Schriee V. Barnes

• Conducts internal audits of Benefit Verification Specialists, Reimbursement Counselors, Customer Service Reps, and Patient Enrollment Service Reps to evaluate performance and ensure compliance with AS+ HUB, Quality, and Safety expectations.
• Collaborates with cross-functional teams, such as Training, Knowledge Management, and Operations Managers, to assist in closing any gaps and drive continuous improvement of HUB services.
• Prepares report outlining the daily clinical documents processed, ensuring they are correctly forwarded to the PRCD team for redaction, and subsequent submission to the safety team.
• Engages in calibration sessions with Leadership, Training, and Knowledge Management to ensure evaluations are conducted consistently.
• Contributes to the continuous process improvement and the development of quality standards.
• Executes assigned tasks and special projects to enhance the efficiency of HUB processes and personnel in response to evolving business needs.

- Monitored Pulse queue and generated reports to ensure timely processing of cases and documents, while maintaining strict compliance with organizational standards.
- Reviewed dashboards and analytics to assist management in achieving daily production targets and proactively addressing aging cases and documents.
- Collaborated with management on case and document assignments, conducted thorough SOB reviews, provided constructive feedback, managed escalations, and addressed intake outliers to optimize workflow.
- Analyzed error reports to identify trends, offering actionable insights and best practice recommendations to enhance quality standards and achieve production goals.
- Delivered process updates and improvements through morning huddles, comprehensive written communications, team chats, and individual coaching sessions, facilitating real-time feedback for continuous improvement.
- Served as a Subject Matter Expert (SME), providing support to multiple departments, including Training, Quality, Pulse, BV, ARC, and HUB Leadership, on data intake inquiries and adverse event reporting processes.
- Managed all aspects of data intake, including document processing, adverse event reporting, and overseeing the clinical document assignment, redaction, and submission to the safety team for bone health initiatives.
- Adapted responsibilities to align with evolving business needs, demonstrating flexibility and a commitment to organizational success.

• H1036 Contract/Individual Medicare
• Multi-skill trained, completing a 10-week training course in taking calls for claims, pharmacy, billing, benefit verification, eligibility, and grievance/appeals.
• Addresses Medicare member and Provider needs, including but not limited to: complex benefit questions, pharmacy questions and overrides, grievances and appeals, claims inquiries, processing payments, billing inquiries, demographic changes, ordering and sending member materials, physician changes, etc.
• Performs varied activities and moderately complex administrative, operational, and customer support assignments using multiple computer applications.
• Resolves issues, educates members, and records details of inquiries, comments, or complaints, transactions, or interactions, and takes action accordingly.
• Adheres to Medicare guidelines, as well as HIPAA regulations, in verifying identity and the release of personal health information.
• Works independently with minimal direction and supervision, while following standard company and CMS guidelines, policies, and best practices.
• Utilizes strong attention to detail, listening, communication, empathy, multitasking, computer navigation, and customer service skills in order to assist the member/provider.
• Earned Reach bonus consistently on a quarterly basis, earning 10% of quarterly income for meeting or exceeding compliance and performance goals.
• Recognized monthly for receiving perfect service customer surveys
• Pulled out of production to serve as a Subject Matter Expert and support the team chat as needed.

• Evaluates and engages with prospective and enrolled students in accordance with federal and state compliance regulations, accrediting agency requirements, Department of Education, CIE (licensing agency) and company standards
• Assisted enrolling students with understanding information, completing paperwork and completing enrollment.
• Acts as a liaison between student and student services thru the 1st week of classes connecting them with Student Finance (FA) and student management.
• Assists in the preparation and training of new hires
• Acts as mentor and resource for Associate Admissions Reps as needed and under the direct Supervision of the Director of Admissions
• Assists Student Management Team as needed under the direction of the Student Manager and DOA in contacting and engaging with students in preparation for starting school

• Organized and maintained personnel files
• Data entry
• Prepared and distributed HR documents and Memorandums
• Utilized customer service and office support skills under direct request and supervision of the HR administrator to carry out daily functions of the department
• Used GEMS to input/update employee information and timesheets e.g
• Leaves of absence, sick days, vacation days and time off in preparation for payroll