
Autumn Yongchu
Works with multiple database platforms in order to examine data for trends and abnormalities, medical coding analysis, and... | Hillsboro, Oregon, United States
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Autumn Yongchu’s Emails au****@us****.com
Autumn Yongchu’s Phone Numbers No phone number available.
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Autumn Yongchu’s Location Hillsboro, Oregon, United States
Autumn Yongchu’s Expertise Works with multiple database platforms in order to examine data for trends and abnormalities, medical coding analysis, and report development. Manages internal consulting practice data warehouse, developing resources of information critical to identifying cost control opportunities. Assists organizations in making strategic business decisions in managing their overall healthcare risks. Participates in analysis and interpretation of pharmacy utilization data, assisting in identifying costs and potential clinical opportunities; providing necessary information to develop, design, and implement pharmacy initiatives. Involved in stop loss insurance underwriting for Managed Care (HMO Reinsurance and Provider Excess), creating efficiencies in claims and process, promoting efficacy, and manages stop loss claims adjudication process. Organized activities involving medical claims department and claims payment system. Developed and established short and long term goals and objectives of claims department performance. Supervised, trained and evaluated staff to determine work assignments and priorities; conducted personnel selection and audited work to ensure accuracy and adherence to policies and procedures, as well as compliance with State and Federal rules and regulations. Managed quality assurance and troubleshooting activities of the medical claims processing and payment system; developed and implemented training and informational materials, including policies and procedures manual, to promote accurate understanding of departmental activities, services, requirements by external providers and other internal departments. Reviewed contracts and monitored fee schedules to ensure that appropriate billing and payment provisions were adhered to.
Autumn Yongchu’s Current Industry Usi Insurance Services
Autumn
Yongchu’s Prior Industry
Familycare
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Qualitycare Network
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Wells Fargo Insurance Service Usa
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The Spot Sports Bar And Grill
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Usi Insurance Services
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Work Experience

Usi Insurance Services
Analytics Consultant
Fri Dec 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
The Spot Sports Bar And Grill
Co-Owner
Thu Sep 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Jan 01 2015 00:00:00 GMT+0000 (Coordinated Universal Time)
Wells Fargo Insurance Service Usa
Analytics Consultant
Tue Jan 01 2002 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Nov 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time)
Qualitycare Network
Claims Auditor/Trainer
Mon Jan 01 2001 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Jan 01 2002 00:00:00 GMT+0000 (Coordinated Universal Time)
Familycare
Claims Systems Manager
Thu Jan 01 1998 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Jan 01 2001 00:00:00 GMT+0000 (Coordinated Universal Time)