Kelsey Diamond

• Mentored junior team members, contributing to their professional growth and development by providing coaching/focus audits and general HOD support.
• Established best practices for knowledge sharing, fostering a culture of continuous learning and improvement.
• Developed effective training materials for diverse audiences, resulting in improved skillsets and increased job satisfaction by meeting with Sarah and my fellow SMEs to go over documentation to improve or clarify our processes.
• Collaborated with management to identify and prioritize new development concepts.
• Managed complex projects from inception through completion, delivering high-quality results within tight deadlines. (Aretmis Testing/Workflow Transformation/ CHC rep exception process)
• Improved user productivity and efficiency through system training and support.
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• Provide claims expertise support by reviewing, researching, investigating and resolving all types of claims as well as resolution for health plans, commercial customers, and government entities
• Provide assistance to individuals with questions that arise regarding policies, procedures, and processes. Responsible to answer questions and/or direct individuals to the proper policy and procedure for review
• Provide Quality Assurance review for identified functions as designated for the timeframe of the assignment, in order to provide timely and appropriate feedback based on the work completed
• Work with the Documentation Support team to review and provide feedback on new or revised policies and procedures and\or new processes and programs, if needed
• Provide mentoring and additional training to team members needing assistance
• Maintains excellent working knowledge of COB policies and procedures, moderate computer skills and excellent business etiquette
• Analyzes data to identify errors, trends, and opportunities for improvement
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
• Perform other duties as assigned