Marie E. Dean Email & Phone Number

United States

Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferringmembers as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.

Troy, Mi

• Critically analyzed the Medicaid provider services and Medicare appeals for Michigan.• Communicated effectively with providers regarding the status of appeal and to obtain the needed information to aid such appeal.• Resolved provider appeals in a timely manner and in accordance with the specific guidelines of the state.• Subject matter expert for prior authorization requests.• Orchestrated the supervision and operation of all prior authorization request for the state of Michigan• Liaised with the claims department to ensure that claims are correctly paid.• Provided the needed support for the development and modification of systems to meet client needs while executing business specification to support these modifications.• Significantly improved the documentation of business processes related to the internal operations.• Constantly displayed a comprehensive understanding of state and regulatory grievance and appeal.• Effectively developed and implemented plans to prevent areas of inefficiency within the department. • Headed the team’s problem solving and continuous improvement developmental activities.

Southfield, Mi

• Provided quick resolutions for provider appeals in accordance to the state-specific guidelines for the Communities in the States of Ohio, Michigan, Tennessee, Texas, Kansas, and Washington.• Leveraged excellent prioritizing skills in triaging cases. • Duly communicated issues relating to the appeal to the providers.• Displayed excellent digital communication skills in passing necessary information across different departments and customers as required.• Leveraged self-motivational skills in completing given tasks in a timely and efficient manner. • Sharpened my ability to prioritize projects and tasks, while multitasking duties in a remote environment.

Lewisville, Tx

• Leveraged excellent multitasking skills in aiding the provision of excellent customer service to vehicle owners while evaluating current loan status.• Effectively utilized conflict resolution skills in diffusing hostile conversations with unsatisfied customers and prevent escalation.• Critically analyzed consumer auto loans to prevent loss and keep customers in the current auto loan.• Ensured the collection of 60 to 92 days delinquent auto loans including assigning for repossession.• Accurately calculated the debt-to-income ratios, and processed modifications, deferments and/or reduced payment plans as the case requires

Southfield, Mi

• Handled the daily transfer of mutual fund shares and dollar amounts between internal accounts. • Duly processed share class conversions initiated by the firm or the mutual fund company. • Oversee the timely setup of new mutual funds and the overall approval process. • Strategically developed and effectively managed the customer database with information regarding mutual funds and fund company information.• Consistently promoted strict confidentiality in addition to maintaining accurate records that support information requests and general inquiries.• Executed and submitted the monthly, quarterly and annual reports to members of management.

Mi

• Managed quality control and assurance of information, account payables and receivables leveraging outstanding skills with Microsoft Word, PowerPoint, Access, Excel spreadsheets, and client Information Database.• Handled the daily operations of the office and staff while collaborating with the public accountant to record the dictations and agendas, and conducting detailed briefings with higher echelons of management.• Facilitated performance assessments to ensure all prescribed standards of performance were satisfied and made appropriate recommendations as needed.

Mi

• Served as a major point of contact with an aim toward maintaining outstanding customer satisfaction for operations in sales and overall administrative support. • Effectively managed customer escalations to ensure customer satisfaction and boost retention rate.• Orchestrated the development of top-tier internal and external customer service. • Significantly increased the store's monthly gross revenue to $80K by effectively managing, maintaining, and developing customer accounts. • Facilitated performance assessments to ensure all the prescribed standards of performance were adhered to and made appropriate recommendations where needed.• Constantly ensured the productive growth and development of the newly hired employees by providing acquired professional sales training, proper corporate customer service protocols, and successful account management techniques.

Mi

• Managed the quality control of customer insurance information regarding Michigan's minimum liability coverage and description of deductibles.• Effectively marketed and promoted products for several lending institutions, in addition to providing insight on the development of policies.• Significantly developed and expanded customer base through repeat business, and secured new accounts leveraging outstanding customer service skills.• Facilitated account searches as needed to assist customers.• Managed the compliance with company standards including budgeting, forecasting and analyzing returns. • Handled the execution of monthly, quarterly and annual reports. • Utilized creative marketing strategies to effectively promote company products with the maximum goal of expanding business territory and driving sales.

Mi

• Achieved a significant increase in volume growth, market share, and profitability in the targeted recycling accounts. • Developed and implemented strategic initiatives designed to optimize the performance of key accounts. • Secured relationships with key internal contacts to expand the supplier network to multiple national accounts.