Dynamic Electronic Eligibility Consultant skilled in enhancing operational efficiency and team productivity. Proven track record in mentoring teams and refining workflows to achieve superior project outcomes.
Overview
23
23
years of professional experience
Work History
Electronic Eligibility Consultant
Aetna, a CVS Health Care Company
Sandy, UT
12.2021 - Current
Provided strategic mentorship to junior consultants, focusing on effective project execution and application of best practices.
Engage with brokers, TPAs, plan sponsors and internal sales teams to assess requirements and deliver effective recommendations.
Refined operational workflows with cross-functional teams to enhance team productivity and achieve superior results.
Administer electronic client data to ensure accurate records and streamline operations across multiple platforms such as Employee Navigator, Springboard, EDI, and Benefit Focus.
Sr. Communication Specialist II
Coventry Health Care
Sandy, UT
05.2011 - 12.2021
Analyzed and managed multifaceted problems concerning HRAs, FSAs, and HSAs through direct engagement with brokers, plan sponsors, providers, and members.
Engaged with cross-functional teams to effectively tackle intricate customer challenges and enhance service delivery.
Cultivated teamwork and exceptional service delivery by mentoring junior staff.
Addressed and resolved disputes effectively in high-stress scenarios, upholding professionalism and promoting constructive dialogue.
Oversaw accounts receivable reconciliation for provider refunds resulting from claim reprocessing.
Sales Consultant / Sr. Investment Director
Real Estate Investing Institute
Sandy, UT
12.2002 - 04.2011
Executed database management and developed a robust client base for real estate mentoring and educational packages through effective cold calling of leads sourced from the internet.
Achieved team success through effective training of new sales consultants. Crafted and executed client-specific development strategies. Delivered engaging presentations via phone to enhance client relationships. Maximized team performance to consistently meet and exceed company goals.
Drove sales success by closing over $3M, maintaining a top 3 ranking among consultants in both dollar per lead and total sales.
Cultivated strong client relationships to maintain top retention rate, supporting overall company reputation and satisfaction levels.
Collaborated with management to devise new marketing strategies aimed at acquiring more qualified leads.
Electronic Eligibility Consultant/Data Analyst at Aetna, A CVS Health CompanyElectronic Eligibility Consultant/Data Analyst at Aetna, A CVS Health Company