Emily Dodson
Aetna, a CVS Health
Scarbro
11
years of professional experience
Dynamic Case Management Associate at Aetna, adept at client advocacy and case coordination. Successfully reduced processing delays by identifying missing documentation, ensuring timely member support. Proficient in data entry and effective communication, fostering strong relationships with members and providers to enhance care planning and resource identification.
Work History
Case Management Associate
1 Month- Coordinated case management tasks, maintaining accurate member records and service documentation.
- Reviewed referrals and authorizations, routing cases to appropriate clinical teams.
- Communicated with members and providers to gather updates and resolve routine care issues.
- Tracked case activity in internal systems, ensuring timely follow-up and status updates.
- Identified missing documentation, reducing delays in case processing and member support.
- Applied HIPAA guidelines while handling sensitive health information and case notes.
- Maintained accurate records by diligently updating case files and documenting client interactions in a timely manner.
Customer Service Representative
1 Year- Resolved member inquiries regarding benefits, eligibility, claims, and plan coverage with accurate, timely guidance.
- Documented call details, actions, and follow-up needs in CRM systems to maintain complete case records.
- Explained prior authorization, referrals, and utilization management processes using clear, compliant communication.
- Investigated claim discrepancies, coordinated with internal departments, and delivered consistent issue resolution.
- Applied HIPAA and confidentiality standards while handling sensitive medical and insurance information.
- Navigated multiple systems to verify coverage, update account information, and process service requests.
Food Attendant
3 Years 4 Months- Prepared food items following safety and sanitation guidelines.
- Served customers promptly while maintaining clean food service areas.
- Restocked supplies and ingredients to support continuous service.
- Monitored freshness and rotated items to reduce waste.
- Assisted with food station setup and closing procedures.
- Followed health standards and workplace procedures consistently.
Education
Bachelor of Science - Social Work
Associate of Applied Science - Health Administration
Skills
Professional boundaries
Client advocacy
Data entry proficiency
Care planning
Resource identification
Case note writing
Case coordination
Patient communication
Relationship building
Adaptability and flexibility
Effective communication
Timeline
Case Management Associate
Aetna, a CVS Health
09.2026 - CurrentRead More
Customer Service Representative
Aetna, a CVS Health
09.2025 - 09.2026Read More
Food Attendant
Walmart
09.2015 - 01.2019Read More
Capella Education Company
Bachelor of Science from Social Work
Read More
Bridgevalley Commuity College
Associate of Applied Science from Health Administration
Read More