Experience

• 

  Garnet River

  • Saratoga County, New York, United States

  • Senior Quality Assurance Analyst

    • Jun 2022 - Present
    • Saratoga County, New York, United States
• 

  Centene Corporation

  • Latham, New York

  • Senior Business System Analyst

    • Jul 2018 - Jun 2022
    • Latham, New York
• 

  Fidelis Care

  • Latham, New York

  • Senior Business System Analyst

    • Nov 2016 - Jul 2018
    • Latham, New York
• 

  MVP Health Care

  • United States
  • Insurance
  • 700 & Above Employee

  • Manager, Premium Billing and Collections

    • Apr 2010 - Nov 2016

    • Manage staff of 22 employees• Perform monthly audit of Accounts Receivable reconciliation averaging $53 million monthly• Perform and process monthly financial audit reporting • Facilitated the implementation and design of the New York and Vermont Health Exchanges with enrollment of 14,000 members • Facilitated the implementation and design of the eBilling portal to accept online and recurring payments for individuals and group policies• Developed, crafted, implemented and maintained new collection policy in order to decrease overall Accounts Receivable aging balances• Continually identify process improvements for staff to meet departmental AR metrics for accounts over 60 days and average days in AR.• Developed, crafted, implemented collection process improvement for the Medicare monthly reconciliation• Guaranteed CMS Compliance regulations were adhered to, Star Ratings, and project Revenue• Led various FACETS systems upgrades, including subscriber family, product and billing applications in FACETS.• Collaborated with various departments’ leads and with the selected software vendors to cover gap analysis• Created future-state process flows for Interface data management with their vendors

  • Supervisor

    • Jan 2003 - Apr 2010

    • Supervise a staff of 20 employees• Perform monthly audit of 15,000 employee group accounts• Designed and implemented departmental incentive program• Developed, implemented and maintained policies and procedures for Accounts Receivable department• Developed, crafted and implemented collection process improvement for the Medicaid and Child Health Plus Reconciliation; which resulted in a collection of $1.3 million of outstanding premiums• Created and conducted training program for Accounts Receivable department• Performed an integral role in the successful transfer of AR balances between CSC to Facets core systems as part of conversion project• Created and maintained the master project plans of all project deliverables including issues and risks• Led various FACETS systems upgrades, including subscriber family, product and billing applications in FACETS.• Ensured test scenarios were developed and performed testing for the following business areas: Member, Claims, Finance and Customer Service• Created and maintained the master project plans of all project deliverables including issues and risks

• 

  MVP Health Care

  • Sr. Membership and Billing Account Specialist

    • Nov 2000 - Jul 2001

    • Liaison for interoffice personnel (to include conflict resolution and delegation of responsibilities to interoffice personnel)• Responsible for reconciliation of Medicaid group account, including approx. 140,000 members• Develop training program and manual for new staff • Backup supervisor i...