Jean Termini
Training Specialist at HealthOne Alliance- Claim this Profile
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Bio
Erick Kandl
I worked with Jean on a large project to update hundreds of procedure documents with new user interface images and content changes. My team of Technical Writers was tasked with making updates to these documents; Jean provided answers to all of the team’s questions as well as provided a SME review of all completed documents. This project affected multiple clients and the entire team completed each series of client-specific documentation ahead of schedule; Jean’s expertise and availability to work with all of my Technical Writers was a key factor in the successful completion of this project. Jean was dedicated to the work we were doing and always maintained an upbeat, positive outlook as the entire project spanned many months. She is a wealth of knowledge in the Claims domain and any team would be fortunate to have her involved as a stakeholder.
Jeesha A.
Jean is one of the most delightful people i had the pleasure of working for in my career. Jean is dedicated, methodical and reliable. I've learned a lot from Jean. She's always willing to lend a hand to anyone who needs it. Her ability to overcome challenges with a smile made her stand out as a cut above the rest. Any company would be lucky to have Jean.
Erick Kandl
I worked with Jean on a large project to update hundreds of procedure documents with new user interface images and content changes. My team of Technical Writers was tasked with making updates to these documents; Jean provided answers to all of the team’s questions as well as provided a SME review of all completed documents. This project affected multiple clients and the entire team completed each series of client-specific documentation ahead of schedule; Jean’s expertise and availability to work with all of my Technical Writers was a key factor in the successful completion of this project. Jean was dedicated to the work we were doing and always maintained an upbeat, positive outlook as the entire project spanned many months. She is a wealth of knowledge in the Claims domain and any team would be fortunate to have her involved as a stakeholder.
Jeesha A.
Jean is one of the most delightful people i had the pleasure of working for in my career. Jean is dedicated, methodical and reliable. I've learned a lot from Jean. She's always willing to lend a hand to anyone who needs it. Her ability to overcome challenges with a smile made her stand out as a cut above the rest. Any company would be lucky to have Jean.
Erick Kandl
I worked with Jean on a large project to update hundreds of procedure documents with new user interface images and content changes. My team of Technical Writers was tasked with making updates to these documents; Jean provided answers to all of the team’s questions as well as provided a SME review of all completed documents. This project affected multiple clients and the entire team completed each series of client-specific documentation ahead of schedule; Jean’s expertise and availability to work with all of my Technical Writers was a key factor in the successful completion of this project. Jean was dedicated to the work we were doing and always maintained an upbeat, positive outlook as the entire project spanned many months. She is a wealth of knowledge in the Claims domain and any team would be fortunate to have her involved as a stakeholder.
Jeesha A.
Jean is one of the most delightful people i had the pleasure of working for in my career. Jean is dedicated, methodical and reliable. I've learned a lot from Jean. She's always willing to lend a hand to anyone who needs it. Her ability to overcome challenges with a smile made her stand out as a cut above the rest. Any company would be lucky to have Jean.
Erick Kandl
I worked with Jean on a large project to update hundreds of procedure documents with new user interface images and content changes. My team of Technical Writers was tasked with making updates to these documents; Jean provided answers to all of the team’s questions as well as provided a SME review of all completed documents. This project affected multiple clients and the entire team completed each series of client-specific documentation ahead of schedule; Jean’s expertise and availability to work with all of my Technical Writers was a key factor in the successful completion of this project. Jean was dedicated to the work we were doing and always maintained an upbeat, positive outlook as the entire project spanned many months. She is a wealth of knowledge in the Claims domain and any team would be fortunate to have her involved as a stakeholder.
Jeesha A.
Jean is one of the most delightful people i had the pleasure of working for in my career. Jean is dedicated, methodical and reliable. I've learned a lot from Jean. She's always willing to lend a hand to anyone who needs it. Her ability to overcome challenges with a smile made her stand out as a cut above the rest. Any company would be lucky to have Jean.
