I maintain my knowledge of healthcare policies, procedures, trends, and legislation to advocate for families. I advise patients of medical rights and options and assist with preparing proposals and filing appeals. Clients depend on me for setting up appointments for negotiations. I frequently research policies, state, and federal laws for healthcare to provide additional options.Some of my Achievements are: - Negotiated with the insurance company after three denials for a $600K surgery; lead to a self-insured plan adding an exception for the planned operation.- Secured two batteries from insurance company for a usually multi-phase surgery converted into one surgery; saved client money and resources. - Guest speaker to support policies against police suicides and other hazardous conditions; empowered family knowledge and awareness of risk factors.

During this role, I designed and oversaw health insurance programs for personnel of a national call center. I served as an insurance and MS subject matter expert to advise leadership. The core of my responsibilities consisted of advocating for high-level insurance problems with drug lists, prior authorizations, and step therapy. I trained staff on new policies, program changes, and government procedures to ensure quality customer service. I coordinated between different insurance entities, including Medicare, Medicare.gov, Medicaid, private insurance, Department of Defense, CHIP+, Tricare, and Centers for Medicare and Medicaid Services. I also served as the primary member of the Affordable Care Act planning & implementation committee and worked with State, Federal, Private, and Pharmaceutical companies for MS treatments.Some of my Achievements are: - Spearheaded the Colorado and Alaska public policy teams in Washington DC; secured a multi-million-dollar research bill.- Led the insurance staff through a 600% staff growth over 7 years; increased performance and efficiency.- Resolved complex health insurance cases for several thousands of disabled clients and assisted with Social Security Disability Insurance claims.- Developed a QA tool to improve the response time, boosted the quality of response and service.- Generated training material for over 500 health insurance staff; ensure staff used best practices and maintained knowledge of current policies.

Additional experience as a Group Treatment Counselor and Child Abuse Investigator