Betty Mochia
Team Lead at Aetna Health Insurance Company- Claim this Profile
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Bio
Experience
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Aetna Health Insurance Company
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United States
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1 - 100 Employee
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Team Lead
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Jul 2022 - Present
Process Improvements People Management Training and mentoring Delegating task Process Improvements People Management Training and mentoring Delegating task
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Aetna Life Insurance Company
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Insurance
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700 & Above Employee
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Quality Analyst
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2019 - Jun 2022
-Responsible for activities involving quality assurance and compliance with all applicable company and regulatory requirements-Adheres to contracting guidelines-Identifies errors and provide resolutions-provide assistance in the resolution of contracting errors-Provide guidance that helps in the understanding of processes -Conducts quality performance audits by evaluating -worker output and monitoring phone calls-Reviews/analyzes data and documentation.-Provides analytical reports and makes process improvement recommendation Show less
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Medical Review Specialist
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Mar 2018 - Mar 2019
Developed, implemented and evaluated documentation formats, data collection and validation • Obtained Data by using excel and utilizing SQL to extract appropriate data elements from the various database systems• Reviewed information for accuracy and reconciled data on a regular basis• Collected and analyzed data from multiple sources for the development of reports for decision making • Ordered medical records for claim resolution• Performed follow ups on medical review documents and outstanding claims• Was responsible for administrative duties related to medical claims• Managed health information data Show less
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Nashville General Hospital
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Patient Services Representative
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Aug 2017 - Mar 2018
• Was responsible for admitting and discharge of Patient’s in the Electronic Medical Record • Entered Patient data into the Electronic Medical Record • Managed medical information data • Verified insurance eligibility • Performed customer service duties • Handled payments • Was responsible for admitting and discharge of Patient’s in the Electronic Medical Record • Entered Patient data into the Electronic Medical Record • Managed medical information data • Verified insurance eligibility • Performed customer service duties • Handled payments
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Walmart Eye Clinic
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Greater Nashville Area, TN
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Optometrist Assistant
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May 2016 - Aug 2017
• Was responsible for Patient Scheduling • Performed customer service duties • Maintained and updated patient records • Verified insurance eligibility • Filed insurance claims • Pre-tested patients • Handled payments • Was responsible for Patient Scheduling • Performed customer service duties • Maintained and updated patient records • Verified insurance eligibility • Filed insurance claims • Pre-tested patients • Handled payments
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Star Care Incorporated
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Nashville Tennessee
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Patient support Staff
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Nov 2015 - May 2016
• Maintained a clean working environment • Saw to the welfare of clients • Took clients for medical appointment and any outing they wish to go • Monitored the performance of the client’s care • Managed inventory • Maintained a clean working environment • Saw to the welfare of clients • Took clients for medical appointment and any outing they wish to go • Monitored the performance of the client’s care • Managed inventory
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Walmart
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United States
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Retail
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700 & Above Employee
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Cashier/Customer service representative
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Nov 2014 - Oct 2015
• Maintained a clean and organized working environment • Established a good relationship with customers and ensuring they check out as totally satisfied customers • Guided and solved customer queries • Handled sales and cash inflows • Maintained a clean and organized working environment • Established a good relationship with customers and ensuring they check out as totally satisfied customers • Guided and solved customer queries • Handled sales and cash inflows
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Ghana Airways Limited
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United States
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Airlines and Aviation
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1 - 100 Employee
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Flight Attendant
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Nov 1999 - Aug 2004
• Maintained passenger comfort and needs including but not limited to serving meals and beverages, responding and fulfilling passenger requests, distributing blankets during in-flight time. • Managed pre-flight activities such as help passengers to their seats, assist with stowing carry-on luggage. • Developed passenger – airline relationships for future travels and to ensure return customers and positive word-of-mouth. • Ensuring the safety of passengers by proving instructions and directions for emergencies Show less
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Education
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University of Phoenix
Master's degree, Health Management and Informatics -
Methodist University college Ghana
Bachelor’s Degree, Human Resource Management