BELINDA MASSEY

• Collaborated with internal and external stakeholders to identify opportunities for collaboration, synergy, and mutual growth, resulting in strategic alliances and successful joint initiatives. Performance Measurement and KPIs:

• Developed and implemented performance measurement frameworks, defining key performance indicators (KPIs) aligned with program goals and objectives, enabling effective monitoring and evaluation.

• Conducted regular performance reviews, analyzing KPI data, identifying trends, and implementing corrective actions to drive continuous improvement and achieve desired outcomes.

• Facilitated the submission and processing of insurance claims.
• Transmitted information or documents to customers through email, mailings or facsimile machine.
• Provided administrative support to various departments, assisting with document preparation and data entry.
• Scheduled and confirmed appointments, managing a complex calendar for multiple staff members.

• Acquired expertise in insurance plans such as Medicare, Medicaid Humana BCBS Aetna UHC Triwest regulations and requirements.
• Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
• Contacted insurance carriers to verify patient eligibility for insurance coverage and obtained the required authorization numbers.
• Managed multiple tasks and priorities in a high-volume, fast-paced environment.
• Utilized electronic medical records (EMR) systems for documenting verification processes.
• Conducted audits for regulatory compliance, identifying gaps in adherence to standards. Implemented controls to mitigate risks. Established governance frameworks with transparent processes promoting accountability.