Tasha Haley
End to End Senior Quality Analyst at Optum
Based in Almena, United States
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Seniority
Staff
Department
Information Technology
Location
Almena
Industry
Hospitals and Health Care
Company size
104K
Contact information
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t•••••••@optum.com
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Background
About Tasha Haley
Experience Expirenced and motivated individual ready to explore other oppertunities within healthcare. I have a get it done right, the first time attitude. Consistently striving to improve the provider and member experience! I think out side of the usual scope to close the inner and outer loops, improving NPS. Below are a few positions I have strived to succeed in: 3/2021 - Current Claims Subject Matter Expert, WA Optum Skills: Excel, Outlook, Microsoft Teams, Facets, Macess, Doc360, Team Task, KnowledgeNow, Availity, Webstrat, Payment Integrity Intakes, SOP Intakes, ISS Submission through EnterpriseNow, JIRA, Reporting Portals, Word, and Powerpoint. Work Ques I manage: SEAL, MCD CORE, Locked Claims, Humana, Legacy, L593, and others as designated by leardership. Facilitate Learning Labs to enhance processor knowledge. Advocate common trends to leadership that break CMS/Medicaid guidelines, or state laws. Partner with Automation to solidify requirements to achieve 100% quality is met during claims automation process. Complete tasks when they are due or prior to the due date to ensure TAT is met. Collaborated learned trainings with leadership to solidify/streamline an effective process for the processors. Executed projects submitted by buisness partners through automation. Analyzed fallout/finalized data for common trends and assign to the team as needed. Summerized completed financial results back to the submitter. 12/2020 - 3/2021 CORE Claims Processor, WA Optum 9/2018–11/2020 TX Single Adjustments, United Health Group 5/23/2016–9/2018 Claims Processor • United Health Group 1/2016–1/2018 Rehabilitation Representative • REM Wisconsin
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