Frank Astacio Email & Phone Number

Remote (Florida And California)

• Focused on client management, sales support and consulting as I serve as a subject-matter expert on Enrollment and communicate my expertise throughout the organization.
• Strategize with clients on ways to enhance their Enrollment operations and maximize ROI.
• As the “go to” Enrollment subject matter expert, I play a pivotal role in developing the next generation Enrollment product offering and identifying new opportunities for the Voyager Enterprise Software Suite that will.
• Focused on: Product development activities with new releases coming out frequently Client implementation activities  Consulting activities  Sales support
• Understanding and maintaining knowledge of current CMS compliance policy and operations.
• Improving Dynamic’s Enrollment product offering by writing product business requirements.

Orlando, Florida

• Directly managed teams of 11 - 24 employees in the Enrollment department. Responsibilities included interviewing, hiring, and training employees, planning, assigning and directing work, appraising performance.
• Applied creative solutions to enhance the company’s business processes, including data management and data analysis.
• Partnered with department leads on operational enhancement opportunities.
• Develop and implement team building and motivational activities to maximize quality and effectiveness. Create, implement, and monitor staff performance goals and objectives on a weekly, monthly, quarterly, and.
• Received 5 Star Individual Achievement Award for achieving and maintaining 5 Star status in accordance with CMS standards

Orlando, Florida Area

• Managed the data integrity of member enrollment records.
• Utilized vendor, CMS and state Medicaid systems to aid in maintaining membership accuracy.
• Conducted daily reviews of enrollment and disenrollment transactions.
• Identified opportunities for increasing business efficiency through improved manual and automated process systems.
• Acted as liaison between CMS and PUP to ensure proper reconciliation of specialized enrollment cases as well as was responsible for providing information relating to enrollment policies and procedures during audits.
• Conducted internal audits of enrollment and disenrollment transactions and rejections ensuring timely receipt of premium and adherence to CMS guidelines.

Orlando, Florida Area

• Determined eligibility for the enrollment and disenrollment of members according to CMS guidelines, as well as ensured proper contact for prospective members to obtain missing information and proper denial, if necessary.
• Ensured proper processing of updates and rejections received from CMS daily.
• Determined status of out of area members and followed CMS guidelines to ensure contact with these members, as well as tracked their states and processed involuntary disenrollments for members permanently out of the area.
• Mastered Medicaid process, including re-certification and involuntary disenrollments.
• Developed leadership skills by reaching out to management for mentorship and guidance
• Generated and implemented department process improvements and automation to move the department to an efficient platform.

Bachelor Of Science (Bs), Psychology

Got my degree in psychology, focusing on mental health and family/marital counseling. I enjoyed taking classes outside of the field of.

Associate Of Science (A.S.), Psychology