Experience

Peak Wellness Center

• United States
• Mental Health Care
• 1 - 100 Employee

• Utilization Specialist

  • May 2018 - Present



WINhealth

• United States
• Insurance
• 1 - 100 Employee

• Enrollment Supervisor

  • Dec 2007 - May 2018

  Enrollment Supervisor 9/2/2014- PresentOrganize all aspects of the enrollment process for WINhealth. Enter new groups, process electronic files for individuals, verify group and individual change requests, update account information on request, work directly with human resource personnel to solve member issues, and process certificates of coverage and ID cards daily. Supervise two enrollment co-workers, auditing all their work, coordinating schedules, as well as changing priorities for the department as needed. Communicate issues to the VP of Operations and coordinate with multiple departments for projects relating to open enrollment, audits for the government’s exchange coverage, and special projects for system comparisons. Access government web- sites daily in order to view appeals and work orders for the marketplace individuals, document such requests, and finalize changes. Create ID card files daily, upload files to vendor FTP sites, and approve files for processing. Download provider files from an FTP site for electronic change requests. Serve as member service and provider relations backup on the phones. Member Services Representative 2/28/2011-9/2/2014 Enrollment Specialist 6/21/2010-2/28/2011 Underwriting Coordinator 12/5/2009 – 6/21/2010 Sales Coordinator 4/7/2008-12/05/2009 Receptionist 12/15/2007-4/7/2008

• Enrollment Supervisor

  • Dec 2007 - May 2018

  Organize all aspects of the enrollment process for WINhealth. Enter new groups, process electronic files for individuals, verify group and individual change requests, update account information on request, work directly with human resource personnel to solve member issues, and process certificates of coverage and ID cards daily. Supervise two enrollment co-workers, auditing all their work, coordinating schedules, as well as changing priorities for the department as needed. Communicate issues to the VP of Operations and coordinate with multiple departments for projects relating to open enrollment, audits for the government’s exchange coverage, and special projects for system comparisons. Access government web- sites daily in order to view appeals and work orders for the marketplace individuals, document such requests, and finalize changes. Create ID card files daily, upload files to vendor FTP sites, and approve files for processing. Download provider files from an FTP site for electronic change requests. Serve as member service and provider relations backup on the phones.

• Enrollment Supervisor

  • Dec 2007 - Nov 2016

  Oversee all enrollment aspects for a non-profit insurance company including group and individual enrollments, changes, terms, and research.



Affinion Group

• United States
• Advertising Services
• 400 - 500 Employee

• Accounts Payable Representative/Accounts Representative/Exceptions Processor/ Data Entry Keyer III

  • Oct 1999 - Jul 2005

  Accounts Payable Representative 7/2004 – 7/2005Process, log, print, and complete month end procedures for Generic Rebate Service checks, process, log, and print Travel Bonus Awards checks, validate, batch, and key all invoices daily including commissions, ACH, and Wire requests, monitor, key, and apply all wire transfers, maintain logs and books for automatic payments and PO’s and organize and process Commissions once each monthAccounts Representative 4/2002 – 7/2004Balance daily, weekly, and monthly billings and credits for such clients as Citibank, MACY’s and Chevron, perform account adjustments such as name, address, and billing account changes as requested for customers and issue credits as requested by the client and/or the customer, monitor monthly validation processes for several clients via file transfers, e-mail verification, and balancingExceptions Processor 12/2000 – 4/2002Track and process updates for customer’s credit card listings, report various types of work flow using comparison reports, research changes in memberships and update name and address changes and maintain the database for all key from paper processesData Entry Keyer III 10/1999 – 12/2000Key various data entry jobs; key from paper and scanned images, served as primary backup to Lead Keyer – processed keyer stats, weekly bonuses, and individual stat reports