Administrative Specialist (time-limited position)

• Dec 2020 - Present

Recruitment and Talent Assistant

• Oct 2020 - Dec 2020

Administrative Technician

• Jul 2019 - Jun 2020

• Handled onboarding and offboarding of employees, classifications and salary changes and ensured employees were provided the understanding and tools needed to transition into their new roles and classifications and exit with the proper documentation of 40-50 employees per month.• Maintained accurate statistical information for use in senior leadership meetings, state employment agencies and marketing proposals.• Provided benefits orientation to all newly onboarded employees during Benefits Coordinator's maternity leave and enrolled employees in plans, including working with the vendors when enrollment issues occurred.• Analyzed, updated, and prepared monthly medical/dental/vision eligibility files for vendors during Benefit Coordinator's absence, verifying information prior to sending to the vendor and assisting the Payroll Department for accuracy in rate calculations.• Was a key member of the HR team for the initial buildout and implementation of new HRIS database (Talent) in MS Dynamics 365, including continual proofing and troubleshooting with team members and Project Manager for information accuracy, successfully meeting a hard-set deadline for live release. • Added 197 project references to CRM and used data from Finance and Contracts systems to fill in missing data and, in many cases, began a draft reference write-up for the Business Development Group.• Executed competitive intelligence research for 297 competitor documents using Freedom of Information Act (FOIA) tagging/indexing them appropriately in our SharePoint competitor library. • Proofread weekly marketing email blasts, providing necessary grammatical and spelling error changes as needed. • Confirm/create CRM records for all Local agencies in CO (336), TX (1465) and CA (539) based on US Census data to help in establishing baseline market share metrics for those markets. • Searched 135 websites for council and board minutes from TX and CO local agencies, saving the links for quick reference.

Sr. HR Assistant

• Aug 2016 - Jun 2019

Customer Quality Control Coordinator (Contract)

• Dec 2015 - Jun 2016

• Researched and resolved patient cancellation/no-show appointment issues using compassionate communication and persuasive negotiation for a positive patient experience.• Analyzed and compiled data from various systems, assisting in the preparation of reports for presentation to senior management.• Maintained contracted health plan quality of care inquiries. Consulted with physicians and all levels of facility staff on identified clinical quality of care and potential risk issues while maintaining governmental regulatory requirements.

Provider Inquiry Research & Resolution Representative

• Oct 2012 - Mar 2015

• Quickly and effectively resolved 100 to 150 Provider Reconsideration Requests monthly relating to claim payments while actively identifying potential provider payment issues through conducting a proactive analysis to resolve issues and preventing future provider problem areas.• Applied claim processing guidelines, provider contracts, fee schedules, and system configurations to determine root cause of payment denial.• Researched and documented monthly approximately 200 Medicaid member balance bill charge issues by working with physician billing offices in an expedient and timely manner, reducing the turnaround time from 5 days to 3 days.• Analyzed and processed status changes and terminations for providers within the Molina Healthcare system while maintaining or exceeding a 2-day turnaround timeframe by working directly with our networked providers for the transfer of Molina members.