As a Sr. Consultant at Reveleer, I applied my extensive knowledge of Medicare Enrollment procedures to deliver value to clients and shape the future direction of the organization. I have over 16 years of experience in the Enrollment field, having been part of a CMS 5 Star Enrollment Department at Physicians United Plan, where I managed teams of up to 24 employees, implemented creative solutions to enhance business processes, and developed my team for the future. At Reveleer, I served as a subject-matter expert and communicated my expertise throughout the organization. I strategized with clients on ways to optimize their operations and maximize ROI. I also played a pivotal role in developing the next generation product offering and identifying new opportunities for the Voyager Enterprise Software Suite of modules. I am skilled in process improvement, data analysis, quality auditing, and Microsoft Office. I am passionate about delivering excellence, innovation, and client success.
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Sr. Consultant, Enrollment, Operations & ComplianceReveleer Sep 2014 - Feb 2024Remote (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 optimize the revenue streams and shape the future direction of the organization.• 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.• Participating in product testing and QA.• Managing clients and internal resources for implementations.• Prioritizing and managing client deliverables and expectations during new customer implementation.• Providing demos for the Voyager Enrollment product.• Consulting with Dynamic customers to create and improve their Enrollment operations and practices.• Identifying innovative ways to identify and solve customer business problems using services and software.• Driving customer training and education on Enrollment operations and Voyager use. -
Manager, Enrollment ServicesPhysicians United Plan Apr 2012 - Jun 2014Orlando, 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, rewarding and disciplining employees, and addressing complaints and resolving problems.• 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 semi-annual basis to ensure staff meets company and department goals and objectives.• Received 5 Star Individual Achievement Award for achieving and maintaining 5 Star status in accordance with CMS standards -
Enrollment And Reconciliation AnalystPhysicians United Plan 2011 - 2012Orlando, 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.• Developed and maintained monthly reporting of enrollment related statistics and various database reports.• 1 of 5 employees to ever receive 5 Star Award for achieving and maintaining 5 Star status in accordance with CMS standards. -
Enrollment CoordinatorPhysicians United Plan 2008 - 2011Orlando, 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.• Developed analytical thinking skills to assist in data analysis, track and trends, and department efficiency.• Processed reports, including delegation, trends, and analysis, to ensure all department processes were completed compliantly and accurately.
Frank Astacio Education Details
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University Of Central FloridaPsychology -
Psychology
Frequently Asked Questions about Frank Astacio
What is Frank Astacio's role at the current company?
Frank Astacio's current role is MA Enrollment SME | Compliance | Sales Enablement | Client Success | Process Improvement.
What schools did Frank Astacio attend?
Frank Astacio attended University Of Central Florida, Valencia College.
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Frank Astacio
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Frank Astacio
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