Anjel Sicard

• Coordinated insurance coverage details and ensured accuracy of prior authorization documents for all product levels.
• Adapted swiftly to business process and system changes for drugs and channel sources.
• Utilize all internal and external electronic tools, communicate/collaborate with payors and providers to investigate insurance coverage efficiently
• Ensured AbbVie's compliance with FDA regulations by identifying Adverse Event situations.
• Regularly met and surpassed department performance standards.

• Oversaw admission and discharge processes following notification, ensuring accuracy.
• Executed tasks related to managing referrals, including intake duties and notifications.
• Formulated effective strategies to address unique questions.
• Partnered with colleagues, community contacts, and nursing staff to resolve intricate issues.

• Participated in organizing events by performing light cooking tasks
• Delivered top-notch customer service consistently.
• Arranged catering engagements, acquiring proficiency in sales.
• Developed proficiency in preparing and sending invoices for completed services.
• Contributed to operations at Manna From Heaven on a part-time basis while seeking full-time employment.

COVID Vaccine Scheduler:

- Served as an ambassador for individuals seeking COVID vaccine appointments.

- Organized vaccination booking schedules and communicated state's incentive programs to the public.

- Accurately updated CDPHE's database with patient medical records and present details.

Made daily outreach of more than 150 calls to inform Colorado residents about the vaccine.

Insurance Specialist:

• Conducted thorough reviews of applications, promptly correcting any obvious mistakes.
• Identified, reported and documented clear cases of fraud.
• Responded to inquiries regarding Qualified Health Plans, Medicaid, and dental plans.
• Assisted with concerns related to financial incentives.
• Revised tax credits when necessary.
• Managed escalated enrollment issues and directed consumers on claim procedures with MCOs.

• Facilitated eligibility assessments for membership begin and end dates.
• Identified and executed corrective actions to address interruptions in plans.
• Enhanced claims processing efficiency through active engagement with medical facilities.
• Assisted with claims through the application of ICD-10 coding training.
• Guided members towards the best plan options, assisting the sales team during open enrollment.
• I frequently collaborated with providers to answer authorization and referral questions
• When those could not immediately be answered, the questions were escalated
• Resolved issues surrounding claims during call management.
• Reviewed bills for potential inaccuracies.