Lead the execution of daily service-related requests (overrides, mail orders, claims processing, clinical reviews, eligibility, accumulators, copays, drug coverage, and reporting) and proactively research and respond promptly
Address 100+ client service and operational items monthly by integrating with internal teams (IT, Care Management, Finance, and Clinical)
Support implementations and plan design changes through benefit coding, file feed setup, testing, creating and or updating member materials
Monitor eligibility data weekly to ensure accuracy of benefits in the system and coordinate with the client or eligibility vendor to correct errors
Analyze member claim's data history by identifying patterns of discrepancies, high-cost medications, and high member copays to ensure plan design alignment
Client Success Associate (New Client Engagement)
Gartner, Inc.
08.2022 - 10.2023
Onboarded new and returning C-level, director, and manager professional external clients on their product purchased portal subscription and services
Collaborated with cross-functional members daily such as sales, global services & delivery, and product management departments to problem solve, influence, collect clients' deliverables, analyze, and maximize the overall value offered to clients
Aligned most relevant research and product features to clients during and after each session, resulting in an 85% average score for post-call engagement for years 2022 & and 2023
Successfully enrolled 1000+ assigned clients into Gartner tech tools to support most critical priorities, challenges, and initiatives
Nominated and awarded the Client Anchor Award: 'Grow Lean to Go Fast, Focus on What's Most Important' for Q123
Administered annual office budget and maintained all financial office supplies records per company policies
Orchestrated daily rosters and executed schedules for admitted patients to maintain effective workflows across various departments
Supported upper management clinicians (Nurse Supervisors, Director of Nursing, and VP of Clinical Services) with clerical tasks and overseeing projects with limited supervision
Effectively communicated project and events status to all assigned internal stakeholders throughout each phase to ensure successful implementation of initiatives
Patient Care Administrator
MedExpress Urgent Care
01.2021 - 04.2022
Communicated and documented pertinent information for medical clinicians on duty to conserve an operations plan that meets organizational needs
Scheduled 50-100+ new and returning patients daily for treatment and assist with the collection of insurance, payments or delinquent accounts for at least 85% of registered patients
Collaborated with administrative tasks such as managing provider calendars, conducting patient data entries, and governing center operation activities
Discharged patients by providing proper paperwork, dispatched prescriptions to local pharmacies, and instructed patients on physician's post-treatment plan
Translated for Haitian-Creole-speaking patients to ensure proper care, resulting in a 5/5 rating for 80%+ of Creole speaking patients
Outpatient Therapy Program Coordinator & Scheduler
Moorings Park
09.2019 - 01.2021
Managed weekly office schedules for seven therapy clinicians and all existing patients while overseeing internal control procedures
Processed insurance verifications (BCBS, Humana, Medicare, UMR, UHC, etc.) to ensure 100% of proper payment is received for patient care before the initial appointment
Designed monthly newsletters to educate and attract at least 10%+ local new patients by highlighting the benefits of physical, speech, and occupational therapy
Conducted data analysis on the effectiveness of newsletters to determine risks, insights, trends, and the impact of expansion quarterly
Tackled ad hoc projects that included patient planning, team building, and instructional design for employee training
Education
Bachelor of Science - Management, Minor in Marketing
General Manager / Executive Manager at Feddon Automotive Group – Valley Chevrolet, GMC, CDJR, MitsubishiGeneral Manager / Executive Manager at Feddon Automotive Group – Valley Chevrolet, GMC, CDJR, Mitsubishi