Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
26
26
years of professional experience
Work History
Anthem/Elevance
02.2006 - 11.2024
Review applications for completeness and logic and ensure all necessary documents and information matches state programs with no discrepancies
Completed rollovers in Member Pro and made any necessary updates in Memberpro and Facets
Ran and reviewed and updated error reports between state and internal systems to send to Kids
Worked on the Newborn Project to ensure newborns were eligible on the date of delivery
Reviewed applicants necessary documents for renewal or new enrollment for CHP/EP
Responsible for deceased members process; to update internal systems based on members death and notifying state of termination
Ran/reviewed and made necessary changes in EP Member reconciliation report
Ran/reviewed and updated EP Plan Id mismatch between internal systems and state marketplace
Ran/reviewed and updated address/demographic reports and made necessary changes to send to Kids
Collaborated with internal departments and external vendors to resolve discrepancies and answer complex enrollment-related inquiries
Trained new employees and staff on enrollment procedures, systems, and best practices
Health Plus
01.2005 - 02.2006
Maintained files for department
Copied, faxed, mailed, as requested
Data entry of information into the system
Maintenance of all file logs
All City Medical
08.1998 - 12.2002
Scheduled appointments requested by patients and/or providers
Analyzed and cross checked different client information
Process Improvement Director at Elevance Health (Anthem Blue Cross/Blue Shield) Customer Experience OfficeProcess Improvement Director at Elevance Health (Anthem Blue Cross/Blue Shield) Customer Experience Office