Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angel Shingler

Henrico,VA

Summary

Results-driven Analyst with a robust background in configuration management and system optimization, demonstrating a proven track record in data analysis, software implementation, and process improvement. Committed to team collaboration and consistently delivering impactful results that enhance operational efficiency. Recognized for adaptability and reliability in fast-paced environments, with a keen ability to troubleshoot complex issues and integrate systems seamlessly. Proficient in documentation practices that support clarity and continuity across projects.

Overview

12
12
years of professional experience

Work History

Configuration Analyst

Oscar Health Insurance
06.2024 - Current
  • Led cross-functional teams to optimize configuration management processes.
  • Developed strategic initiatives to enhance system efficiency and accuracy.
  • Use tools like SQL to query databases, evaluate configurations for correctness, identify trends in claim payments, and scope impacted claims.
  • Improved process workflows to reduce operational costs and increase productivity.
  • Coordinated with stakeholders to align configuration strategies with business goals.
  • Assess opportunities for workflow improvements and contribute to ensuring benefits and claims are loaded and processed efficiently and accurately.
  • Configured approximately 10 new contracts per day.

Provider Relations Specialist

Oscar Health
01.2020 - 06.2024
  • Diagnosed and resolved trending network issues, while updating and creating new workflows for process improvements.
  • Supported JIRA casework while balancing multiple workflows, and assisted in dashboard monitoring.
  • Exceeded personal KPI metrics, by maintaining 100% SLA out of the 90% set forth by the department. I also managed 100% QI average.
  • Developed and maintained strong relationships with healthcare providers to enhance collaboration and improve service delivery.
  • Reviewed and analyzed provider contracts to ensure compliance with industry standards and organizational policies.
  • Collaborated with service operations, provider relations leadership, and account experts on cross functional initiatives .
  • Investigated discrepancies and developed process improvements in workflows in our content management tool Verint.

Care Guide, Member Services

Oscar Health
11.2018 - 01.2020
  • Collaborated with a team of Care Guides, a Concierge Nurse and a dedicated bridge team to provide member support regarding benefits and coverage
  • Communicated with geo-specific members via inbound/outbound phone or secure messaging
  • Assisted in the coordination of care across a variety of settings (outpatient, ER, home care) while maintaining strict confidentiality and the highest level of professionalism
  • Answered questions and resolved issues related to topics such as claims and billing
  • Listened to member's comments, concerns, and suggestions, while ensuring member satisfaction.

Benefits Coordinator

Pacific Dental Services
07.2018 - 11.2018
  • Processed all insurance billings for patient services
  • Handled all insurance verifications and accurate communications to staff and patients regarding the insurance coverage
  • Ensured coordination of benefits are accurate and considered as part of the financial planning
  • Achieved revenue goals by effectively managing collections and receivables, specialty referral process, insurance billing and miscellaneous operations expenses
  • Made definite financial agreements with each patient in accordance with office policy
  • Collected financial payments for patient's dental treatments.

Dispatcher/Resolution Specialist

DirecTV/AT&T
05.2014 - 07.2018
  • Managed incoming calls from field technicians, effectively and efficiently in a complex, fast-paced and challenging call center environment
  • Received, screened, dispatched and updated installation and repair work orders for DirecTV products
  • Managed issues regarding new installs and repair work orders
  • Coached/trained several new hires to become self-sufficient and productive
  • Met and exceeded service and quality standards every review period.

Technical Support Representative

Asurion
11.2013 - 05.2014
  • Effectively managed a high-volume of inbound and outbound customer calls
  • Researched, troubleshoot and resolve complex problems independently while troubleshooting mobile devices, tablets, and computers
  • Provided base level IT support to clients with malfunctioning products
  • Educated customers on new ways to understand their technology devices, bug fixes, software updates, etc
  • Retained existing clients and developed new business by extending high quality and efficient services and products.

Education

High School Diploma -

Paul Laurence Dunbar Senior High School
Washington, DC
06.2007

Skills

  • Proficient in Microsoft Office and Google Suite
  • Lean Six Sigma
  • SQL and Zendesk proficiency
  • Proficient multitasking, and strong attention to detail
  • Adaptability
  • Problem solving skills, strong written and verbal communication
  • Process evaluation
  • Process improvement
  • Project coordination
  • Claims management
  • JIRA project management
  • Insurance process management

Timeline

Configuration Analyst

Oscar Health Insurance
06.2024 - Current

Provider Relations Specialist

Oscar Health
01.2020 - 06.2024

Care Guide, Member Services

Oscar Health
11.2018 - 01.2020

Benefits Coordinator

Pacific Dental Services
07.2018 - 11.2018

Dispatcher/Resolution Specialist

DirecTV/AT&T
05.2014 - 07.2018

Technical Support Representative

Asurion
11.2013 - 05.2014

High School Diploma -

Paul Laurence Dunbar Senior High School

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Angel Shingler