Business Operations Manager
CurrentDeveloped initial manual processes to create appeals and independent medical reviews working directly with consumers, healthcare providers, insurers, and state regulators.Worked with engineering teams to switch from that manual (human) appeal process to an automated/AI-generated process which significantly reduced labor-time per case.Assisted with transition from initial customer base of consumers to current base of healthcare providers.Case management: document collection and review, appeal creation, appeal submission, appeal disposition, customer communication and invoicing