Summary
Overview
Work History
Education
Skills
Awards
Additional Information
Timeline
SalesManager

Tracie Rybak

Redford,Michigan

Summary

HealthCare Carrier professional with 15 years plus of experience in IT applications, and high-volume production environment audited for its precision. Seeking new opportunities in Service Operations, Claims and Enrollment, Information Technology, and more.

Overview

19
19
years of professional experience

Work History

Analyst

Blue Cross Blue Shield of Michigan
07.2016 - Current
  • Test and process electronic 834 files (4010, 5010) for group membership.
  • Work directly with groups to implement the initial 834 process from start to finish.
  • Attend project management and special meetings concerning changes for my assigned groups.
  • Maintain group customer relations.
  • Special projects as assigned.

Customer Request Associate

Blue Cross Blue Shield of Michigan
06.2013 - 07.2016
  • Provide web support and research for priority requests for agents, groups, providers and members via phone and email. Triage and further escalate tickets to the analyst area for correction. Provide onsite support for vendor Morley.
  • Manage and process inquiries for three email boxes: Web Support Help Desk, Request Status and Provider Systems Customer Support. Perform special projects as assigned.

Care Transition Specialist

Blue Cross Blue Shield of Michigan
09.2012 - 06.2013
  • Managed the Care Transitions to Home Medicare Advantage error reports.
  • Created new cases in Care Advance and tracked them on SharePoint.
  • Informed the RN case managers of readmissions or clinical updates for our members.
  • Input inpatient notifications/precertification for Medicare Advantage members.
  • Obtained phone numbers/Social Security numbers for members to support RN case Managers.

Engagement Center Specialist

Blue Cross Blue Shield of Michigan
05.2011 - 09.2012
  • Maintained weekly profile count, balance, and distribution to the chronic condition program nurses. Scheduled and assigned wellness coaching calls. Distributed weekly intro-pak mailings.
  • Completed monthly value options report. Completed monthly and weekly Profile Distribution Reports. Managed the weekly Sedgwick Report and Blue Health Connection Mailing List.
  • Assigned cases daily to health advocates and monitor their case load. Daily maintenance on chronic condition program cases and key cases into system.
  • Managed the value options and chronic condition program mailboxes daily.
  • Answered the phone calls for Quit the Nic, Blue Health Connection, 24/7 nurse line, Chronic Condition Program, Wellness, Compliance, Engagement IVR and IVR Emergency Room.

Customer Service Representative II

Blue Cross Blue Shield of Michigan
06.2006 - 05.2011
  • Answered the phones for Ford, General Motors, Chrysler, UAW Retiree Medical Benefit Trust and Delphi. Adjusted electronic claims for payment. Completed Medco updates.
  • Solved and explained claims, benefits, and cost share for automotive group members. Called pricing department for adjustments to claims; create provider listings, charts, work written, customer service representative created inquiries and producing duplicate explanation of benefit statements. Handled dental inquiries for Ford policy holders.
  • Performed special projects as assigned; specifically, with Medicare demand.

Education

Business Administration And Management

Walsh College of Accountancy and Business Administration
Troy, Michigan
06.2022

Skills

  • Microsoft Office Suite: Word, Excel, PowerPoint, Outlook, Access
  • Proprietary / Custom Customer Records & Transactions Service Manager, Content Manager, Members Edge, Metavance/eBilling, SharePoint, eBookshelf, eMCS/eMVP, Oral/written communications, National Customer Service Workstation, Smart, QwikChart, Verint, Care Advance, IKA, Facets, 3270, IHM (CM/CCM)
  • Analytical thinking
  • Microsoft office
  • MS Excel
  • Time management
  • Team collaboration and leadership
  • Attention to detail
  • Documentation and reporting
  • Critical thinking
  • Information gathering
  • Excel proficiency
  • Data research and validation
  • Decision-making
  • Process improvements
  • Data processing
  • Continuous improvement
  • Risk analysis
  • Root-cause analysis
  • Report preparation
  • Workflow Analysis
  • Deadline adherence
  • Relaying complex information
  • Statistic analysis
  • Data integrity assurance
  • Analytical problem solving
  • Complex Problem-solving
  • Data visualization tools
  • KPI analysis
  • Template creation
  • Data analysis
  • Teamwork and collaboration
  • Problem-solving
  • Research and analysis
  • Verbal and written communication

Awards

2015 SQM National Award for Customer Service recognition – Received in May 2016, P.I.E. (Pride in Excellence) Awards: December 2007, June 2009, June 2011, November 2011, September 2012, March 2013, June 2013

Additional Information

Lean Six Sigma - Green Belt, Certified by University of Michigan, February 2025

Work Type

Full Time

Work Location

RemoteHybrid

Important To Me

Career advancementWork-life balanceFlexible work hoursHealthcare benefitsWork from home optionPaid time off401k matchPaid sick leaveStock Options / Equity / Profit Sharing4-day work weekPersonal development programs

Timeline

Analyst

Blue Cross Blue Shield of Michigan
07.2016 - Current

Customer Request Associate

Blue Cross Blue Shield of Michigan
06.2013 - 07.2016

Care Transition Specialist

Blue Cross Blue Shield of Michigan
09.2012 - 06.2013

Engagement Center Specialist

Blue Cross Blue Shield of Michigan
05.2011 - 09.2012

Customer Service Representative II

Blue Cross Blue Shield of Michigan
06.2006 - 05.2011

Business Administration And Management

Walsh College of Accountancy and Business Administration

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