Duane B.

Business Process Consultant - Denials Management at Optum

Based in Gilbert, United States

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Seniority

Manager

Department

Healthcare & Human Services

Location

Gilbert

Industry

Hospitals and Health Care

Company size

104K

Contact information

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Email

1 credit

d•••••••@optum.com

Phone

5 credits

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Background

About Duane B.

Having navigated both the Payer and Provider landscapes of healthcare, I bring a comprehensive understanding of the industry. My experience as a Network Account Manager within health insurance has equipped me with a strong foundation in [mention specific areas like contract negotiation, provider relations, etc.]. Complementing this, my recent exposure to Hospital Billing and Collection Systems provides valuable insight into the operational intricacies of the Provider side. My earlier career involved hands-on patient care as a Limited License X-Ray Technician (California) and Certified Nursing Assistant in institutional and home healthcare settings, fostering a deep appreciation for the clinical aspects of healthcare. I am proficient in leveraging methodologies like DMAIC (Six Sigma - Yellow Belt) for process improvement, utilizing Microsoft Office products, conducting thorough root cause analysis, and implementing effective solutions. My skills extend to technical writing and a solid grasp of healthcare principles, all underpinned by strong information technology capabilities.

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