Mareah Madison, Msbc Email & Phone Number

Louisville, Kentucky, United States

- Liaised with over 30 hospitals and facilities weekly across Kentucky and Indiana to verify patient medical histories, reducing diagnostic and treatment errors.- Managed patient chart organization through EPIC, ensuring efficient data retrieval for medical staff.- Planned, scheduled, and coordinated outpatient procedures with precision.- Monitored office inventories and managed supply orders, including placing $2,000 worth of orders.- Handled insurance referrals and coordinated with medical specialists, accurately documenting patient information.- Scheduled patient appointments and conducted follow-up calls for appointment reminders.- Verified insurance coverage and obtained necessary pre-authorizations.- Coordinated logistics for 30 plus neurosurgical procedures per month, working closely with facilities and support staff.- Educated over 50 patients weekly on surgical procedures and provided detailed treatment plans.

•Manage analysis and review of the coordination of benefits false positive reviews•Manage Medicaid implementation that involve other insurance carrier contact, investigation, and analysis of third party liability information.•Support IT projects to assist with implementation of the new Medicaid contracts.•Validating data with outbound phone calls to other insurance carriers, data trending, and suggestions for automation opportunities.

Louisville, Kentucky

• Worked on Pend Errors Team processing applications from members and enrolling them on the company platforms. Transmits enrollment to Center for Medicare and Medicaid Services• Performed computations using MS-DOS Operating System• Reviewed reports and makes adjustments, additions, and deletions based on enrollment rules.• Worked Medicare Pending Enrollments • Managed a daily inventory and reports inventory daily.• Worked within defined parameters to identify work expectations and quality standards, while having latitude over prioritization/timing, and works under minimal direction• Placed outbound calls to members to successfully resolve enrollment issues• Utilized the EMME system to send letters to resolve the incomplete errorsSkilled in numerous internal systems including Trained in Humana Systems:CasEmme Met-TrackingGCP/CCPCRM Service MACESSCis ProHOD MODMentorCMSPhysician Finder Producer Management ToolSPIDAR ViewerHumana Medicare fastApp

Louisville, Kentucky

• Worked on Pend Errors Team processing applications from members and enrolling them on the company platforms. Transmits enrollment to Center for Medicare and Medicaid Services• Performed computations using MS-DOS Operating System• Reviewed reports and makes adjustments, additions, and deletions based on enrollment rules.• Worked Medicare Pending Enrollments • Manages a daily inventory and reports inventory daily.• Places outbound calls to members to successfully resolve enrollment issues• Utilizes the EMME system to send letters to resolve the incomplete errorsSkilled in numerous internal systems including:CasEmme Met-TrackingGCP/CCPCRM Service MACESSCis ProHOD MODMentorCMSPhysician Finder Producer Management ToolSPIDAR ViewerHumana Medicare fastApp

Lagrange, Kentucky

The scope of responsibilities were diverse and included investigating and evaluating subrogation files to determine and facilitate effective negotiations and recoveries. Thoroughly investigated, and processed claimed subrogation reimbursement files and determined potential recovery. Served as a liaison between healthcare plan members, insurance adjusters, attorneys, and their staff.• Demonstrate excellent organizational, analytical, and time management skills to organize daily workflow to maximize client recoveries.• Maintain up-to-date knowledge of insurance policies, contracts, state provider specifics and system changes.

Louisville, Kentucky

Maximized Sales and deliver brand integrity through effective visual merchandising strategy• Supported field team to achieve consistent visual merchandising standards across all stores• Promoted Products to significantly increase their sales• Checking and replenishing product display areas in line with company plans • Managing stock availability throughout the supply chain, from suppliers to stores

Louisville, Kentucky

• Assisted the director in implementing policies, plans, and the developing programs for children • Taught basic reading skills and achieved social development goals for a special needs child• Created and implemented interactive programs to enhance engagement amongst (150) children• Counseled children daily on their emotional, intellectual, and developmental growth

Master Of Business Communication, Master Of Science In Business Communication, 4.0

Master of Science in Business Communication

Bachelor Of Business Administration (B.B.A.), Business Administration

Activities and Societies: International Club, Catholic Students Association, and Women's Leadership ConferenceAttended Bellarmine.