Robin Hudson Email & Phone Number

Tampa, Florida, United States

Tampa, Florida

Determines business objectives by studying existing functions; gathering information; evaluating requirements and formatsAnalyzes requirements; constructs workflow charts and diagrams; studies system capabilities; writes specificationsImproves systems by studying current practices; discussion modificationsRecommends solutions by identifying problems.

Tampa/St. Petersburg, Florida Area

• Managed and tracked Enrollment and Premium Billing activities for 4 Medicare Advantage Health Plans with combined membership of over 36,000 members, analyzing both system and user activities to find and eliminate.
• Managed a team of 5 Enrollment Specialists to process over 4,700 pieces of returned mail that had built up during 2015 AEP, keeping affected health plans compliant with CMS regulations, as well as catching overlooked.
• Created and updated Policies & Procedures, Work Instructions, and Job Aides for all Enrollment and Premium Billing Processes
• Created CMS audit universes and Corrective Action Plans (where applicable)
• Tested system enhancements, defects, and change requests in both iKASystems and HealthAxis Enrollment and Billing modules, in addition to predicting impact of updates on beneficiaries and system users, anticipating new.
• Trained approximately 15 users on above systems weekly as well as applicable updates to Medicare Advantage Enrollment and Disenrollment Guidance or memos received from CMS, reducing processing errors as well as.

Tampa/St. Petersburg, Florida Area

• Data-entered applications for 5 Medicare Advantage Health Plans, researched beneficiary information in MARX and made outreach calls to beneficiaries to obtain missing information, submitted enrollments to CMS, reported.
• Downloaded and reviewed monthly CMS reports, determined extent of and reason for discrepancies, updated plan data to match MARX data to ensure accuracy
• Pulled and worked flagged transactions, correspondence, or call center tickets, in order to make applicable member updates such as address, status flags, LEP, premium billing, or disenrollment
• Provided reports and assistance to clients, reviewed daily Member Letter Extracts for mapping and user issues, wrote work instructions for training purposes, tested and reported system issues and releases
• Earned Employee of the Month within the first ten months on the job
• Received promotion to Operations Research Analyst with less than two years on the job

Palm Harbor

Greeted patients, incoming/outgoing calls, booked appointments, input insurance, payments, and PHI within HIPAA guidelines, submitted prescriptions for pharmacies, communicated between three separate clinics, balanced billing and payments received at EOD, analyzed competition in the area, organized company events

Oldsmar, FL

Performed outbound calls using automatic dialer software, conducted television viewer surveys and entered data, followed up regarding filling out television diaries and provided assistance, participated in additional studies when available