Professional Summary

Yohanna joins the B2E program after an extensive background as a claims specialist where she gained experience in customer service as well as skills in management. Yohanna gained many professional skills through these roles such as strong leadership skills, Project Management, and Implementation. Not only did Yohanna gain extensive professional skills, she also gained note-worthy skills as a Problem Solver, becoming analytical and detail oriented. Yohanna is eager to continue her knowledge and widen her skillset obtained through the formal IT training from Barriers to Entry.
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Skills

  • Methodologies: Agile, Waterfall,
  • Soft Skills: Analytical, Problem Solver, Responsible, Detail Oriented
  • Relevant Experience: Project Management, Leadership, Implementation,
  • Software: Microsoft Office Suite, SharePoint

Education & Training

  • York Solutions’ Barriers to Entry Program – Concentration: Project Management (in process)
  • University of Minnesota- B.A. Public Health and Global Studies with a Leadership Concentration

Professional Experience Highlights

Claims Specialist

  • Developed real time reporting that sustainably measured new claim exposure, team member productivity and efficiency
  • Collaborated with Business Systems team to execute the roll out for the new claim monitoring tool to reduce fraudulent claims
  • Supported Subrogation Strategy Initiative by partnering with cross-functional teams to establish appropriate training to team members to address subrogation recovery
  • Investigate all relevant facts for claims by gathering information and evidence to determine compensability for each claim
  • Analyze complex and technically difficult claims to determine the exposure on each claim to establish appropriate reserve
  • Manage over a million dollars reserve; calculate and pay benefits due to claimants, vendors and medical bills
  • Manage claims through well-developed action plans to negotiate and settle litigated claims
  • Lead all aspects of assigned projects, including building work plans by engaging vendors, prioritizing and assigning tasks, bringing projects to successful completion
  • Ability to communicate with a broad range of individuals including clients, legal and medical professionals

Patient Service Representative

  • Generate, document and review patient accounts to input insurance card, payment, and bill tickets accurately and promptly
  • Evaluate, collect and set up workers compensation, health insurance, auto and liability claims into Epic system
  • Work directly with patients to guide them through the patient portal process to access their health records
  • Communicate with administrative health personals for accuracy of the records.

Clinic Service Representative

  • Responsible for the clinic operations and provide extraordinary care to patients through friendly, and professional services
  • Work independently on daily operational duties such as administrative tasks, and responding to inquiries
  • Communicate with staff members on a daily basis to identify issues and to gain information regarding healthcare laws, regulations and policies.

SimPortal Assistant

  • Operated and supervised the human patient simulators for surgeons and anesthesiologists in order to provide a successful training experience for University of Minnesota medical students
  • Prepared, recorded, and organized medical supplies properly using checklists that physicians used
  • Solved problems related to simulation equipment and participated in team projects to enhance efficiency of SimPortal