Renee Smith
Fowlerville,MI
Summary
Seasoned COBRA Process Manager with a proven track record at WEX Health and Meritain Health, adept in enhancing client satisfaction through meticulous administration of COBRA continuation and effective problem-solving. Excelled in training peers and streamlining procedures, leveraging strong communication skills and expertise in COBRAPoint and MBE. Demonstrated commitment to accuracy and efficiency, significantly improving process outcomes.
Overview
18
18
years of professional experience
1
1
Certification
Work History
COBRA Process Manager
WEX Health
Schaumburg, IL
08.2022 - Current
- Administered COBRA continuation of group health plans.
- Supporting the COBRA benefit administration process to achieve client satisfaction.
- Main point of contact with assigned clients.
- Lead regular status calls.
- Adding and updating participants in COBRAPoint and MBE.
- Updating carriers for urgent escalations.
- Facilitated the Annual Enrollment with the client.
- Assisted with analyzing & processing COBRA correspondence received from participants and employers on a daily basis to ensure accurate and timely deliveries of COBRA service for appointed clients, including but not limited to Enrollments, Termination Request, Carrier Updates, additions to account, payment and any special reporting/processing.
COBRA Analyst
Meritain Health an Aetna
Lansing, MI
01.2015 - 12.2021
- Administered COBRA continuation of group health plans.
- Provided customer service to beneficiaries, clients, and internal departments.
- Supported COBRA and retiree billing programs.
- Process COBRA elections and terminations.
- Coordinated and updated client records.
- Trained and monitored team for best practices.
- Generated reports with findings and recommendations.
- Developed and maintained tracking spreadsheets..
Authorization Specialist
Advanced Rheumatology Center
Okemos, MI
01.2015 - 01.2016
- Provided customer service to internal and external customers related to authorization requests.
- Reviewed authorization requests for accuracy and completeness.
- Researched patient eligibility, coverage information, and benefit levels.
- Facilitated prior authorization of DMARD drugs.
Front Office Supervisor
MSU Pediatrics
DeWitt, MI
01.2011 - 01.2015
- Organized and ran the Front Office for a multi-physician pediatric office with Michigan State University.
- Promoted to new location by department chairperson, Dr. Joel Greenberg.
- Coordinated patient scheduling, check-in, check-out, and payments for billing.
- Checked and updated patient insurance, demographics, and health history to keep information current.
- Processed prior authorizations and referral to specialist.
- Entered charges from the encounter forms and posted copies to the visit.
Front Desk Scheduler II/Prior Authorization Representative
Comprehensive Cancer Care
North Las Vegas, NV
01.2007 - 06.2011
- Managed multi-line phone system and pleasantly greeted patients.
- Entered charges from the encounter forms and posted copies to the visit.
- Coordinated patient scheduling, check-in, check-out, and payments for billing.
- Assured timely verification of insurance benefits prior to patient procedures for appointment.
- Provided clinical documentation for all prior authorizations or referrals.
- New patient scheduler for Dr. Thummala and Dr. Jean.
- Assisted Financial Counselors while out on PTO.
- Adhered to strict HIPAA guidelines to protect patient privacy.
Education
Some College (No Degree) - CBCS Medical Billing And Coding
Central Michigan University
Mount Pleasant, MI01-2017
Some College (No Degree) - Medical Terminology
Central Michigan University
Mount Pleasant, MI01-2017
Some College (No Degree) - Medical Office Assistant
Corcoran Hi-Tech
Perry, MI06-1991
Skills
- Accounts payable and receivable
- Deadline adherence
- Excellent verbal and written communication
- MS Excel
- Procedure Coding System (HCPS)
- Medical billing and coding
- Insurance verification
- Data entry
- Training peers on COBRA
- Creating new procedures for COBRA
- Salesforce platform
- DG Platform
- COBRAPoint
- MBE
Certification
- CBCS Medical Billing and Coding (certification)
- Medical Terminology (certification)
- Medical Office Assistant (certification)
Timeline
COBRA Process Manager
WEX Health
08.2022 - Current
COBRA Analyst
Meritain Health an Aetna
01.2015 - 12.2021
Authorization Specialist
Advanced Rheumatology Center
01.2015 - 01.2016
Front Office Supervisor
MSU Pediatrics
01.2011 - 01.2015
Front Desk Scheduler II/Prior Authorization Representative
Comprehensive Cancer Care
01.2007 - 06.2011
Some College (No Degree) - CBCS Medical Billing And Coding
Central Michigan University
Some College (No Degree) - Medical Terminology
Central Michigan University
Some College (No Degree) - Medical Office Assistant
Corcoran Hi-Tech
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