Strategic Fulfillment Analyst

Rate, USD
Not specified
Work schedule
Full Time,
Language skills
English
Available for Hire
Yes
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About me

I am a strategic fulfillment analyst with over 6 years of experience specializing in claims analysis, healthcare compliance, and financial services. Throughout my career, I have developed a strong ability to process complex cases, generate actionable instructions, and ensure strict adherence to regulatory requirements. My expertise lies in managing investigative workflows and maintaining transparency in high-stakes environments.

I am proficient in leveraging project management methodologies to streamline data-oriented processes, which has enabled me to improve operational efficiency and accuracy. My experience includes handling sensitive patient and financial data with utmost confidentiality and compliance with HIPAA, PHI, and other regulatory standards.

In my current role as a Patient Service Representative at Optum, I support patient registration and scheduling while maintaining near-perfect data accuracy. I utilize specialized healthcare software such as Epic Hyperspace and Epic Cheers to manage patient communication and appointment adherence effectively.

Previously, as a Claims Analyst at UnitedHealthcare, I managed complex claim investigations and ensured reimbursement compliance while minimizing regulatory risks. I am skilled at prioritizing risk-based claims and exercising independent analytical judgment.

Earlier in my career, I worked as a Financial Advisor at Bank of America, where I maintained compliance with FINRA and SEC regulations, conducted financial assessments, and supported client onboarding using Salesforce CRM. I am committed to continuous professional development, holding certifications in Business Analysis & Process Management, Data Analysis, and Microsoft Office Specialist.




Education

2020 B.sc in Economics @ Babcock University

Experience

August 2024 – Present Patient Service Representative @ Optum

Support registration and scheduling for at least 60 patients per day, ensuring 98–100% data accuracy rates by ensuring precise demographic and insurance capture in Epic Hyperspace. Utilize Epic Cheers to manage patient communication workflows, improving appointment adherence and reducing missed appointments. Maintain strict compliance with HIPAA and organizational privacy standards while documenting patient interactions and updating electronic health records.

November 2023 – August 2024 Claims Analyst @ UnitedHealthcare

Analyzed complex claim documentations and processed case instructions to ensure accurate equity sorting and reimbursement compliance based on reimbursement policies while maintaining 100% adherence to PHI and HIPAA standards and minimizing regulatory risk. Managed a self-directed caseload of complex, less-structured investigations, prioritizing risk-based claims and exercising analytical judgment with minimal oversight. Oversaw data handling for hundreds of sensitive transactions while adhering to PHI and HIPAA, ensuring meticulous data integrity and confidentiality.

January 2018 – February 2020 Financial Advisor @ Bank of America

Maintained full compliance with FINRA and SEC regulations, ensuring accurate documentation of client interactions and financial transactions. Conducted financial assessments and supported development of personalized investment strategies aligned with client risk profiles and goals. Supported client onboarding and account setup using Salesforce CRM, improving onboarding efficiency and documentation accuracy. Assisted senior advisors with portfolio reviews and preparation of planning materials, contributing to improved client service delivery.

Feb 2016-Jan 2018 Cashier @ Target Corporation

Operating cash registers and self-check systems.
Scanning items and processing payments.
Handling returns, exchanges and refunds according to store policy.
Balancing cash drawers and reporting discrepancies.
Assisting with stocking nearby merchandise or front-end tasks when needed.
Promoting loyalty programs, redcard applications, or store promotions.


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