Anaya Beyah
Rochester,NY
Summary
Healthcare and client operations professional with experience in regulated insurance and healthcare environments, supporting members through high-volume service settings with accuracy and discretion. Recognized for disciplined communication, sound judgment under pressure, and consistent delivery of client-centered support.
Overview
5
5
years of professional experience
Work History
Health Benefits Coordinator
Centene
09.2023 - 04.2026
- Guided members in navigating healthcare benefits and service options, translating complex plan information into clear, actionable direction to improve access to care and appropriate service utilization
- Audited and updated member records to ensure accuracy, regulatory compliance, and alignment with internal quality standards while safeguarding confidential health information
- Resolved high-volume inbound inquiries with professionalism and empathy, maintaining service quality in time-sensitive and high-stress situations
- Executed benefit updates, eligibility changes, and service requests within internal systems to ensure continuity of care and minimize disruption to member services
- Partnered with cross-functional healthcare teams including care management, clinical operations, and administrative departments to resolve escalated cases and support coordinated member outcomes
- Documented member interactions and case activity within internal platforms to ensure compliance standards were met and to enable effective handoffs across care teams
Clinical Client Operations
Molina Healthcare
10.2022 - 09.2023
- Coordinated high-volume client interactions within a regulated healthcare environment, ensuring accurate documentation, timely follow-ups, and strict adherence to HIPAA and internal compliance standards
- Acted as a liaison between patients, providers, and internal teams to streamline care coordination, resolve service issues, and improve overall client experience across multiple communication channels
- Managed and updated patient records across digital systems (EMRs/CRM platforms), maintaining data integrity and supporting efficient clinical and administrative workflows
- Triaged incoming requests by assessing urgency, routing cases appropriately, and supporting timely access to care—demonstrating strong judgment in fast-paced, client-facing situations
- Supported operational efficiency by identifying workflow gaps, escalating complex cases, and contributing to process improvements that enhanced service delivery and reduced turnaround times
Patient Service Representative
Molina Healthcare
06.2021 - 10.2022
- Handled billing inquiries and processed payments accurately to ensure customer satisfaction.
- Maintained patient records in compliance with HIPAA regulations, ensuring confidentiality.
- Improved workflow efficiency by streamlining appointment scheduling procedures.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
Education
Associate of Science - Health Services Administration
Baruch College
New York, NYSkills
- Strategic planning advice
- Healthcare
- Building referral networks
- Educating consumers
- Customer relations
- HIPAA compliance
- Employee relations
- Developing proposals
- Benefits administration
- Policy interpretation
Licenses
Life, Accident & Health Insurance License | New York State Department of Financial Services
- Demonstrated proficiency in insurance principles including underwriting, policy provisions, claims processing, and regulatory compliance through successful completion of the state licensing examination, with working knowledge of applicable state insurance laws and industry standards.
Notary Public | State of New York
- Commissioned as a New York State Notary Public, authorized to perform official notarizations including administering oaths, witnessing signatures, and certifying documents in accordance with state legal and compliance standards.
Timeline
Health Benefits Coordinator
Centene
09.2023 - 04.2026
Clinical Client Operations
Molina Healthcare
10.2022 - 09.2023
Patient Service Representative
Molina Healthcare
06.2021 - 10.2022
Associate of Science - Health Services Administration
Baruch College