Credentials
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Access Basics for Excel Users
LinkedInMar, 2023- Nov, 2024 -
Instructional Design: Working with SMEs
LinkedInMar, 2023- Nov, 2024
Experience
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HealthOne Alliance
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United States
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Insurance
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1 - 100 Employee
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Training Specialist
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May 2023 - Present
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Evolent
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United States
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Hospitals and Health Care
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700 & Above Employee
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Instructional Designer
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May 2020 - Jan 2023
Worked with subject matter experts and organizational leadership to create and implement targeted onboarding and learning solutions. Researched and wrote a series of standard desktop procedure documents in support of existing client processes and client implementations. Designed and developed employee training, including course materials and instructor guide resources.
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Instructional Specialist
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May 2017 - May 2020
Facilitate regularly scheduled and on-demand instructor-led classroom and virtual training to new and existing employees in their roles and functions. Partner with department leads to identify required training by role and experience level. Develop, reviewed, and maintained training materials, workflow documents, Standard Operating/Desktop Procedures, and Job aids. Researched and created updates to training materials in response to product enhancements. Communicate process changes that have a broad impact across the training team. Show less
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Correspondence Analysis
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Jan 2013 - May 2017
Determined facility and professional claims were processed with correct benefits per the benefits matrix, and provider pricing per the fee schedule, including high-dollar, direct member reimbursement, and foreign claims. Resolved and prepared written responses to provider reconsideration requests related to claims payments. Investigated accident reports determining payer responsibility. Assessed other insurance and financial responsibility responses to apply COB primacy rules and process related pending claims. Assisted with claims-related issues (OCI) from customer service. Show less
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Claims Specialist
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Oct 2011 - Jan 2013
Determine accurate payment based on policy and procedures and the appropriate client plan matrix and calculate reimbursement of benefits per the appropriate fee schedule. Provided expertise and general claims support by reviewing, investigating, and adjusting claims in a timely manner to meet SLA requirements. Maintain productivity goals, quality standards, and aging timeframes. Maintain the company’s production and quality standards. Preserve confidentiality of all claim files, claims report, and claims-related issues via HIPAA regulations. Show less
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NCO Financial Systems
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Financial Services
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700 & Above Employee
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Billing Specialist
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Jun 2004 - Oct 2011
Submitted client charges to various companies via the FACS system, including worker compensation, accident/liability, Medicare, Medicaid, and commercial charges. Researched, appealed, and resolved Medicare, Medicaid, and commercial insurance claims rejections. Investigated and resolved account discrepancies. Made any necessary adjustments. Supported call center with the overflow of member inquiries. Arranged payment plans for members per the client guidelines. Submitted client charges to various companies via the FACS system, including worker compensation, accident/liability, Medicare, Medicaid, and commercial charges. Researched, appealed, and resolved Medicare, Medicaid, and commercial insurance claims rejections. Investigated and resolved account discrepancies. Made any necessary adjustments. Supported call center with the overflow of member inquiries. Arranged payment plans for members per the client guidelines.
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Aetna US Healthcare (Formerly Prudential)
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Jacksonville, Florida, United States
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Claims Specialist
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Nov 1997 - Jun 2004
Determine accurate payment based on policy and procedures and the appropriate client plan matrix and calculate reimbursement of benefits per the appropriate fee schedule. Provided expertise and general claims support by reviewing, investigating, and adjusting claims in a timely manner to meet SLA requirements. Maintain productivity goals, quality standards, and aging timeframes. Maintain the company’s production and quality standards. Preserve confidentiality of all claim files, claims report, and claims-related issues via HIPAA regulations. Show less
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Prudential Financial
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United States
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Financial Services
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700 & Above Employee
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Claims Specialist
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Jul 1989 - Nov 1997
Processed professional and facility claims, meeting service objectives of 99% accuracy resulting in a renewal of key clients. Trained customer service to better understand the system and answer member and provider calls more proficiently and accurately. Met service objectives monthly resulting in a renewal of key clients. Processed professional and facility claims, meeting service objectives of 99% accuracy resulting in a renewal of key clients. Trained customer service to better understand the system and answer member and provider calls more proficiently and accurately. Met service objectives monthly resulting in a renewal of key clients.
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Community
