Summary
Overview
Work History
Skills
Educationcertifications
Timeline
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Nnenna Ajiero

Houston,TX

Summary

Experienced and detail-oriented Healthcare Insurance Specialist with a robust track record in insurance verification, claims processing, and reimbursement management. Adept at managing and supporting clinical applications, providing technical support to healthcare professionals, and ensuring seamless operation of clinical systems. Seeking an opportunity to utilize expertise in a Healthcare Insurance Specialist role, contributing to the optimization of insurance processes and delivering exceptional patient care.

Overview

7
7
years of professional experience

Work History

Licensed benefits Advisor

Mercer
07.2023 - 12.2023
  • Created and implemented custom benefits plans for businesses, considering budget and workforce needs
  • Explained benefits clearly to employees, helping them choose the right plan
  • Worked with clients to address any issues and ensure satisfaction
  • Managed benefits data and reported on program performance.

Insurance Specialist

Abbvie Endocrinology
10.2022 - 06.2023
  • Enhanced quality by 32% through recommending procedural improvements and conducting reviews, resulting in minimized payment errors, denials, and underpayments
  • Spearheaded task execution and quality monitoring, leading to a 12% decrease in error rates
  • Managed pharmacy insurance claims processing, ensuring meticulous accuracy and strict adherence to insurance guidelines
  • Leveraged pharmacy benefit management (PBM) systems for coverage verification, claim processing, and reimbursement facilitation.

Benefits Advisor

BSWIFT
08.2020 - 05.2022
  • Resolved customer complaints, upholding high-quality customer service standards
  • Provided guidance to over 100 client employees on the usage and benefits of organizational services
  • Acted as a liaison between clients and healthcare providers, advocating for clients' needs and ensuring clear communication.

Contract Project Manager

Almond Media Ltd
01.2021 - 01.2022
  • Introduced a new project management system, elevating project deliverables and technical and quality strategies, culminating in a 25% increase in team efficiency
  • Utilized MS Project for maintaining project plans and risk management, resulting in a 30% increase in project success rate
  • Orchestrated and supervised multiple projects from inception to completion, ensuring alignment with project objectives, timelines, and budgetary constraints.

Health Concierge

Radiant Smiles Dental
01.2017 - 07.2020
  • Managed over 50 inbound and outbound calls, effectively resolving disputes related to services and products
  • Maintained strict patient confidentiality in compliance with HIPAA privacy rules and policies.

Skills

  • Insurance Verification
  • Claims Processing
  • Medical Billing and Coding
  • Logistics Planning and Procurement
  • Insurance Guidelines and Regulations
  • Healthcare Systems and Software
  • Microsoft Office
  • MS Project
  • Trello
  • Task Prioritization
  • Interpersonal Skills

Educationcertifications

  • B.S Economics, University of Nigeria Nsukka
  • Texas Department of Insurance License

Timeline

Licensed benefits Advisor

Mercer
07.2023 - 12.2023

Insurance Specialist

Abbvie Endocrinology
10.2022 - 06.2023

Contract Project Manager

Almond Media Ltd
01.2021 - 01.2022

Benefits Advisor

BSWIFT
08.2020 - 05.2022

Health Concierge

Radiant Smiles Dental
01.2017 - 07.2020

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Nnenna Ajiero