Answers multi-phone line system Provided assistance to residents to account for activities of daily living Understand and interpret areas of medical necessity Provide exception customer experience to residents and family members Effectively communicate with doctors, nurses, residents and family members on resident condition and daily activities with the non-violation of HIPPA. Create a fun and friendly environment for residents and families. Uphold the expectation of the best care a resident receives through the knowledge provided through training and STNA license.

Answers multi-phone line system Provided assistance to residents to account for activities of daily living Understand and interpret areas of medical necessity Provide exception customer experience to residents and family members Effectively communicate with doctors, nurses, residents and family members on resident condition and daily activities with the non-violation of HIPPA. Create a fun and friendly environment for residents and families. Uphold the expectation of the best care a resident receives through the knowledge provided through training and STNA license.

Provide exceptional customer service through inbound/outbound calls in fast-paced, contact center environment regarding health insurance plans/networks/and claims processing. Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the plan holder’s specific health plan. Recognizing additional patient needs, including those beyond their current healthcare benefits and provide additional resources/solutions whenever possible. Act as an advocate for plan members by communicating with network liaisons, clinical professionals and finance staff members at hospitals and medical offices. Partner with internal clinical professionals in providing member guidance and identify when members should be connected directly with clinical staff. Investigate financial discrepancies and claim issues to ensure plan holder’s and clients are billed appropriately. Participate in stretch assignments, special projects and leadership development programming as available. All other duties as assigned.

Research and process all new and existing worker’s compensation claims assigned Maintain customer service quality in injured worker/employer/provider communication Resolve conflict and document issues on a daily basis involving new and existing claims Report fraudulent requests within scope of practice Assist in the service level development providing recommendations for efficiency in existing applications Maintain integrity as neutral party to claim management Provided assistance and leadership in BWC process to injured workers/employers/providers Lead TPA/AE in advancement of claim medically Provide guidance in next steps to claim management Provided assistance in maintaining BWC compliance and governance in Sedgwick and BWC current process. Created documentation relevant to strategy in the implementation of new policies and procedures.

Responsibilities:Interface with cross functional teams to ensure proper implementation of tariff changes within the billing system.Participate in the implementation of new wholesale products. Support implementation (often in areas so complex or new, there are no established methods to follow).Assist with conversion activity related to various corporate wide system consolidations.Review special access billing variances and submission of monthly print cycles.Review daily reports for ordering/billing exceptions; analyze to determine if edits are required.Frequently contributes to the development of new processes and methods.Develops resolutions to complex problems that require frequent use of creativity.Uses judgment within broadly defined policies and practices.Exerts significant latitude in determining objectives of assignment.Work is accomplished without considerable direction.May contribute to establishment of organization's strategic goals.Performs in an internal expert role

* Opens and manages job requisitions in applicant tracking system. Post jobs to internal and external sites* Communicates with onsite and offsite recruiting coordinator team, Account Manager, recruiters, hiring managers, candidates and agencies* Data entry in multiple systems (applicant tracking system, HRIS, Excel)* Maintaining applicant tracking system* Schedule and coordinate interviews between candidates, agencies, hiring managers and recruiters* Collect and track interview feedback * Rehire eligibility checks/internal mobility checks* Offer package coordination * Post jobs campus career sites, as appropriate* Key logistical contact for planning and execution of events on school campuses or in client office to support recruiting processes (e.g securing space, creating marketing, sending materials, etc)* Maintain contact with career centers, candidates, and other campus stakeholders to market and plan events* Act as point person for candidate inquiries* Compile resumes following application deadlines and distribute to appropriate stakeholders* Onboarding of new hires: offer package coordination, background check facilitation, etc* Ad hoc reporting* Assist with projects * Additional activities as needed that would help assist with the hiring and on-boarding process

Data Analyst (NPS Master Data)  August 2013 – Present•Research and process all new and existing NPS customer account requests•Maintain extensive database s on a customer level working with MDM, EDM, and SAP system•Resolve conflict and documentation issues on a daily basis involving new and existing accounts•Report fraudulent requests for new accounts •Assist in the service level development of new tool for account processing (Introduction to SharePoint)•Maintain master data governance and integrity •Provided assistance and leadership in the absence of a Supervisor•Lead Xofigo Enhancement Project into Go-Live state•Developed great relationships with other deparment Managers and their teams.Provided assistance in maintaining data integrity and goverenance in NPS Master data current systems. Created documentation revelant to strategy in the implementation of new policies and procedures. Lead on building new technology (SharePoint) for customer and Product create and change requests.

•Research and process all new and existing medical and pharma accounts•Maintain extensive database on enterprise and customer level working with SAP system•Resolve conflict and documentation issues on a daily basis involving new and existing accounts•Report fraudulent requests for new accounts •Assist in the service level development of new tool for account processing•Provided assistance in the development of training manual•Maintain master data governance and integrity •Provided assistance and leadership in the special implementation of large customersProvided assistance in maintaining data integrity and goverenance to provide executive level customer/sales reporting, educated internal departments on new processes and procedures, quickly learned both front and back office processes providing the ability to be agile within theCustomer Master Data team.

•Answered multi-phone line system•Provided assistance to residents to account for activities of daily living•Understand and interpret areas of medical necessity •Provide exception customer experience to residents and family membersEffectively communicate with doctors, nurses, residents and family members on resident condition and daily activites with the non-violation of HIPPA. Create a fun and friendly environment for residents and families. Uphold the expectation of the best care a resident receives through the knowledge provided through training and STNA license

•Communicated effectively with multiple departments to ensure patient safety and prepare welcome packages for patients. •Established strong relationships to gain support and effectively achieve results. •Helped coordinate scheduling for staff members•Entrusted to manage office in the supervisor’s absence. Provided timely, courteous answers to patients and families with treatment questions with knowledgeable response to information requests. Screened and transferred calls. •Co-developed comprehensive, 10-page training manual that enabled faster ramp-up for newly hired support staff.Earned excellent marks on performance reviews, with citations for excellence in areas including work volume, accuracy and quality; ability to learn and master new concepts; positive work ethic; and commitment to providing unsurpassed service.Handled multifaceted clerical tasks (e.g. data entry, filing, records management, and scheduling)As the assistant to the registrar and admissions offices. Coordinated travel arrangements for Patients, maintained database, and ensured the delivery of premium service to patients. Quicklybecame a trusted employee known for a “can do” attitude flexibility and high quality work.

•Communicated effectively with multiple departments to ensure patient safety and prepare welcome packages for patients. •Established strong relationships to gain support and effectively achieve results. •Helped coordinate scheduling for staff members•Entrusted to manage office in the supervisor’s absence. Provided timely, courteous answers to patients and families with treatment questions with knowledgeable response to information requests. Screened and transferred calls. •Co-developed comprehensive, 10-page training manual that enabled faster ramp-up for newly hired support staff.•Earned excellent marks on performance reviews, with citations for excellence in areas including work volume, accuracy and quality; ability to learn and master new concepts; positive work ethic; and commitment to providing unsurpassed service.Handled multifaceted clerical tasks (e.g. data entry, filing, records management, and scheduling)as the assistant to the registrar and admissions offices. Coordinated travel arrangements for patients, maintained database, and ensured the delivery of premium service to patients. Quicklybecame a trusted employee known for a “can do” attitude flexibility and high quality work.