Marlo Hall
Atlanta,GA
Summary
Enthusiastic Health Care professional eager to contribute to team success through motivating teams ans streamlining operations. Analytical problem solver and with talent to thinking outside box for creative solutions. Managed Care, Public Health Insurance Programs and Experienced in managing CMS grant activities.
Overview
23
23
years of professional experience
Work History
Patient Access Representative II
Emory University Hospital Midtown
11.2023 - Current
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Improved patient by actively addressing concerns and providing prompt assistance during the check-in process.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Scholarship Administrator
Department of Early Care And Learning
02.2019 - 01.2022
- Process initial application for CAPS scholarships to determine program eligibility, Successful at managing high caseloads in fast-paced environments
Senior Officer
Assure Provider Agency
01.2017 - 10.2021
- Federally-facilitated Marketplaces (FFMs), Certified Designated Organization (CDO).
- Certified Application Counselors (CACs) who provide Marketplace application and enrollment assistance to consumers.
- Assured that individual CACs completed required training, complied with privacy and security laws, and met other program standards.
Eligibility Supervisor
Kaleida Health Systems-Contract
10.2013 - 07.2015
- Directly supported patient finance manager for the proper review and management of two federal grants
- Assistant Project Director for Kaleida Health Systems, Connecting Kids to Coverage Outreach and Enrollment school based grant administered by CMS.
- Managed staff for grant activities, performance metrics, and strategic planning. to meet the needs of the targeted population.
- Drafted and prepared semi-annual and final grant reports in response to inquiries regarding program oversight activities to CMS.
- New York State Navigator Program
- Liaison for Kaleida Health Systems, attended meetings and public forums that contributed to discussions and planning sessions for the implementation of the NYS Health Benefit Exchange and the Affordable Care Act.
- Provided feedback to NYS Navigators and consumers who faced enrollment barriers.
- Collaborated with the NYS Marketplace Integration team to help resolve enrollment barriers.
Eligibility Supervisor-Self-Pay
Med Assist
10.2006 - 08.2011
- Assisted in managing BPO outsourcing contracts for hospital clients.
- Managed the hospitals self-pay census to reduce bad debt.
- Managed and trained onsite hospital staff in the day to day eligibility processes for Medicaid, Medicare Secondary's, SSI (TERI, and Presumptive applications) and insurance verification.
Marketing Representative
Fidelis Care NY
07.2001 - 01.2006
- Demonstrated a high-level of expertise in Managed Care, and public health programs
- Community event coordination and other platforms to reach targeted population.
- Interviewed applicants and explained scope of different available benefits in the Managed Care Plan.
- Worked independently and within a team environments
Education
Social Science -
Erie Community College
Williamsville, NY01.2004
Skills
- Certified Patient Account Representative CPAR
- Microsoft Office
- Customer Service
- Program Oversight
- Supervisor
- Federally Facilitated Marketplace
Timeline
Patient Access Representative II
Emory University Hospital Midtown
11.2023 - Current
Scholarship Administrator
Department of Early Care And Learning
02.2019 - 01.2022
Senior Officer
Assure Provider Agency
01.2017 - 10.2021
Eligibility Supervisor
Kaleida Health Systems-Contract
10.2013 - 07.2015
Eligibility Supervisor-Self-Pay
Med Assist
10.2006 - 08.2011
Marketing Representative
Fidelis Care NY
07.2001 - 01.2006
Social Science -
Erie Community College
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