• Develop and coach team of Claims Resolution Specialists to increase cash collection and identify trends• Exercise professional judgment in escalating internal and external situations when needed• Ability to handle multiple tasks and complex reimbursement issues• Analyze and assess emerging collection/risk assessment trends and provide insightful, detail‐oriented reporting on those trends

• Serve as a primary liaison between insurance carriers, pharmacy benefit managers, patients, and internal departments• Monitor and review claims and establish a plan of action to achieve favorable claim resolution for claims• Utilize internal systems for data collection and log all pertinent information to maintain an audit score of 90% or higher• Assist in training new team members• Collaborated with an internal team to review and update training materials and audit guidelines… Show more • Serve as a primary liaison between insurance carriers, pharmacy benefit managers, patients, and internal departments• Monitor and review claims and establish a plan of action to achieve favorable claim resolution for claims• Utilize internal systems for data collection and log all pertinent information to maintain an audit score of 90% or higher• Assist in training new team members• Collaborated with an internal team to review and update training materials and audit guidelines for the department, improving guideline adherence by 80%• Developed a spreadsheet to collect data on underpayments received to collaborate with the litigation team, providing more than $500K in opportunities for recovery Show less

• Conducted intensive housing searches with survivors of domestic violence in both transitional shelter and community programs• Helped clients obtain social services by assisting with forms and coordinating referral processes across various programs• Advocated on behalf of clients with housing agencies to address barriers to housing• Compiled up-to-date records through required documentation and data to maintain 83% client participation• Acted as liaison between the agency and… Show more • Conducted intensive housing searches with survivors of domestic violence in both transitional shelter and community programs• Helped clients obtain social services by assisting with forms and coordinating referral processes across various programs• Advocated on behalf of clients with housing agencies to address barriers to housing• Compiled up-to-date records through required documentation and data to maintain 83% client participation• Acted as liaison between the agency and community resources to discuss client barriers and needs• Educated clients on both housing and financial topics through workshops designed to help maintain self-sufficiency Show less

• Assisted 28 HIV/AIDS-diagnosed formerly homeless individuals to sustain stabilized housing by providing intensive home-based case management services • Maintained up-to-date confidential records through all required paperwork including assessments, progress notes, individual service plans, and electronic submission of client data• Acted as an advocate for clients' various housing and medical needs to address barriers to services and optimize health and housing outcomes… Show more • Assisted 28 HIV/AIDS-diagnosed formerly homeless individuals to sustain stabilized housing by providing intensive home-based case management services • Maintained up-to-date confidential records through all required paperwork including assessments, progress notes, individual service plans, and electronic submission of client data• Acted as an advocate for clients' various housing and medical needs to address barriers to services and optimize health and housing outcomes • Collaborated with outside agencies by acting as liaison to ensure client access to necessary resources within low-threshold, harm reduction framework • Attended multiple trainings both in-house and off-site to continue to grow skillset in working with various vulnerable populations in a low-threshold, harm reduction manner Show less