Jason Laube
Taylors
Summary
Proficient Provider Network Data and Reporting Analyst committed to data integrity and accurate claim payment processing. Extensive experience in investigating and resolving issues for internal customers, as well as external customers such as provider office staff and other health care professionals. Over 25 years of experience in a fast-paced and changing environment.
Overview
26
26
years of professional experience
Work History
Provider Network Data and Reporting Analyst II
Blue Cross Blue Shield of Arizona
03.2023 - Current
- Participate in the design specifications, mapping, testing, and implementation of various systems and/or enhancements.
- Submit requests to IT for system fixes.
- Facilitate the resolution of provider inquiries and issues.
- Audit new contracts in system for URAC standards.
- Quality audit Electronic Funds Transfer (EFT) set up.
- Prepare mass mailings to Providers.
- Serve as Data Steward by collaborating and defining business rules for Data Governance team.
Provider Partnership File Tech III
Blue Cross Blue Shield of Arizona
05.2000 - 03.2023
- Resolve claims by identifying errors, analyzing root causes and initiate corrective action.
- Review and process negotiated contracts: Professional, Group, Facility and Hospitals.
- Work with Configuration to create new fee codes for contracted rates.
- Process provider requests to terminate, resign or change tax information into source system.
- Communicate with providers and billing companies to obtain accurate information.
- Audit source systems for data accuracy through Quality Contral process.
- Act as liaison between Provider Partnerships and BCBS Association for weekly Provider Data File submissions.
- Mentor and train Network Operations staff.
- Consult and coordinate resolution with internal customers to resolve aged issues.
Group Enrollment Clerk
Blue Cross Blue Shield of Arizona
07.1999 - 05.2000
- Supported operations with consistent maintenance and updates of Member applications and records.
- Processed applications for both Individual and Group insurance.
- Completed all required paperwork within anticipated time frames.
- Confidentiality with Member private information.
Education
High School Diploma -
Moon Valley High School
Phoenix, AZ06-1998
Skills
- Researcher
- Problem Solver
- Strong Investigative Skills
- Critical Thinker
- Good Communicator
- Organized
- Adapts to Change
Accomplishments
Data Steward of the Month Award - January 2024
Timeline
Provider Network Data and Reporting Analyst II
Blue Cross Blue Shield of Arizona
03.2023 - Current
Provider Partnership File Tech III
Blue Cross Blue Shield of Arizona
05.2000 - 03.2023
Group Enrollment Clerk
Blue Cross Blue Shield of Arizona
07.1999 - 05.2000
High School Diploma -
Moon Valley High School