Thao Nguyen
@thaonguyen1
Detail-oriented claims analyst with strong process improvement skills.
What I'm looking for
I am a dedicated professional with a degree in Computational Mathematics Science from Arizona State University. With extensive experience in claims processing and analysis, I have honed my skills in ensuring timely adjudication and resolution of claims. My role at Cognizant - Blue Cross Blue Shield has allowed me to collaborate with team members to identify discrepancies and implement best practices that enhance service quality.
Throughout my career, I have led cross-functional teams to drive process optimization projects, ensuring compliance with industry standards. My analytical abilities enable me to document and improve business processes effectively. I am committed to fostering a positive work environment and continuously seek opportunities for professional growth and development.
Experience
Work history, roles, and key accomplishments
SPE Claim
Cognizant - Blue Cross Blue Shield
Jun 2017 - Present (8 years 3 months)
Processed claims efficiently and accurately to ensure timely adjudication and resolution. Collaborated with team members to identify and resolve discrepancies in claims processing.
Senior Process Executive
Cognizant - Blue Cross Blue Shield
Jan 2019 - Dec 2023 (4 years 11 months)
Analyzed and documented current business processes to identify areas for improvement. Designed and implemented process improvement initiatives to enhance operational efficiency.
Medical Processing
Cognizant - Blue Cross Blue Shield
Jun 2017 - Jun 2019 (2 years)
Adjudicated Medicare claims and took appropriate actions to resolve discrepancies. Worked backlog of denied/rejected claims for timely resubmission.
Senior Order Entry Specialist
Walgreens
Feb 2017 - Jun 2017 (4 months)
Processed new patient registrations by entering data into the computer system. Read and interpreted prescription orders.
Enrollment Coordinator
CVS Health
Sep 2016 - Nov 2016 (2 months)
Processed enrollment of Medicare Part D members, including first-time enrollment and member modifications. Managed work activities from the MedForce application, a key tool that drives work activity/tasks.
Human Resource Assistant
Electrolux Co.ltd
Jan 2007 - Sep 2008 (1 year 8 months)
Researched, analyzed, and presented data as assigned. Developed standard and ad hoc reports, templates, dashboards, scorecards, and metrics.
General Director Assistant
Hercules Co.ltd
Nov 2004 - Jan 2007 (2 years 2 months)
Designed and/or developed specific databases for collection, tracking, and reporting of research data. Evaluated business data to identify their different characteristics and locate their similarities for integration.
Manager Assistant
Theodore Alexander Co.ltd
Aug 2003 - Nov 2004 (1 year 3 months)
Designed comprehensive data reports and other business tools to assist business managers and executives in making good business decisions. Carried out statistical analysis of all business data from the company.
Education
Degrees, certifications, and relevant coursework
Arizona State University
Bachelor of Science, Computational Mathematics Science
2013 - 2016
Graduated with a major in Computational Mathematics Science. The curriculum focused on applying mathematical principles to computational problems, preparing for roles in data analysis and scientific computing.
Glendale Community College
Associate in Science, Associate in Science
2013 - 2015
Completed an Associate in Science degree. This program provided foundational knowledge in various scientific disciplines, preparing for further studies in computational mathematics.
Glendale Community College
Associate in Art, Liberal Arts and Science
2013 - 2015
Pursued an Associate in Art degree from the College of Liberal Arts and Science. This program provided a broad education in humanities and social sciences.
University of Science Ho Chi Minh City
Bachelor of Science, Computational Mathematics Science
1999 - 2003
Obtained a B.S. in Computational Mathematics Science. This degree focused on advanced mathematical concepts and their application in scientific computing and data analysis.
The College of Technology Industrial and Management
Bachelor of Science, Computer Science
1999 - 2003
Studied Computer Science at The College of Technology Industrial and Management. The curriculum covered fundamental computer science principles and industrial applications.
Availability
Location
Authorized to work in
Job categories
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