Anna Kenyon Email & Phone Number

Apex, Nc, Us

Duke University West Campus

• Manages all operational aspects of the Duke Student Health Insurance Plan including enrollment and waiver processes, customer service and communications, and financial and accounting processes. • Works closely in conjunction with the Bursar Office, Student Health’s management team and providers, and Corporate Risk Management and Student Affairs management. • Supervises the insurance referral coordinators. • Manages the Duke Student Medical Insurance Plan (SMIP) decision enrollment and waiver process during open enrollment. • Determines population of students eligible for participation. • Researches and corrects discrepancies; research and rectify insufficient address information’ and assists in enrollment of special groups of students. • Provides customer service and communications to Duke Students, parents and departments as related to the Duke Student health insurance process. • Monitors and troubleshoots all issues for students who are unable to access the insurance website; handle special questions, related to receipt of insurance card, dependent coverage, denials of waivers, and late waiver requests. • Manage financial and accounting processes related to the student health insurance plan. • Prepares summary financial and enrollment reports on an as needed basis for Student Affairs and the Student Health Insurance Committee. • Presents the Duke SMIP to the various Duke School student orientations and Graduate & Professional Student Council monthly meetings. • Served on three interview committees for Executive Director Candidates.• Conducts annual performance reviews, assess and assign goals and develop professional development strategies. • Collects and disseminates information relevant to the office. • Sits at new recruits’ interview committee.

Responsible for analyzing, coordinating and assisting in the development of billing, collecting and reporting system for contract management; act as liaison between Billing and Collections, Reimbursement and the Director’s Office throughout the Health System. Provide training to ensure compliance with current payments, rules and impact on Physicians, Hospitals, Home Health, Hospice and collection for Managed Care payers. Prepare Managed Care Trend Reports by paper and by entity within the Health System; monitoring payment and denial patterns. Resolve issues with managed care organizations and their carriers by identifying contractual concerns. Communicate issues and concerns between payers and health system entities. Verify terms of contract modeling with payers after implementation to ensure payment accuracy. Prepare scorecards for each payer based on trend analysis and projected market data within the health system. Summarize and distribute communication of various changes by Managed Care Plan to entities within the health system. Responsible for maintaining the day to day communication with key insurance carriers and Duke. Serve as a liaison between Duke internal partners and insurance carriers. Responsible for maintaining daily log of all payer issues and concerns reported to department. Have identified areas for improvement, both internal and external. Successful in resolving outstanding issues within a limited time frame with most favorable outcomes. Responsible for scheduling and coordinating in-service training for assigned payers throughout the health system. Successful in assisting with high dollar claim resolutions. Responsible for the gathering and compiling of monthly newsletter articles for assigned payers, which include medical policy updates and implementations, new managed care plans and changes, and any related item that affects the health system.

Responsible for maintaining three territories of hospital and hospital based physician groups, consisting of over 30 hospitals across four counties. Duties included handling contracting, claims, care coordination, hospital and emergency room admissions, physician credentialing and outstanding A/R issues. In addition, responsible for managing and maintaining relationships with participating providers including on-going education and in-service training sessions for hospitals and hospital-based physicians, admissions staff, front desk personnel, case management, and patient financial services. Handled difficult meetings and situations and facilitated and acted as a mediator between providers and internal BCBSF key partners. Conducted monthly administrative meetings with high level executives and reviewed monthly administrative reports, outstanding A/R issues, contracting issues, netting avoidance, care coordination usage and correct interpretation on BCBSF’s medical guidelines and coding updates and pointed to providers areas of improvement and opportunities for education. Attended medical associations conventions and seminars as required for job enrichment.

Master Of Arts (M.A.), Human Resources Management And Services

Master Of Arts (M.A.), Emergency And Disaster Management, 3.98

Activities and Societies: Honorable member of Golden Key International Honor Society and of the Epsilon Pi Phi Honor Society

Bachelor Of Arts (B.A.), International Relations And Affairs