Experience

Marpai Health

• Israel
• Wellness and Fitness Services
• 1 - 100 Employee

• Implementation Project Manager

  • Apr 2021 - Present

  TPA- Health Insurance -Self Insured Employers TPA- Health Insurance -Self Insured Employers



Continental Benefits

• Implementation Project Manager

  • Nov 2015 - Present

  TPA- Health Insurance- Self Insured Employers. Company was purchased by Marpai Health 2021. TPA- Health Insurance- Self Insured Employers. Company was purchased by Marpai Health 2021.



Amerigroup

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Manager Project Management

  • Nov 2014 - Nov 2015

• Claims Coach

  • Jun 2013 - Nov 2014



UnitedHealth Group

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Senior Medical Claims Specialist

  • Jun 1997 - Jun 2013

  Test/audit plan coding to assure compliance to plan documents, federal and state regulations, and healthcare reform. Process predeterminations, resolute appeals and grievances, handle adjustments. Train and audit examiners and support staff for the processing of medical, dental, vision, and disability claims. Investigate and reconcile discrepancies within internal departments and outside organizations. Test/audit plan coding to assure compliance to plan documents, federal and state regulations, and healthcare reform. Process predeterminations, resolute appeals and grievances, handle adjustments. Train and audit examiners and support staff for the processing of medical, dental, vision, and disability claims. Investigate and reconcile discrepancies within internal departments and outside organizations.



Health Plan Services

• 1 - 100 Employee

• Medical Claims Examiner

  • Aug 1993 - Jun 1997

  Fully serviced client, handling both customer service calls and medical and dental claims examining. Handled check adjustments, Medicaid and Medicare reclamations, Pre-existing/rescission investigations. Fully serviced client, handling both customer service calls and medical and dental claims examining. Handled check adjustments, Medicaid and Medicare reclamations, Pre-existing/rescission investigations.



Estee Lauder Group of Companies

• Senior Accountant

  • Apr 1985 - May 1987

  Responsibilities included review and preparation of monthly financial statements. Monthly reconciliation of bank accounts, payroll and accounts receivable lock boxes. Performed account analysis and prepared year-end audit work papers. Responsibilities included review and preparation of monthly financial statements. Monthly reconciliation of bank accounts, payroll and accounts receivable lock boxes. Performed account analysis and prepared year-end audit work papers.



Belwin-Mills Publishing Co.

• Senior Accountant

  • Sep 1979 - Apr 1985

  Supervised three staff accountants, and two accounting clerks. Prepared financials, budgets, forecasts, cash flow analysis. Compliance work for S.E.C. 10K ad 10Q reports. Compliance work for federal, state, and local taxes. Supervised three staff accountants, and two accounting clerks. Prepared financials, budgets, forecasts, cash flow analysis. Compliance work for S.E.C. 10K ad 10Q reports. Compliance work for federal, state, and local taxes.