898 E 8600 S Sandy, Utah 84094 Phone (801) 597-0751

Tami A. Butler
Career Goals I am looking for a position in a new field of interest within SelectHealth that offers stability and growth potential.

Personal Qualities

Dedicated; Hard worker; Dependable; Detail oriented; Self starter; Positive attitude; Work well with others or alone; Strong technical and training background.

Education

2013 present

Salt Lake Community College

Taylorsville, Utah

1988 1991

University of Utah

Salt Lake City, Utah

1981 1985 Job Skills

Hillcrest High School

Salt Lake City, Utah

Graduate

Data and trend analysis; Process improvement and project management; Auditing; AS400 query design and output; Reporting; Training and development skills; Medical Terminology/Human Anatomy courses; Typing 60 wpm; 10-key 250 spm. Computer skills: Microsoft Word; Microsoft Excel; Microsoft Access query design and output; WinSQL query design and output; MS Project; MS Visio, MS Powerpoint.

Experience

1991 Present

Select Health

Salt Lake City, Utah

2008 - present Project/Business Analyst Manager Susan Daniels

(801) 442-7084

Design and create productivity and other reports to improve processes in the Operations area. Use Facets query function, PC databases, spreadsheets and other software or tools as appropriate to generate meaningful, accurate and timely reports. Provide management with measurements and recommendations relevant to the performance of each area. Analyze data collected from claims processing, customer service call tracking, adjustment tracking and other operational functions to evaluate complex processes and functions for improvement. Apply understanding of statistical principles to interpret and draw conclusions from information in Operations databases. Resolve complex issues based on advanced analysis and make recommendations to management based on conclusions. Initiate, analyze, and implement projects and ideas for improving processes. Make recommendations to management for process improvement that are supported by quantified research and analysis. Mentor less experienced team members. Organize and manage to completion, projects of varying scope and size. Lead project teams to effective results by clearly defining project objectives and project team member roles, developing work plans, conducting meetings, tracking milestones, and performing other project leadership skills as necessary for particular projects. Keep management informed of project status, issues and concerns. Participate in special projects, including company projects, to provide advance expertise on operational issues and processes. Accept special assignments to provide information and analysis on operational issues to non-Operations management.

2001 2008 Business Analyst Involved with the implementation of new computer software - Facets Troubleshoot issues with users to determine a plan of action Develop and maintain department configuration documentation Cross train team members on current department processes/configuration Conduct monthly review training sessions in department meetings Lead workplan development and implementation of new projects, included but not limited to: - System upgrades/version releases - Interfaces - New product offerings, etc - New software, tools and interface requirements Coordinate with all business areas including IS, Marketing, Training etc Act as a consultant May initiate process improvements or support other processes Make recommendations for change, enhancements, improvements Manage risks and timelines, report risks, document decisions and workarounds Coordinate communication tasks with all departments Conduct team configuration training Maintain configuration documentation and update as necessary Conduct staff meeting trainings on review on configuration and new products Maintain training database with current configuration for team training purposes

1999-2001 Operations Analyst Design and create productivity and other reports for the Operations area. Use AS400 query function, PC databases, spreadsheets and other software or tools as needed to generate accurate and timely reports. Analyze data collected from claims processing, customer service call tracking, adjustment tracking processes and functions for improvement. Make recommendations to management that are supported by quantified research and analysis. Independently initiate, analyze and implement projects and ideas for improving processes. Organize and manage to completion, projects of varying scope and size. Lead project teams to effective results by clearly defining project objectives and project team member roles.

1997 1999 Senior Auditor Responsible for auditing all operations areas within Health Plans including claims and customer service. Reporting of quality audits and financial impact to the organization. Conduct audit trend analysis to target company needs and areas for improvement. Recommend, develop, train and implement processes that will improve quality and accuracy.

1995 1997 Trainer Level II Responsible for the development, documentation and training of computer applications for all of Health Plans, including, but not limited to AS400, AWD, Folio, GroupWise, NT 4.0 and all system upgrades and re-architecture. Research, develop and train claims processing for new and existing employees. Develop and train specialty claims and customer service training. Manage and coordinate multiple training sessions/groups necessary to meet the needs of the Operations teams. Develop, organize and direct training methodologies and programs using established policies and accomplish Health Plans goals. Implement and train on any changes to policy and procedure, as well as system modifications and enhancements. Measure training impact using course evaluation tools and training follow up. Develop and maintain training manuals for basic claims processing, as well as for each specialty course offered.

1994 1995 Health Benefit Specialist/Team Trainer Responsible for expeditious and accurate adjudication of claims, and the provision of excellent customer service to all Health Plans members, employer groups, providers, facilities and other Health Plans departments or teams. Use plan documentation to determine benefits and correctly adjudicate claims. Maintain established productivity and accuracy standards. Evaluate claims for pre-existing conditions and determine benefits based on current policy. Evaluate claims to identify improper billing practices and review multiple surgery claims. Make corrections to claims that have been adjudicated incorrectly or require reprocessing. Provide a level of customer service excellence that is consistent with company standards and goals. Make empowerment decisions on claims using established empowerment policy. Cross train team members on various processes within the team.

1992 1994 Trainer/Auditor Research, develop and train claims processing for new and existing employees. Effective training and coaching on an individual basis. Promote increased continuity and consistency through quality audit review. Conduct a random 2% audit of all claims processed. Conduct monthly telephone audits on all member service representatives. Evaluation and certification of all new claims processors and member service representatives.

1991 1992 Claims Processor

Use proper plan documentation to determine benefits and correctly adjudicate claims.

Maintain established productivity and accuracy standards. Adjudicate all mental health and physical therapy claims according to benefits and documentation.

References

Rhonda Paige (801) 231-8717

Lai Davies (801) 864-8414

Shirlee Flandro (801) 558-8170