Alysha Coddington
Summary
Dynamic leader with a strong background in guiding teams, managing complex projects, and driving strategic objectives to successful completion. Expertise in developing efficient processes and maintaining high standards while ensuring alignment with organizational goals. Recognized for a collaborative approach that fosters teamwork and a commitment to excellence. Proven ability to inspire and motivate teams to achieve outstanding results in fast-paced environments.
Overview
23
23
years of professional experience
1
1
Certification
Work History
GPSS CAS
HCSC/Blue Cross Blue Shield
08.2021 - Current
- Confidently answer and coach to billing, membership, COBRA, Medicare, 1095B and SBC questions to our CA's in GIS.
- Evaluating customer situations, making decisions, and responding quickly to questions
- Knowledge of HCSC's customer issue protocols
- Coach 2 calls per CA per month providing feedback, guidance and encouragement.
- Worked effectively in fast-paced environments.
- Excellent communication skills, both verbal and written.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Quickly process expedited or urgent transactions for our Marketing Hotline as well as perform research for account questions.
- Provide support to CA's that are upset by calming them down and giving them focus while working with them to find a solution to their question.
- Educate, support, coach and guide new CA's as a Learning Coach.
- Watch and track suspicious AUX codes on the evening shift while keeping our CA's engaged and informed.
- Track, review and update my inventory as well as my assigned CA's every day.
- Review RMRs for accuracy and research missing information in order to make a determination for exceptions request by accounts and Marketing.
- Keep up to date with training and utilize all new procedures or applications as well as any changes in procedures.
- When presented with a goal, I tend to focus on the goal while finding the best ways to approach it. I am not afraid to ask questions.
- Build trusting and supporting professional relationships with our CA's and Marketing teams.
- Utilize previous supervisor/director skills when working with escalated calls, as well as correcting and coaching CA's when needed.
- Multitask by working RMRs, listening to calls, researching, and updating while taking calls.
GPSS CA II
HCSC/Blue Cross Blue Shield
04.2020 - 08.2021
- Confidently answer billing questions and process requests including rebills, refunds, and missed payments
- Assist in all aspects of Blue Access for Employers including but not limited to log in errors, billing, enrollment, terminations, security manager functions, and general admin training
- Process applications and terminations in accordance with BCBS timelines as well as state and federal laws
- Educate administrators in HIPPA qualifying events as well as state and federal laws and regulations
- Follow all HIPPA and PHI guidelines to protect security of client, member and BCBS
- Enroll and terminate COBRA and State Continuation in accordance with all guidelines and regulations
- Pull and provide SBC forms as requested by brokers and employers
- Provide and pull copies of 1095 B forms for employers and brokers for individual members.
- Answer questions and guide filling out of MSP forms for group admins
- Submit, update and respond to RMR requests
- Submit Disable Dependent applications to database and blue Star
- Assist in search and clarification of AEP files via emulators and Chess Application
- Proficient in Blue Star, MPUI, BAE, Procedure Flow, Emulators, Solice, MAD, TTDB and TAPS
- Help Marion HCSC COBRA with calls and processing during high flow times including Open Enrollment, Retiree changes, and ARPA. This includes notifications, elections, processing, billing, and other related questions
CA
Innosource/Mr. Cooper
03.2020 - 04.2020
- Fully trained in Mortgage types, payment methods, and protocols
- Manage payments, delinquency, and information on refinancing, existing mortgages, and emergency aid
- Proprietary system designed for taking calls in a call center atmosphere with verification, and scripting applications
Senior CLA
Eligibility Tracking Calculators Inc
03.2019 - 11.2019
- Expert in ACA Tracking and Reporting
- Clean, Load and Analyze Payroll Data for up to 55 Clients
- Implement, set up and train incoming and potential clients
- Report to Clients when employees are eligible for benefits under ACA guidelines
- Load, Track and Report Benefit Offers and Decisions
- Understand and prepare Carrier Reports and Payroll files from multiple vendors
- Help clients understand reports and eligibility of employees
- Prepare, correct and explain 1095-C and 1094 Reporting Forms
- Work with clients to set up proper protocols and measurement periods
- Audit client accounts for errors in payroll, benefits, etc.
- Understand Coding on forms as well as safe harbors and other nuances and laws of ACA
- Run a census for open enrollment yearly for each client based on ACA and client protocols
- Identify and help diagnose IT and Programming problems within ETC proprietary system
- Work both Remote and in Office
- Skilled at working independently and collaboratively in a team environment.
Picker
HDW Inc (Starting with 1st Choice Personnel)
05.2018 - 02.2019
- Read and Pull Orders by Truck and Stop
- Quality control of orders pulled
- Pick and pack orders in an efficient and neat manner
- Stock O/S product when required
Director of Tracking Operations/CLA
Eligibility Tracking Calculators Inc
08.2014 - 03.2018
- Expert in ACA Tracking and Reporting
- Clean, Load and Analyze Payroll Data for up to 55 Clients
- Implement, set up and train incoming and potential clients
- Report to Clients when employees are eligible for benefits under ACA guidelines
- Load, Track and Report Benefit Offers and Decisions
- Understand and prepare Carrier Reports and Payroll files from multiple vendors
- Help clients understand reports and eligibility of employees
- Prepare, correct and explain 1095-C and 1094 Reporting Forms
- Work with clients to set up proper protocols and measurement periods
- Audit client accounts for errors in payroll, benefits, etc.
