Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Caroline Sysan

Northridge,CA

Summary

Professional advisor with strong focus on achieving results and fostering team collaboration. Skilled in strategic planning, problem-solving, and client relationship management. Known for adaptability and reliability in dynamic environments. Prepared to deliver impactful solutions and drive success in any advisory role.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

25
25
years of professional experience

Work History

Business Change Advisor & Trainer

Anthem Inc/Eleavance
04.2018 - 08.2023
  • Served as a key liaison between business units and technical teams to implement organizational and system-level changes across healthcare operations.
  • Led process improvement initiatives by analyzing workflows, identifying inefficiencies, and recommending practical solutions to streamline operations and enhance performance.
  • Coordinated cross-functional project teams to support enterprise-wide transformations, ensuring alignment with compliance and regulatory standards.
  • Facilitated the implementation of new tools and systems, including user acceptance testing (UAT), training, and documentation to support seamless change adoption.
  • Supported business readiness activities and collaborated with stakeholders to assess impacts, mitigate risks, and ensure timely communication of changes.
  • Delivered data-driven insights through reports and dashboards to support decision-making across departments.
  • Utilized advanced CRM tools to track client interactions efficiently while maintaining detailed records of their individual goals, preferences, and concerns.
  • Maintained up-to-date knowledge on industry trends and regulations, ensuring accurate advice was provided to clients at all times.
  • Mentored junior advisors, fostering a supportive team environment focused on growth and learning.
  • Managed risk effectively by closely monitoring client portfolios and making timely adjustments.
  • Developed long-lasting relationships with clients to ensure consistent retention and loyalty.
  • Participated in ongoing professional development opportunities to stay current with industry trends and best practices.

EDI Operations Analyst I

WellPoint Inc./Anthem
04.2012 - 04.2018
  • Managed electronic data interchange (EDI) processes, ensuring timely and accurate transmission of healthcare claims and enrollment data between providers and payers.
  • Conducted root cause analysis and troubleshooting of EDI transaction errors, collaborating with internal teams and external partners to resolve issues quickly.
  • Maintained detailed logs and documentation in accordance with HIPAA regulations and audit standards.
  • Supported provider onboarding and education related to EDI tools and processes, promoting user success and compliance.
  • Contributed to team initiatives to improve EDI workflow efficiency, reduce rework, and strengthen service quality.

Business Specialist

WellPoint, Inc./Anthem
03.2007 - 04.2012
  • Provided operational and analytical support to internal departments by preparing reports, tracking project data, and ensuring compliance with internal policies and audit requirements.
  • Reviewed and updated process documentation, performed data integrity audits, and coordinated with various business units to resolve discrepancies.
  • Collaborated with IT and operations teams to implement workflow improvements and streamline data collection processes.
  • Prepared and maintained detailed logs, financial check requests, and expense reports to support departmental efficiency and accountability.
  • Served as a key liaison between internal teams and external stakeholders, delivering timely communication and administrative support for ongoing projects and department initiatives.

EDI Helpdesk Analyst I

WellPoint, Inc.
12.2005 - 03.2007
  • Provided front-line technical support for healthcare providers and internal staff using Electronic Data Interchange (EDI) systems, ensuring accurate and timely resolution of file submission issues.
  • Researched, diagnosed, and resolved EDI transaction errors including claims, enrollment, and remittance files, improving workflow efficiency and data accuracy.
  • Documented support cases, tracked recurring technical issues, and contributed to process improvement initiatives.

Project Coordinator Administrative Assistant I, EDI (Electronic Data Interchange) Operations

WellPoint
12.2001 - 12.2005
  • Processed Electronic Funds Transfer (EFT) enrollments and provider contract agreements.
  • Tracked and researched enrollment requests and maintained accurate documentation.
  • Supported EDI projects by coordinating timelines, preparing reports, and updating logs.
  • Prepared proper documentation for financial Sarbanes-Oxley Act (SOX) audits, check requests, and expense reports.
  • Acted as a liaison between internal teams and external providers for administrative support.
  • Maintained project databases and schedules; supported onboarding and training.
  • Served as Floor Warden and performed additional administrative duties as assigned.

Medical Biller/Accounts Receivables

Amir Monfared, M.D., Cedar Siani
03.1999 - 11.2001
  • Prepared and submitted medical claims to insurance carriers, ensuring accurate coding and compliance with payer requirements.
  • Followed up on unpaid claims, denials, and appeals to resolve outstanding balances and maximize reimbursements.
  • Posted insurance and patient payments; reconciled accounts and maintained detailed billing records.
  • Verified patient insurance coverage and obtained necessary authorizations for procedures.
  • Responded to patient and insurance inquiries regarding billing statements and account status.
  • Collaborated with front office staff to ensure accurate patient demographic and billing information.

Skip Tracer/Debt Collector

California Financial Credit Assoc.
03.1998 - 11.1998
  • Responsible for locating debtors with unpaid auto and bank loans using TRW credit reports and specialized skip-tracing software.
  • Collected outstanding debts by negotiating payment arrangements and following up to ensure adherence to agreements.
  • Maintained accurate records of debtor communications, payment plans, and account activity in collection systems.
  • Ensured all collection activities complied with Fair Debt Collection Practices Act (FDCPA) and applicable state regulations.
  • Consistently met or exceeded monthly recovery goals through effective negotiation and account resolution strategies.

Education

Bachelor of Science - Criminal Justice

ITT Technical Institute
Sylmar, CA
09.2008

Skills

  • Bilingual: Fluent in Farsi and Armenian; able to communicate effectively with diverse clients and colleagues
  • Communication: Strong oral and written communication skills; experienced in liaising with internal teams, providers, clients, and vendors
  • Administrative Support: Skilled in handling check requests, expense reports, SOX audit documentation, and meeting coordination
  • Billing & Collections: Proficient in medical billing, EFT enrollment, accounts receivable, and debt collection practices
  • Project Coordination: Experienced in supporting EDI and healthcare operations projects, including documentation, tracking, and reporting
  • Technical Skills: Knowledge of Microsoft Word, Excel, and database systems; comfortable learning new software quickly
  • Time Management: Proven ability to manage multiple tasks and deadlines in fast-paced environments
  • Compliance & Accuracy: Familiar with HIPAA, FDCPA, and SOX standards; detail-oriented and committed to data accuracy
  • Time management
  • Training and mentoring
  • Decision-making
  • Relationship building
  • Customer service
  • Adaptability and flexibility

Languages

Armenian
Native or Bilingual
Persian
Native or Bilingual

Timeline

Business Change Advisor & Trainer

Anthem Inc/Eleavance
04.2018 - 08.2023

EDI Operations Analyst I

WellPoint Inc./Anthem
04.2012 - 04.2018

Business Specialist

WellPoint, Inc./Anthem
03.2007 - 04.2012

EDI Helpdesk Analyst I

WellPoint, Inc.
12.2005 - 03.2007

Project Coordinator Administrative Assistant I, EDI (Electronic Data Interchange) Operations

WellPoint
12.2001 - 12.2005

Medical Biller/Accounts Receivables

Amir Monfared, M.D., Cedar Siani
03.1999 - 11.2001

Skip Tracer/Debt Collector

California Financial Credit Assoc.
03.1998 - 11.1998

Bachelor of Science - Criminal Justice

ITT Technical Institute

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