Veronica Alston
Kingston,USA
Summary
Dedicated and experienced administrative professional with a robust background in healthcare, credentialing, and provider relations. Proven ability to manage complex processes, resolve issues efficiently, and ensure compliance with industry regulations. Eager to leverage extensive skills and experience within the UnitedHealth Care platform to contribute to organizational success and enhance operational efficiency. Committed to delivering exceptional support and fostering positive relationships in a dynamic healthcare environment.
Overview
13
13
years of professional experience
Work History
Consumer Resolution Advocate
United Healthcare - The Empire Plan
01.2023 - Current
- Work directly with members and providers to resolve issues and answer questions.
- Review and adjust medical claims as needed.
- Serve as a Make it Matter Ambassador.
Customer Care Professional
United Healthcare - The Empire Plan
01.2021 - 01.2023
- Respond to member and provider inquiries regarding eligibility, benefits, and claims.
- Participated in focus groups with Jessica Coumbes.
- Developed skills in ISET, UNET, ETS, ICUE, and DOC360.
Administrative Services Director
Reality House, Inc.
01.2014 - 01.2021
- Reviewed applications, conducted interviews, and managed onboarding and termination processes.
- Maintained employee schedules and processed payroll.
- Managed benefits including health, dental, 401K, PTO, PFL, and FMLA.
- Conducted performance evaluations and provided conflict resolution.
- Ensured compliance with local, state, and federal regulations.
- Managed billing department claims processing and reporting.
- Developed and maintained the management information system (MIS).
- Collaborated on annual administrative budget planning.
Executive Assistant
Reality House, Inc.
01.2013 - 01.2014
- Provided high-level administrative support to the Executive Director and leadership staff.
- Drafted letters, memos, invoices, reports, and other documents.
- Arranged travel and accommodations for executives.
- Scheduled and attended meetings, taking notes and recording minutes.
Education
BA - Business Management
Metropolitan College of New York
01-2012
MBA - Media Management
Metropolitan College of New York
New York, NYSkills
- Credential processing
- Compliance Assessment
- Background Screening
- Database Management
- Accreditation and Standards
- Effective communication
- Claims Processing
- Benefits Management
- Administrative Support
- Software: ISET, UNET, ETS, ICUE, DOC360
- Healthcare provider relations
Timeline
Consumer Resolution Advocate
United Healthcare - The Empire Plan
01.2023 - Current
Customer Care Professional
United Healthcare - The Empire Plan
01.2021 - 01.2023
Administrative Services Director
Reality House, Inc.
01.2014 - 01.2021
Executive Assistant
Reality House, Inc.
01.2013 - 01.2014
BA - Business Management
Metropolitan College of New York
MBA - Media Management
Metropolitan College of New York