- Understand Coding on forms as well as safe harbors and other nuances and laws of ACA
- Run a census for open enrollment yearly for each client based on ACA and client protocols
- Identify and help diagnose IT and Programming problems within ETC proprietary system
- Work both Remote and in Office setting
Backup Home Aid
MDJ Medical Supply & Services Inc.
10.2012 - 12.2012
- Housekeeping for disabled client
- Medication reminders
- Grooming aid for client
- Light cooking, laundry, etc.
Verification Generalist
Personnel Systematic Investigations Inc.
02.2012 - 10.2012
- Research Company locations and contact information
- Verify Education, Employment and DOT History
- Data entry
- Client Relations
- Set Up Criminal Background Searches
- Answer phones and direct calls
- Enter faxed responses into applicant files
- Update and send completed applicant files
- Use various Automatic Verification Systems to verify education, employment and DOT History
Paraprofessional
Jefferson ISD
08.2011 - 01.2012
- Aid teachers with High School Special Education students
- Research and experiment design for teachers
- Printing and copies
- Worksheet and test designs
- Grading
- Aid students with testing modifications
Accounts Receivable/Administrative Assistant
Career Personnel
03.2010 - 06.2011
- Answer phones, direct calls, equipment and parts sales and quotes
- Invoice sales, work orders, and leases
- Use MAS90 program for most functions
- Make daily deposits
- Contact past due accounts
- Design flyers, brochures, and webpage
- Take phone payments, reconcile credit card deposits in MAS90
- Inventory transfers
- Upkeep calendar for biyearly service calls
- Create and maintain new and existing customer files
Receptionist
Law Office of Mike Miller
08.2008 - 05.2009
- Answer phones and direct calls for multiple lines and offices
- Enter itemized charges monthly for faxes, copies, and mailings
- Open and deliver mail and packages
Accounts Receivable/Secretary/Accounting
Gilbert A. Daniel Co.
01.2007 - 06.2007
- Use MAS90 program for most functions
- Balance and manage several bank accounts
- Enter itemized deposits
- Manage restaurants inventory and deliveries
- Accounts receivable data entry
- Create inventory and sales reports for several restaurants owned by GADCO
- General Filing, Copying and Organization
- Manage paperwork and uniform distribution of new and potential employees
- Manage and check charges for several service stations' customers
Secretary/Receptionist/Administrative Assistant
Student Affairs at The University of Texas
08.2002 - 08.2006
- Create Databases and create mail merges
- Large and small mailings for student and faculty awardees
- Answer Telephones and E-mails
- Help with organization of award ceremonies
- General Filing, Copying and Organization
- Day to day computer and printer tech support
- Schedule large staff meetings
- Research
- Travel arrangements
- Create spreadsheets from statistics and research results
- Greet and aid students and faculty
Education
B.S. - Biology - Pre Medicine
The University of Texas at Arlington
Arlington, TX05.2006
Skills
- Skilled in fast and accurate typing at 70 WPM
- Advanced Microsoft Excel skills
- Computer proficiency
- Microsoft Office expertise
- Expert – ACA Rules, Compliance, and Procedures
- Proven leadership abilities
- Strong verbal and written communication
- Customer service expertise
- Adaptable in team and solo settings
- Analytical problem-solving
- Strong organizational abilities
- Proficient in computer applications
Certification
HIPPA High Tech Certified
Awards received
Outstanding Student Employee Award 2005
Timeline
GPSS CAS
HCSC/Blue Cross Blue Shield
08.2021 - Current
GPSS CA II
HCSC/Blue Cross Blue Shield
04.2020 - 08.2021
CA
Innosource/Mr. Cooper
03.2020 - 04.2020
Senior CLA
Eligibility Tracking Calculators Inc
03.2019 - 11.2019
Picker
HDW Inc (Starting with 1st Choice Personnel)
05.2018 - 02.2019
Director of Tracking Operations/CLA
Eligibility Tracking Calculators Inc
08.2014 - 03.2018
Backup Home Aid
MDJ Medical Supply & Services Inc.
10.2012 - 12.2012
Verification Generalist
Personnel Systematic Investigations Inc.
02.2012 - 10.2012
Paraprofessional
Jefferson ISD
08.2011 - 01.2012
Accounts Receivable/Administrative Assistant
Career Personnel
03.2010 - 06.2011
Receptionist
Law Office of Mike Miller
08.2008 - 05.2009
Accounts Receivable/Secretary/Accounting
Gilbert A. Daniel Co.
01.2007 - 06.2007
Secretary/Receptionist/Administrative Assistant
Student Affairs at The University of Texas
08.2002 - 08.2006
B.S. - Biology - Pre Medicine
The University of Texas at Arlington
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