Medical Claims Processing • Claims Adjudication • Medical Coding • Call Centers • Claims Auditing
January 1
Medical Claims Processing • Claims Adjudication • Medical Coding • Call Centers • Claims Auditing
• Lead, mentor, and coach a team of Insurance Enrollment Specialists. • Monitor team performance and implement corrective actions as needed. • Conduct quality assurance reviews of enrollment applications. • Ensure a positive and seamless enrollment experience for all members. • Track and analyze key performance indicators (KPIs) related to enrollment. • Identify and implement process improvements to streamline the enrollment process.
• Proven leadership experience, including managing, coaching, and developing a team. • Excellent attendance record, proactively planning time off according to company policies. • Strong motivational and communication skills with a positive attitude. • Ability to manage multiple responsibilities and take initiative without being asked. • High attention to detail, with perfect quality scores and no production errors for the past 8-12 months. • Technical proficiency, including experience in timecard management, quality assurance, and KPI analysis. • Strong conflict resolution, decision-making, and organizational skills. • Ability to present accurate data and conduct business reviews. • Experience collaborating across departments and handling client communications.
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