Nicole M. Merrill
Plymouth,MA
Summary
Experienced Senior Business Analyst/Program Manager in health care insurance operations with specific background in claims processing research and credit balance recovery. Strengths include excellent interpersonal skills, a strong work ethic, and the ability to adapt to all work settings.
Overview
25
25
years of professional experience
Work History
Senior Business Analyst/Program Manager
Blue Cross Blue Shield of Massachusetts
05.2007 - Current
- Responsible for overseeing credit balance program, managing multiple tasks, conducting meetings with vendors, participating in contract negotiations, creating workflows, supporting associates, adhoc queries, data/ trending analysis, and updating Access Database for credit balance recoveries.
Claims Research and Recovery
Blue Cross Blue Shield of Massachusetts
06.2005 - 05.2007
- Responsible for researching pended claims, adjusting claims, managing hospital credit balance recoveries, and training co-workers.
Bluecard Host Service Associate
Blue Cross Blue Shield of Massachusetts
05.2004 - 06.2005
- Responsible for taking incoming calls, researching Bluecard claims, and adjusting Provider Services claims.
Provider Service Representative
Blue Cross Blue Shield of Massachusetts
11.1999 - 05.2004
- Responsible for answering calls, researching and adjusting claims, and managing inventory.
Education
Diploma - General Studies
Plymouth South High School
Plymouth, MASkills
- Organization skills
- Teamwork and Collaboration
- Problem-Solving
- Multitasking
- Reliability
- Critical Thinking
- Documentation skills
- Analytical and Critical Thinking
- Self Motivation
- Client Relationship Management
- Analytical Thinking
- Account Reconciliation
- Payment Processing
- Payment management
- Data Analysis
- Presentation Skills
- Credit management
- Relationship Management
- Revenue Generation
- Adaptability and Flexibility
Accomplishments
Recovered an average of $15 million per year as the Senior Credit Balance Analyst working with contracted vendors.
References
- Jill Gibbons, Director, BCBSMA, (617) 246-7095
- Erin Boylan, Former Manager, BCBSMA, (617) 246-9797
- Kathy Jackson, Co-worker, BCBSMA, (617) 246-8137
- Maria Depina, Former Manager, BCBSMA, (617) 246-9467
- Steve Akeley, Vice President of Operations, BCBSMA, (617) 246-7085
Timeline
Senior Business Analyst/Program Manager
Blue Cross Blue Shield of Massachusetts
05.2007 - Current
Claims Research and Recovery
Blue Cross Blue Shield of Massachusetts
06.2005 - 05.2007
Bluecard Host Service Associate
Blue Cross Blue Shield of Massachusetts
05.2004 - 06.2005
Provider Service Representative
Blue Cross Blue Shield of Massachusetts
11.1999 - 05.2004
Diploma - General Studies
Plymouth South High School
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