Summary
Overview
Work History
Education
Skills
References
Affiliations
References
Timeline
Generic

Chrissy Morrissey

Concord,NH

Summary

Motivated employee with a strong work ethic, adaptability, and exceptional interpersonal skills. Able to work effectively unsupervised and quickly learn new skills. Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly.

Overview

23
23
years of professional experience

Work History

Provider Data Lead Analyst

Cigna
Remote, NH
04.2018 - Current
  • Documented outgoing and incoming communication including documentation of outcome
  • Validate the demographics information and metadata of provider data elements
  • Assess the accuracy of Networks, Contract Demographics and Reimbursement data with Cigna systems
  • Maintain reports within Compliance Guidelines
  • Support business readiness activities for project implementation
  • Ensures directory compliance mandates and timelines are met
  • Perform provider updates using automated processes and manual remediations
  • Submit provider updates to provider data management following existing, outlined processes
  • Analyze the quality and consumption of provider data
  • Proficient in understanding and interpreting provider in both CPF and HCPM systems
  • Excellent time management and communication skills

Account Installation Specialist

Choicelinx/Cigna
Remote, NH
04.2016 - 04.2018
  • Maintain a strong understanding of a broad array of health and insurance benefits
  • Accurate interpretation of client requirements and able to identify design flaws
  • Configure the client enrollment application to meet the client's needs for their employee's benefit elections
  • Ensure a high level of quality is produced by the team by performing quality checks on team members' change order projects
  • Identify, track and report issues or enhancements required to meet current industry standard business rules and functionality
  • Assist in troubleshooting issues
  • Produce and document standard procedures to ensure quality and consistency

Implementation Manager

Oxford Health Plans
Hybrid, NH
10.2014 - 04.2016
  • Execute all new business installations, renewals and plan changes from presale and intake through the production of signoff phase
  • Provide implementation support for Oxford Self-funded cases, New Jersey Public Sector Cases and a few large fully insured accounts
  • Provide and design all pieces for implementation
  • Mentor and lead a team to build structure, create billing set up, structure revisions and benefit configuration
  • Build, maintain and audit group documents
  • Provide support to external customers and team members
  • Serve as a resource to business partners both internal and external
  • Document all benefit and administrative information including managing the health plan aligned teams, workflow and interactions with multiple downstream business areas that meets turnaround and quality goals, drive accountability and create a team that is agile and responsive to customer needs
  • Maintain acceptable and appropriate quality reviews and turnaround times

Dedicated Client Service Manager

United HealthCare and Oxford Health Plans
Hooksett, NH
07.2010 - 10.2014
  • Research and respond to both internal and external inquiries pertaining to eligibility issues, claims processing, benefit quotes and billing
  • Build and maintain relationships with internal business partners as well as external Brokers and clients
  • Ability to analyze and create eligibility and claims reporting for both internal and external customers
  • Exceed metrics set forth per departmental guidelines such as quality and accuracy scores of 100% including but not limited to exceeding production goals, qualify for quarterly bonuses resulting in exemplary annual review, received MVP in 2013
  • Exemplify teamwork by providing back up assistance to co-workers, assist with escalated issues
  • Work as a partner with all internal levels to resolve issues for our clients, most are of a complex or urgent situation

Provider Data Management

CIGNA Healthcare
Hooksett, NH
06.2005 - 07.2010
  • Research claims issues to find out why they are pending and correct them
  • Load provider requests such as tax id changes, address changes, adding providers, etc
  • Daily contact with internal and external matrix partners and well as providers
  • Participated in focus groups with management to better align staff and production
  • Handle outreach reports

Customer Service Representative

Cigna Healthcare
Hooksett, NH
12.2001 - 05.2005
  • Customer Service for Members and Providers
  • Interacted with members and providers to ensure quick response to any medical billing discrepancies
  • Provided members and providers with benefits, claims issues, enrollment issues, and answers to any general questions

Education

High School -

Attleboro High School
Attleboro, MA
06.1996

Skills

  • Organizational Skills
  • Decision-Making
  • Attention to Detail
  • Research Skills
  • Time Management
  • Problem-solving abilities
  • Root Cause Analysis
  • Self Motivation
  • Relationship Building
  • Interpersonal Skills
  • Teamwork and Collaboration

References

Available upon request

Affiliations

  • I have organized and manage an annual golf tournament where all the proceeds are donated to local high school athletes.
  • I contact local businesses to seek donations and sponsorships.

References

References available upon request.

Timeline

Provider Data Lead Analyst

Cigna
04.2018 - Current

Account Installation Specialist

Choicelinx/Cigna
04.2016 - 04.2018

Implementation Manager

Oxford Health Plans
10.2014 - 04.2016

Dedicated Client Service Manager

United HealthCare and Oxford Health Plans
07.2010 - 10.2014

Provider Data Management

CIGNA Healthcare
06.2005 - 07.2010

Customer Service Representative

Cigna Healthcare
12.2001 - 05.2005

High School -

Attleboro High School

Similar Profiles

CREATE PROFILE
Chrissy Morrissey