Business Administrator

• 2022 - Present

Member Engagement Services Coordinator

• May 2020 - Nov 2020

- Conducting member outreach calls to identify product opportunities. - Research in any and all requests to members about claims and eligibility questions. - Deliver excellent service to all members, guests, and program participants.- Provide outstanding verbal and written service to our members.- Understanding and aligning members goals to help them achieve their desired outcomes.

Prior Authorization Intake Coordinator

• Nov 2019 - May 2020

- Works collaboratively with Health Services’ staff in conducting medical necessity review activities for Community Health Network members.- Responds to telephonic and written requests by CHNCT providers for authorization and benefit coverage for CHNCT members.- Conducts medical necessity review of requests for DME, outpatient therapies and prior authorizations for inpatient and outpatient procedures.- Identifies need for coordination of benefits and identifies third party liability as appropriate.- Selects, formats, proofreads and prints appropriate member and provider denial letters prior to mailing.- Refers cases to CHNCT Medical Director when clinical information does not support medical necessity.- Assists in education of primary care providers, specialists and ancillary providers on CHNCT policies and procedures.- Performs other duties as assigned.- Maintains knowledge of covered benefits for Medicaid programs.- Shares information as necessary with appropriate clinical staff.- Identifies authorization issues and brings those requiring attention to the Manager for resolution.- Reviews requests for non-par services and approves or denies based on guidelines/policies.- Reviews requests for services not included in member’s benefit package. Show less

Admissions Coordinator

• Nov 2017 - Jul 2018

- Provide administrative support including document filing, book-keeping, and faxing during the admission process. - Assist in student admission processes based on state and federal laws. - Explain the school policies and enrolment process to the students and their families. - Provide assistance to students in completing admission forms and other related paperwork. - Provide assistance for housing needs, tuition fee collection, and part time jobs for students. - Review the new student lists with the Admissions Head and Finance personnel. - Schedule student appointments and interviews for admission process. - Collaborate with team members to complete and validate the admission files of students. - Implement strategic plans and initiatives to achieve the enrolment objectives. - Plan and organize admission related events and activities. - Provide support to Admission Director in managing a team of Admission Representatives. - Address student queries and complaints in timely fashion. - Coordinate with the admission team to schedule admission and recruitment programs. - Maintain a student admissions database with clear and complete student enrolment files. - Maintain a cordial relationship with the management, students, faculties and administrative teams for smooth operations. Show less

AO3 Administrative Officer

• Jan 2005 - Jan 2007

• Maintaining strong relationships with cleints • Responsible for executives calendar, coordinating meetings and conferences with clients • Regularly working with Microsoft office including Excel, Outlook and PowerPoint • Provide day-to-day support for the manager • Complete projects by collecting and analyzing information • Represents the Executive by answering calls and emails • Maintains customer confidence by keeping information confidential • Create filing and retrieval systems for families and students Show less