Marshlyn Walters
Cambria Heights
Summary
Results-driven professional with over a decade of experience in healthcare management and human resources. Currently Remote Medical Management Specialist II at Anthem Blue Cross Blue Shield. Skilled in managing complex cases with attention to detail. Effective collaborator with healthcare providers and internal teams, ensuring seamless communication and operational efficiency. Experienced in health education, utilization management, and HR coordination. Strong background in recruitment strategies and compliance with labor laws. Holds a Master’s in Human Resource Management and Google Data Analytics Certification. Combines analytical skills with a passion for enhancing health outcomes and employee engagement. Committed to driving process improvements and delivering high-quality support to clients and team members.
Overview
15
15
years of professional experience
Work History
Remote Medical Management Specialist II
Anthem Blue Cross Blue Shield
12.2015 - Current
- Manages multiple cases simultaneously, ensuring timely follow-up on surgery verification requests, and resolving patient information discrepancies with a high level of accuracy
- Utilizes strong communication skills to collaborate with healthcare providers and internal departments, ensuring accurate data entry and maintaining positive working relationships while addressing patient concerns and case updates
- Demonstrates exceptional multitasking abilities by prioritizing tasks, responding to inquiries, and providing real-time leadership support to team members, contributing to streamlined operations and process improvements
Health Educator
Anthem Blue Cross Blue Shield
12.2013 - 12.2015
- Provided remote customer support by offering health information and encouraging enrollment in disease management and medication alert programs.
- Assisted members in overcoming barriers to improve health through motivational coaching and behavioral assessments.
- Collaborated with clinical teams and mentored new staff to enhance overall member engagement and health outcomes.
Utilization Management Representative
Wellpoint Insurance
08.2010 - 12.2013
- Provided chat and email support, managed inquiries from clients and providers, and conducted screenings for clinical trial support.
- Troubleshooted computer issues related to Windows setup and ensured high-speed internet connectivity for effective communication.
- Verified insurance benefits, authorized treatment sessions, and maintained positive customer relations while coordinating with internal teams.
Education
Masters Of Science - Human Resource Management
Long Island University
Brooklyn, New YorkBachelors Of Science - Psychology
Touro College
New York, New YorkGoogle Data Analytics Certification
Google Certification
Online12.2023
Skills
- Effective communication
- Skilled in Microsoft Office applications
- Workplace conflict resolution
- Accurate data entry
- Workday proficiency
- Telecommunications proficiency
- Data analysis proficiency
- Human resources management
- HRIS management
- Collaborative teamwork
- HIPAA compliance
- Healthcare analytics
- Quality improvement
Timeline
Remote Medical Management Specialist II
Anthem Blue Cross Blue Shield
12.2015 - Current
Health Educator
Anthem Blue Cross Blue Shield
12.2013 - 12.2015
Utilization Management Representative
Wellpoint Insurance
08.2010 - 12.2013
Bachelors Of Science - Psychology
Touro College
Masters Of Science - Human Resource Management
Long Island University
Google Data Analytics Certification
Google Certification
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