Stephanie Aulis Email & Phone Number

Federal Employee Program 837 Submission Format ProjectSupported HIPPA 837 transaction testing Validated Plan 837 submissions for 837P , 837I, and 837D against expected resultsResearched and analyzed specifications defined by the Federal Employee Program Operations Center Worked alongside plan partners on establishing testing guidelinesResponsible for team status reportingUtilized Jira, Confluence, HIPPA repository and NASCO TSO Database.Placement: NASCOPlans Supported: Michigan, Massachusetts, New Jersey and Vermont

Responsible for test plan development, test case development, and test execution of client configurations in the Easy Choice ToolGathers requirement information from account managementWorks directly with business partners in reviewing and understanding client specific requirementsMaintains ongoing knowledge of products and processesActively locate, track, report, and regress errors found during testingManages multiple implementations, renewals, and change orders concurrently within ClarizenEducates Sales Implementation Leads and counterparts on the Easy Choice Tool and installation process.

Responsible for test plan development, test case development, and test execution of client configurations in the Easy Choice ToolGathers requirement information from account managementWorks directly with business partners in reviewing and understanding client specific requirementsMaintains ongoing knowledge of products and processesActively locate, track, report, and regress errors found during testingManages multiple implementations, renewals, and change orders concurrently within ClarizenEducates Sales Implementation Leads and counterparts on the Easy Choice Tool and installation process.Placement: Cigna

Nasco

Evaluated and re-coded existing groups cost share structure for client’s Tiered PPO implementation. Consulted with Sales and Project Managers to determine how non-standard benefits can be coded logically Delivered and maintain mnemonic coding to represent benefits for multiple national business accountsBenefit Coding within HRBK Direct and BeneFACT NASCO environmentsAnalyzed discrepancies with an emphasis on quick turnaround and improved qualityCollaborated with plan partners on internal audits, benefit feasibility and account related inquiriesGathered, interpreted, and produced benefit requirements per Plan designation

Nasco

Delivered and maintained mnemonic coding to represent benefits for multiple national business accountsBenefit Coding within HRBK Direct and BeneFACT NASCO environmentsAnalyzed discrepancies with an emphasis on quick turnaround and improved qualityCollaborated with plan partners on internal audits, benefit feasibility and account related inquiriesGathered, interpreted, and produced benefit requirements per Plan designationImplemented variable coding logic for BeneFACT- a web based point and click benefit solution toolCreated Mnemonic coding with variables resulting in the Plan being able to administer benefits to hundreds of contracts with a reusable coding library

Managed Account specific benefit file inquiriesAnalyzed and implemented contracted benefits for BCBSMA's National business accounts within NASCO coding environmentsPlayed a role in actively streamlining and documenting of processesAdvised benefit underwriting team on proposed benefit feasibility Completed Benefit Coder certification program I -BCBSMA

Manchester, New Hampshire

Ensured quality while maintaining integrity with targeted and daily audits of associatesBuilt and enhanced existing internal customer relationships using proactive profile reviews, process and performance supportEducated and supported associate processing practices and development utilizing business coaching Partnered with technical delivery center to ensure fixes maintain system reliability

Manchester, New Hampshire

Developed and presented training forums as needed for the operations areaCreated training materialsProvided support for Anthem East’s migration onto the NASCO platform Involved in ITS (Inter-TelePlan System) releases as both trainer and testing partner

Manchester, New Hampshire

Timely, accurate processing of claims in accordance with plan provisions and corporate goals New England Health Plan line of businessPeer training