I am a self motivated individual with broad experience in most aspects of Managed Care. Area's of experience include: Medical, Dental, Vision and HSA management and claims processing, eligibility, auditing, training & development , fulfillment, call center adminstration, PPO claims repricing, new product development, COBRA administration, payment services and privacy compliance. High focus on client satisfaction and problem resolution. Specialties: Over 20 years experience in Claims, Customer Service, Eligibility, Account Management, COBRA Administration, Retiree Billing, Leave of Absence, Payment Services, Training, platform migrations, HIPAA, Medicare claims, Medicaid Claims, Coordination of Benefits, Fraud Detection, New Product Implementation including FSA's, HSA's, HRA's, Dental and Medical Plans.Platforms used: GBAS, FMS, Diamond, Medicomp, Rims, Eldorado , COBRA Eas, DataPath and COBRA Solutions.
Listed skills include Hipaa, Customer Service, Account Management, Health Savings Accounts, and 33 others.