims and pinpointing trends in billing practices.
- Analyzed performance metrics such as denial rates, payment accuracy levels, and turn-around times, benchmarking results against established goals.
- Managed and reviewed daily activities of medical claims department staff to secure precise and prompt handling of all claims.
Education
High School Diploma -
WVW High School
Plymouth06-1997
Skills
- SQL queries
- Data analysis
- Report generation
- Cross-functional collaboration
- Claims management
- Regulatory compliance
Timeline
Business Analyst
Centene
04.2023 - Current
Claims Processor
Loomis
05.2021 - 12.2023
Claims Supervisor
Broad-Path
11.2015 - 05.2020
High School Diploma -
WVW High School
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