Experience

Independent Health

• United States
• Insurance
• 700 & Above Employee

• Provider Network Maintenance Specialist

  • Dec 2013 - Present

  Responsible for all external/internal requests relating to provider information and to identify, research, and resolve inaccuracies and inconsistencies in the database.

• Membership Operations Processor

  • Sep 2011 - Dec 2013

  Amherst, New York Responsible for processing membership data for all products and services and with making decisions to improve measures or service levels. Duties include coding enrollment forms, entry audits, data entry, eligibility verification, and supporting the service center and billing processes for all products and services.



Meritain Health

• United States
• Health, Wellness & Fitness
• 700 & Above Employee

• Out of Network Financial Analyst

  • Mar 2008 - May 2011

  Amherst, New York Managed the Out of Network revenue for all processing systems that passed through the department on a monthly basis. This included extracting the necessary data to book revenues to accounts receivable, to process claims, audit checks, and the preparation of various spreadsheets that were sent out to vendors, clients, CRM’s, client liaisons or upon request. Maintained the Executive Out of Network scorecard summarizing the revenue to the budget on a monthly basis. Reviewed… Show more Managed the Out of Network revenue for all processing systems that passed through the department on a monthly basis. This included extracting the necessary data to book revenues to accounts receivable, to process claims, audit checks, and the preparation of various spreadsheets that were sent out to vendors, clients, CRM’s, client liaisons or upon request. Maintained the Executive Out of Network scorecard summarizing the revenue to the budget on a monthly basis. Reviewed Accounts Receivable receipts in the Out of Network account and investigated any open receivables. Assisted the billing department with client contract renewals. Show less