Led cross-functional teams to execute projects on time and with high-qualityoutcomes.Coordinated resources effectively to meet project deadlines and achievedesired results.Enhanced team productivity by implementing efficient work processes andregularly reviewing performance metrics.Developed team members'' skills through targeted coaching sessions,resulting in improved individual performance.Assisted in recruitment to build team of top performers.Led Employee Insurance verification team & providing exceptional customerservice of Medical, Dental, Vision & Cobra coverages.Created various Excel documents to assist with pulling metrics data andpresenting information to stakeholders for concise explanations of bestplacement for needed resources.Produced monthly reports using advanced Excel spreadsheet.Created data models to support decision-making processes.Managed time efficiently in order to complete all tasks within deadlines.

• Mentored and guided employees to foster proper completion of assigned duties.• Built strong relationships with customers through positive attitude and attentive response.• Adhered to rigorous standards for customer service, merchandising and operational safety.• Implemented new working processes to deliver multiple improvements.• Led Insurance verification team of 12 members while providing exceptional customer service.• Set up and calibrated machinery to meet specific production requirements and meet desired tolerances.• Assisted [AR analyst & SME] with new hire processing and existing training programs.• Coordinated weekly meetings for internal and external groups, including teleconferences and video-conferences, interacting with all levels of management.• Planned, managed, and directed daily board operations to increase revenue and reduce costs through P&L analysis.• Coached team members in customer service techniques, providing feedback and encouragement toward reaching goals.

• Establish and maintain relationships with individual or business customers or provide assistance with problems these customers may encounter.• Examine, evaluate, or process the request based on the requirements (Prior-Authorization).• Network within communities to find and attract new business.• Plan, direct, or coordinate the activities of workers in offices, or departments of establishments, such as authorization department.• Prepare financial or regulatory reports required by Manager or Clients.• Review collection reports to determine the status of collections and the amounts of outstanding balances.• Attend and participate in meetings of client requirements.

• Protect the security of medical records to ensure that confidentiality is maintained.• Review records for completeness, accuracy, and compliance with regulations.• Handle all Medicaid, Medicaid HMO, Medicare, Medicare HMO, Blue Cross, and Commercial High Cost Outlier claims from billing to payment/resolution, ensuring effectiveness and accuracy of claim submission and processing for timely payment.• Working on denials batches.• Follow-up on all outstanding insurance claims at 60-days from the date of service in accordance with practice protocols.• Review ageing reports to ensure all accounts are being worked to payment/resolution in timely manner.• Responsible for special project as assigned by Team leader and Manager.