Jill Madson

• Team Support.
• Lead in preparing and reviewing cases with auditors. (Minnesota Department of Health and National Committee for Quality Assurance (NCQA)
• Manage policies and procedures.
• Manage job aids.
• Participated in escalated case reviews.
• Provide quality review of liaison cases.
• Reporting when needed.
• Understanding regulatory and compliance changes, making the changes and updating the team.
• Collaborated with other areas for for possible process improvements.
• Support the external review process.

EDITDELETEMOVE

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• Team Support
• New hire training
• Manage policies and procedures
• Manage job aids.
• Participated in escalated case reviews.
• Provide quality review of liaison cases.
• Reporting when needed
• Understanding regulatory and compliance changes.
• Participated in preparing for audits. (Minnesota Department of Health and National Committee for Quality Assurance (NCQA)
• Collaborated with other areas for for possible process improvements.
• Support the external review process.
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• Participated in multiple work groups.
• Worked regulatory inquires.

• Team support
• Review, research and prepare corporate appeals for committee review.
• Review, research and prepare cases for an independent review organization
• Review, research and respond to appeals, complaints and inquires.
• Process appeals within the regulatory guidelines.
• Provided support on the team helpline.

• Review, research and respond to appeals, complaints and inquires.
• Process appeals within the regulatory guidelines.
• Provided support on the team helpline.

• Provided customer service for fully and self insured lines of business.

• Prepared payroll for approximately 40 employees
• Controlled purchasing and daily cash balancing of drawers
• Entered regular inventory and special orders
• Research and create monthly accounting reports
• Exceptional customer service
• Administrative tasks and support for the store.