Kelly Spudis
Enrollment - EDI (Electronic Data Interchange) Coordinator at Highmark Blue Cross Blue Shield- Claim this Profile
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Bio
Experience
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Blue Cross of Northeastern Pennsylvania
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Insurance
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100 - 200 Employee
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Enrollment - EDI (Electronic Data Interchange) Coordinator
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Sep 2008 - Present
Responsible for leading 834 implementation (Electronic Enrollment) for new clients and resolving issues with customers via phone calls, meetings. emails. etc. Respond to customer inquiries and analyze daily files of 834 transactions as they apply to our business rules. Familiar with Health Care Reform and Affordable Care Act(ACA) and these transactions as well. Responsible for leading 834 implementation (Electronic Enrollment) for new clients and resolving issues with customers via phone calls, meetings. emails. etc. Respond to customer inquiries and analyze daily files of 834 transactions as they apply to our business rules. Familiar with Health Care Reform and Affordable Care Act(ACA) and these transactions as well.
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Verizon
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United States
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IT Services and IT Consulting
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700 & Above Employee
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Billing Administrator/ Supervisor
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Jul 1988 - Jul 2008
- Responsible for systematic processing of billable work orders including damage cases, vendor applications and customer initiated requests for more than 50% of Pennsylvania - Scheduled and prioritized construction work for all of Central Pa - Reduced construction open hours from 34,000 to 29,000 by monitoring work orders via meetings with engineering, construction, and maintenance managers - Supervised seven clerks and managed layout, accounting, and cost estimation for outside plant work prints and records
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Education
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The Pennsylvania State University