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Skills

  • Audit tracking system implementation
  • Sales strategy development
  • Quote information
  • Health insurance
  • Client engagement initiatives
  • Team building
  • Organization
  • Client needs analysis
  • MS Office
  • Risk mitigation

Work Experiences

  • Boosted team efficiency by 80% %.
  • Looked for industry trends on social media and through online sources.
  • Achieved results over several months.
  • Reached out to potential clients through direct marketing techniques such as mailings and phone calls.
  • Achieved a 20% reduction in administrative time.
  • Achieved positive resolutions in 30% of cases.
  • Completed internal audits on claims processing systems.
  • Presented financial well-being education to groups of over 5 people to cultivate new business and increase customer financial knowledge.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved this for 13 consecutive months.

Summaries

  • Consistently decreased client escalations by 70%.
  • Client-focused professional skilled in managing disputes with healthcare providers, resolving issues swiftly and achieving 49% reduction in unresolved cases.
  • Achieved 27% satisfaction ratings.
  • Conducted clear, comprehensive one-on-one consultations.
  • Costs were consistently reduced while profits were increased.
  • Contributed to a 70% increase in overall plan satisfaction.
  • Achieved resolution in 76% of cases.
  • Achieved a 74% increase in renewal rates.
  • Created healthcare plans within budget constraints.
  • Accomplished trainer who improved team productivity by 68% within 13 months by educating new employees on health plan structures and regulations.

Accomplishments

  • Reduced operational downtime through the integration of automated workflows, increasing claims processing speed by 79%.
  • Spearheaded client satisfaction surveys post-consultation, utilizing feedback to reduce service dissatisfaction by 19%.
  • Worked alongside actuarial teams to refine plan cost projections, saving the company $16 in misallocated resources over 2 fiscal years.
  • Implemented cost-analysis strategies that provided the company with a 67% improvement in budget adherence and financial forecasting accuracy.
  • Collaborated on cross-functional teams to update policy management systems, reducing manual data entry errors by 85% and enhancing productivity.
  • Drove a collaborative initiative to integrate wellness programs into plan offerings, boosting renewal rates by 52% in the first year.
  • Coordinated with legal and compliance departments to ensure all policy changes adhered to state and federal regulations, avoiding potential penalties worth $11.
  • Derived actionable insights from policy utilization data, contributing to a 16% improvement in predictive analyses for future plan offerings.
  • Served as a liaison between internal teams and external stakeholders in the development of custom healthcare solutions, increasing operational efficiency by 81%.
  • Partnered with stakeholders to enhance analytics tools, allowing for faster identification of fraud-related activities, cutting potential losses by $11.

Affiliations

  • American Academy of Professional Coders (AAPC)
  • American Marketing Association
  • American Medical Informatics Association
  • Public Health Leadership Society (PHLS)
  • Healthcare Financial Management Association (HFMA)
  • Society of Human Resource Management
  • Society of Women Engineers
  • International Council of Nurses
  • American Public Health Association (APHA) Affiliate
  • Association for Community Affiliated Plans (ACAP)

Certifications

  • Certified Healthcare Financial Professional (CHFP) Ironclad Systems 2019
  • Associate, Health Insurance Plans (AHIP) - Cedar Works 2021
  • Certified in Healthcare Compliance (CHC) Summit Group - 2020
  • CompTIA Network+
  • Microsoft Certified Systems Engineer (MCSE)
  • Apple Certified Associate (ACA)
  • Cisco Certified Internetwork Expert (CCIE)
  • SHRM Certified Professional (SHRM-CP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Health Data Analyst (CHDA) - Summit Group, 2022

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