Jodie Friend
Vernon,NY
Summary
Experienced compliance professional with strong analytical skills and expertise in regulatory standards. Consistently ensures adherence to policies while fostering team collaboration and adapting to changing needs. Skilled in risk assessment, audit planning, and process improvement. Reliable and focused on achieving measurable results.
Overview
11
11
years of professional experience
Work History
Quality & Compliance Auditor
The House Of The Good Shepherd
10.2023 - Current
- Responsible for dissemination and monitoring of agency satisfaction surveys, including staff, client, and customer surveys. To include collaborating with the IT department to modify data collections systems as needed and compiling results.
- Synthesize data to identify target areas for improved outcomes, utilize appropriate statistical methodology to evaluate program effectiveness, identify trends and help determine the best course of action for continuous improvement activities.
- Examine data outcomes and compare these findings to required agency and industry standards.
- Report and review areas of noncompliance and assist leadership develop correction plans.
- Prepare peer review process and provide reasonable recommendations to encourage growth and improvement in all programs.
- Assist departments with collecting and organizing data related to key performance indications.
- Monitor and identify trends in performance and ensure that effective performance improvement plans are developed and provide feedback to key stakeholders.
- Provide recommendations to enhance the quality of care within specified programs.
- Serve as a liaison between the Department and the agency’s programs to address training needs/recommendations and to appropriately meet accreditation standards.
- Participate in agency Performance Improvement activities and meetings on an ongoing basis.
- Continue to monitor and evaluate the development and results of all improvement programs and initiatives to determine their results, then modify as needed.
- Develop recommendations to assist leadership in decision-making and works with leadership to prioritize process improvement projects.
- Oversee measurements, tracking and reporting for all improvement activities.
- Ensures quality improvement projects will focus on rapid implementation, real-time adjustments and performance tracking.
- Special projects as assigned.
Enrollment Specialist
United Healthcare
07.2021 - 10.2023
- Process individual enrollments and terminations for active and COBRA members
- Process work orders, updating contact information and account structures
- Complete daily audit reports and reject reports for assigned groups
- Process urgent updates for medical/dental/vision and Rx coverages
- Read interpret and communicate all eligibility requirements following plan guidelines
- Resolve customer inquiries related to enrollment and eligibility
- Manages and prioritizes a daily workload of assigned groups meeting company guidelines
Office Administrator
Miner Realty & Property Management
09.2020 - 07.2021
- Collects and documents monthly rental payments. Process eviction notices
- Sends Rental Applications and Leases to tenants.
- Tracks rental vacancies
- Enters and manages all work orders for both rental properties and homes for sale by Miner Realty
- Keeps spreadsheets for all Realtors tracking their active listings, sale pendings, and sold properties
- Types and sends Commission Statements to Attorneys for property closings.
- Updates Matrix with office listings
Account Specialist
Indium Corporation
10.2019 - 04.2020
- Processed purchase orders from various corporations, such as Apple and Dyson
- Calculated and provided quotes to the client base
- Responded to customer queries via e-mail and telephone
Cobra Billing Administrator
Lifetime Benefit Solutions
11.2018 - 08.2019
- Compiled employee data, benefit information, billing information, monitored activity, generated invoices, reconciled billings and provided administrative billing reports
- Worked closely with clients during the implementation process to ensure proper premium and billing defaults were identified and set up
- Carried a client assignment of over 200 groups of both large and small group; administered benefits for medical, Rx, dental, vision, FSA, HRA plans
Financial Coordinator
Boston IVF
05.2018 - 09.2018
- Verified infertility coverage and benefits, obtained prior authorizations, liaison for the provider and clinical staff regarding patients’ treatment plans
- Coordinated insurance coverage, facilitated billing, and processed payments
- Prepared charts for clinical staff and receptionist
Care Manager
Liberty Resources
11.2014 - 05.2018
- Coordinated healthcare for individuals with Medicaid who suffered from substance abuse, mental health, or two chronic health conditions
- Completed risk assessments and designed individual care plans based on individual goals, completed incident reports when appropriate
- Attended collaborative meetings with healthcare providers to engage and inform providers of care managers’ roles and responsibilities
Education
Associate of Arts - General Studies & Liberal Arts
Columbia College
10-2014
Skills
- Experience gained in multiple settings, such as office environment wherein tasks such as customer service, administrative roles, and managing schedules were fulfilled As a Care Coordinator, assisted individuals with mental health and substance abuse diagnoses with various forms of applications, preparing them for interviews, and meeting with them and their physicians regarding their well-being
- Strong computer skills
- Software knowledge
- Data analytics
- Outstanding risk assessment skills
- Teamwork
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Auditing experience
Interests
Highly motivated professional with 25 years Customer Service/Insurance experience Impeccable problem solving, managerial, organizational and communication skills Works well independently or as part of a team Adapts well to new procedures responsibilities, and work environments Member of McAllister Elementary PTSO, Room mother Certified Applications Counselor Certified Cobra Administrator Proficient in Microsoft Word, Excel, Medent, Siebel, iFacets, Cobrapoint, NY Health Exchange, PowerPoint, Lotus, Evolve, GSI, RHIO, Psykes, SIR, DPA, and current on all HIPAA training as well as suicide prevention training
Timeline
Quality & Compliance Auditor
The House Of The Good Shepherd
10.2023 - Current
Enrollment Specialist
United Healthcare
07.2021 - 10.2023
Office Administrator
Miner Realty & Property Management
09.2020 - 07.2021
Account Specialist
Indium Corporation
10.2019 - 04.2020
Cobra Billing Administrator
Lifetime Benefit Solutions
11.2018 - 08.2019
Financial Coordinator
Boston IVF
05.2018 - 09.2018
Care Manager
Liberty Resources
11.2014 - 05.2018
Associate of Arts - General Studies & Liberal Arts
Columbia College