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Shane Blease is listed as Healthcare Regulatory Examiner at Examination Resources, LLC, a company with 52 employees, based in Atlanta, Georgia, United States. AeroLeads shows a matched LinkedIn profile for Shane Blease.
Shane Blease previously worked as Health Benefits Data Analyst at Healthee and Pricing & Underwriting Analyst at Kaiser Permanente. Shane Blease holds Bachelor'S Degree, Economics from University Of California, Santa Cruz.
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Shane Blease is a Healthcare Regulatory Examiner at Examination Resources, LLC.
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San Diego, California, United States
Analyzed health insurance product submissions (i.e., policies, riders, amendments, endorsements, evidences of coverage) for compliance with the No Surprises Act and Affordable Care Act. Drafted objections and recommendations for issuers based on compliance violations. Consistently met regulatory and company deadlines.
San Diego, California, United States
Modeled health, dental, and vision insurance contracts by extracting data such as covered services, benefit cost share information, and coverage limitations. Uploaded data into a backend system to be displayed by the end-user chat bot. Analyzed system responses to user questions to test accuracy and quality. Leveraged health insurance domain knowledge to.
San Diego, California, United States
Priced quotes for large employer group health insurance renewals based on risk factorsand claims experience. Re-quoted/re-evaluated renewal quotes based on changes in risk.Negotiated rate relief and investment spends with sales/account management. Balancedmembership growth and sales goals with risk mitigation and revenue requirements.Summarized complex.
San Diego, California, United States
Investigated and assisted in resolving member grievances and DMHC complaints against the KP Individual and Family plan line of business. Gathered documentation and applied policy and procedures to support approval or denial of member grievance requests. Communicated decisions and justified plan positions to case managers and KP Regulatory Affairs/Legal..
San Diego, California, United States
Processed HMO health plan enrollments in multiple states and regions. Determined eligibilityfor coverage and special enrollment periods based on Affordable Care Act guidelines.Assisted management with workflow/productivity reports and special projects. Initiated reachout to applicants/brokers regarding missing information on applications. Met and strived.
Escondido, California, United States
Served in an claims support and accounts receivable role processing client revenue including direct patient payments and health insurance claim payments. Confirmed all payment batches created are balanced with bank deposits and EOB's. Researched any accounting or record keeping discrepancies found during reconciliation process. Escalated important.
Other employees you can reach at examresources.net. View company contacts for 52 employees →
Kelvin Kpedi
Colleague at Examination Resources, LlcSalinas, California, United States, United States
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Robin Hall
Colleague at Examination Resources, LlcCarabelle, Florida, United States, United States
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Dixie Carroll
Colleague at Examination Resources, LlcMinneapolis, Minnesota, United States, United States
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Daniel Walker
Colleague at Examination Resources, LlcSouth Jordan, Utah, United States, United States
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Roman Schomberg, Mcm
Colleague at Examination Resources, LlcGreater Reno Area, United States
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Ryan Carroll
Colleague at Examination Resources, LlcGreater Minneapolis-St. Paul Area, United States
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Stephanie Brieske
Colleague at Examination Resources, LlcDenver Metropolitan Area, United States
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Bryan Fuller
Colleague at Examination Resources, LlcKansas City, Missouri, United States, United States
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Bradley Hazelwood, Cpa, Cfe, Mcm
Colleague at Examination Resources, LlcStuart, Virginia, United States, United States
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Richard Hersey
Colleague at Examination Resources, LlcAvondale, Arizona, United States, United States
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Took transferrable accounting courses not available at UCSC to enhance skills
Quick answers generated from the profile data available on this page.
Shane Blease works for Examination Resources, LLC.
Shane Blease is listed as Healthcare Regulatory Examiner at Examination Resources, LLC.
Shane Blease is based in Atlanta, Georgia, United States while working with Examination Resources, LLC.
Shane Blease has worked for Examination Resources, Llc, Healthee, Kaiser Permanente, Modis (Contract To Kaiser Permanente), and Chmb - California Healthcare Medical Billing.
Shane Blease's colleagues at Examination Resources, LLC include Kelvin Kpedi, Robin Hall, Dixie Carroll, Daniel Walker, and Roman Schomberg, Mcm.
You can use AeroLeads to view verified contact signals for Shane Blease at Examination Resources, LLC, including work email, phone, and LinkedIn data when available.
Shane Blease holds Bachelor'S Degree, Economics from University Of California, Santa Cruz.
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