Athena Long Email & Phone Number

Blue Bell, Pennsylvania, United States

• Verify policies and provider contracts to respond to identify potential overpayments for physician concepts• Team player who successfully acts as a shared resource across multiple teams and audit platforms to collaborate and generate ID to on gain value for the client and the entire Aetna budget• Collaborates with the outreach team and senior level team members when identifying new audit leads within assigned projects which leads to increased ID… Show more • Verify policies and provider contracts to respond to identify potential overpayments for physician concepts• Team player who successfully acts as a shared resource across multiple teams and audit platforms to collaborate and generate ID to on gain value for the client and the entire Aetna budget• Collaborates with the outreach team and senior level team members when identifying new audit leads within assigned projects which leads to increased ID opportunities• Participated in several beta testing initiatives, which lead to implementing new audit practices and concepts to streamline auditing processes before company-wide rollouts• Serves as a SME on several auditing concepts for both the domestic and international team• Created several onboarding manuals on several audit concepts. Facilitated trainings and guides the professional development of new and existing staff Show less

Conshohocken, Pa

• Researched Aetna policies to locate lapses in coverage, voided plans, and completing compliance related tasks such as provider disputes and quality review• Created detailed expense reports and quarterly updates for the executive leadership team• Proven leadership skills through arranging and conducting meetings, creating daily reports, and initiative by interviewing and training new and existing employees• Created multiple on-boarding training documents on several… Show more • Researched Aetna policies to locate lapses in coverage, voided plans, and completing compliance related tasks such as provider disputes and quality review• Created detailed expense reports and quarterly updates for the executive leadership team• Proven leadership skills through arranging and conducting meetings, creating daily reports, and initiative by interviewing and training new and existing employees• Created multiple on-boarding training documents on several audit concept• Assisted in establishing monthly newsletter which highlighted new Aetna policies and audit communications Show less

• Served as a point of contact and facilitated responses to general inquiries and data requests from both internal and external customers.• Resolved disputes received from Aetna and medical providers.• Obtained monthly data files and generated reports for audits by identifying appropriate file parameters by extracting data files as requested by auditor.• Assisted in establishing monthly-newsletter which highlighted new Aetna policies and audit… Show more • Served as a point of contact and facilitated responses to general inquiries and data requests from both internal and external customers.• Resolved disputes received from Aetna and medical providers.• Obtained monthly data files and generated reports for audits by identifying appropriate file parameters by extracting data files as requested by auditor.• Assisted in establishing monthly-newsletter which highlighted new Aetna policies and audit communications.• Assisted the Quality and Finance team to resolve claim issues Show less

Greater Philadelphia Area

• Created an internal database for recruiters to analyze potential executive candidates.• Processed and reviewed employment applications to evaluate qualifications and eligibility of applicants.• Acquired data from primary & secondary internal/external data sources & maintain databases.• Worked closely with executive management to prioritize candidate searches and informational needs.• Transcribed all paper based records into computer files dating back from FY… Show more • Created an internal database for recruiters to analyze potential executive candidates.• Processed and reviewed employment applications to evaluate qualifications and eligibility of applicants.• Acquired data from primary & secondary internal/external data sources & maintain databases.• Worked closely with executive management to prioritize candidate searches and informational needs.• Transcribed all paper based records into computer files dating back from FY 2012.• Perform additional office related tasks as needed. Show less

Greater Philadelphia Area

• Developed electronic & print documents for internal and external audiences according to accepted standards of business writing.• Created, designed and produced marketing/promotional material for company events campaigns including, but not limited to, brochures, email blasts, and event flyers.• Made outgoing phone calls to company vendors• Created electronic/print documents and presentations for internal and external audiences.• Identified and solicited blog… Show more • Developed electronic & print documents for internal and external audiences according to accepted standards of business writing.• Created, designed and produced marketing/promotional material for company events campaigns including, but not limited to, brochures, email blasts, and event flyers.• Made outgoing phone calls to company vendors• Created electronic/print documents and presentations for internal and external audiences.• Identified and solicited blog submissions from relevant voices in the industry.• Assisted in new website launch• Updated social media sites daily reaching and promoting using Facebook, Twitter, and LinkedIn via Hootsuite.• Organized and assembled press releases. Show less