Working with sponsors to host successful blood driv s

Managing account operations, account close, account reporting and reconciliations. Performing debit, credit and total accounts on computer spreadsheets/databases using specialized accounting software. Receiving, recording, and banking cash, checks, and vouchers as well as reconciling records of bank transactions. Preparing monthly and annual expense forecasts, including any necessary recommended action required to manage costs to achieve budget. Executing accounts receivable reporting enhancements and reconciliation procedures.

Manage 250 accounts within Flexible Spending Plans that includes Medical FSA, DCA (Dependent Care Account), Transit/Parking, HRA’s and HSA’s policies. Maintain a productive relationship with Plan Administrators, Brokers and Groups to ensure retention and business growth development, Educate clients on systems, tools and policies related to the services and products of AmeriFlex during the implementation process, Collaborated with internal partners to develop and execute business plans and strategies, Identified future sales opportunities for other products and services offered by AmeriFlex Dedicated assigned contact for issues dealing with the client portfolio, which included participant’s enrollment and financial administrative billing. Webinar Presentations for product sales, program implementation and systems training. Assisted client’s with maintaining compliance standards required by the Federal Government regulations for products administration

Managed 435 accounts in the northeastern territory, which includes most valuable and most likely to produce growth within AHA/ECC portfolioWorked with key decisions makers at the C-level to integrate products to complete the customer’s portfolio for production growth and competitionProvided client support post the implementation phase of new products and equipment.Assisted in creating sales tactics, customer value propositions, product launch plans and marketing plans for the sales force.Initiated outbound calls to cultivate ongoing customer relationships.Promoted growth in client’s network through consultative sales process.Maintained primary data points in the customer management systems MS Dynamics Siebel and Office Excel.Assisted Senior Account Field Managers and product distributors with additional training network support.Presented product and services presentations at company conferences and tradeshows Identified and properly qualify business opportunities with new and existing customers.Conducted Quality Business Reviews to ensure compliance standards are adhered.

Initiated the implementation stage for all new clients by explaining the EDI process. Managed over 250 Healthcare Accounts in the Eastern region of U.S.Facilitated Webinar Implementation trainingProcessed EDI provider enrollment and set reasonable expectations regarding enrollment, testing, and production during and after the implementation process. Perform monthly audits for customers with a 10% dissatisfaction rateEvaluated internal/external processes or systems limitations and communicate with development team for system needed improvements and modificationsAssisted users by interpreting online errors and claims rejection from payersInterpreted ANSI loops and segments for clients to correct data sent that failed to process due to missing or incorrect dataInterpreted payer reports, and acted as a representative on behalf of the customer when dealing with networks, software vendors and payers when necessary to ensure claims are transmitted according to Federal and State guidelines.

Accepting calls through an ACD system to process intakes for EAP and Managed Care benefits using the CRM system as well as quoting and interpreting benefits for enrollees, providers and employers.Processed claims and enrollment modifications additionally prepared daily Excel reports.Maintain hardcopy claims inventory filesActed as liaison between client, clinical staff and providers to assist with members needsIdentified emergency call situation that required immediate clinician assistance

Processed medical intakes via phone, fax and online work cueDrafted approval and denial letters for clients and providersLead intake coordinator to assist clients and peers with escalated calls and quality coachingInterpreted benefits and coverages for clientsDrafted and routed pre-determination of benefits to collaborate with risk management for approvalsEmployed by UHG previously from May 1999 - September AssociateAnswered incoming calls through and ACD lineProcessed claims and adjustmentsQuoted benefits and Policy riders to clients and providersInterpreted policy exclusions and limitationsOrganized and prioritized team daily agenda• Consultant for High Risk and Executive accounts

Processed credit insurance claims for JCP CorporationResearched incomplete benefit applicationsRespond to inquiries and request from clients, vendors and merchantsProvided support to CSR department to insure proper intake procedure followed for new claims being filed by client.Request draft for payment of benefits and closed files with benefits exhaustion.

Provided operational support for medical claims process via AMISYS system on HMO and EPO products as a TPA for Physicians Plus Insurance Corporation, researched and resolved PEND reportsMaintained policy limits and counters for services renderedInterpreted benefits and coverage for clients and providers Insured accurate and timely payment of claims to meet or exceed the customer service level agreementsProcessed and interpreted coordination of benefits to clients and providers for Medicare policies