A seasoned health administration professional with 13 years of experience, adept in Commercial insurance, Medicare, Medicaid & ACA program implementation, and insurance group consulting. I have excelled in administrative coordination, reporting, and data analytics within top healthcare organizations. I am currently seeking a data analyst role to leverage extensive industry knowledge and analytical expertise.
• Collaborated with Group Consulting Representatives to facilitate annual renewals and tailor benefits packages to client needs.
• Managed the preparation and delivery of comprehensive reports to department executives, ensuring accurate representation of renewal processes and required documentation.
• Assisted in the transition of new groups to the company from alternative insurance carriers, working in conjunction with consultants to ensure smooth implementation.
• Developed comprehensive job aids for departmental procedures, ensuring clarity and accessibility for team members.
• Provided key support to providers and members, addressing inquiries related to claims, authorizations, and benefits within the behavioral health segment.
• Facilitated the transition to an online inpatient application process for community health centers, resulting in streamlined operations and resolution of CPT code discrepancies.
• Facilitated enrollment in Medicare prescription drug plans, ensuring alignment with customer-specific healthcare requirements.
• Provided comprehensive support for new and returning consumers in navigating and completing health insurance applications for Marketplace insurance.
• Addressed customer inquiries, offering tailored assistance for the selection and update of Affordable Care Act (ACA) insurance plans.