Years of experience: 26

Graduate StudentMedicalMedical AssistantMedical BillerData EntryTyping Specialist

Trust Score

Exceptionally trusted; proven professional excellence.

80%
Ann's Career Path
Business System Analyst IIIJan. 2016 -
Present
WellSense Health PlanBusiness System Analyst III
Greater Boston AreaAnalyze current state and evolving organizational needs in order to configure projects, develop prototypes, and perform proof of concept testing in support of changing business requirements. Approve test plans and assist with implementation. Engage members of interdepartmental workgroup to address ongoing systemic organizational changes. Bridge communication gaps between departments to find c...
Configuration AnalystNov. 2011 -
Dec. 2015
Providence, Rhode Island AreaAnalyzed business requirements in order to translate desired outcomes into system configuration solutions. Extracted tables and data in order to derive best practices and apply them. Documented, designed, built, and tested concepts to improve functionality in Facets enterprise software. Engaged customers and executive management on project status and outcomes.
Grievances & Appeals Case SpecialistMay. 2010 -
Nov. 2011
Blue Cross & Blue Shield of Rhode IslandGrievances & Appeals Case Specialist
Providence, Rhode Island AreaEngaged providers and member inquiries into billing discrepancies, investigated underlying cause, and corrected issues as appropriate. Educated stakeholders and conducted troubleshooting within the system on their behalf. Coordinated appeal reviews and communicated final determinations to providers.