Barbara Rose Email & Phone Number

Cleveland Ohio

Microsoft Word, Excel, Access, On Base/Right Fax and Focus Manager Corporate Medical Policies – Research medical policy criteria via websites of alternate insurance carriers, US Food and Drug Administration and Centers for Medicare and Medicaid Services Update medical policies and coding criteria for divisional usage Create Medical Policy webpage for Medical Mutual website Prior approval maintenance and indexing TOPPS/CMS - Pended Claims/Emergency room claim inquiries/assignment to Physician Advisor Excel spreadsheets/Access – Tracking of departmental activities Assessment and reporting of departmental outgoing correspondence errors to ensure accuracy

Cleveland/Akron, Ohio Area

02/2015 - Present Medical Mutual Cleveland, OHCertificate Development Specialist/Benefit Language Analyst Microsoft Word/Excel/Access/Doc-Dev/Corporate Membership System Research data, revise group benefits and develop certificate booklet Maintain Access records and Excel spreadsheets Interaction with various departments Medicare Advantage staff member