Executive Assistant - AvMed - Chester, US
(2020-01)
- Analyzed complex claims to ensure policy compliance and reduced claim processing errors with measurable results.
- Collaborated with cross-functional teams to resolve escalated claim issues and improved resolution speed with measurable results.
- Reviewed and interpreted policy documents to ensure accurate claims processing and prevent coverage disputes.
- Advised management on claims trends to improve processing efficiency and accuracy with measurable results.
- Managed vendor relations to streamline claim resolution processes and improve turnaround with measurable results.
- Performed administrative tasks including filing, email, and call management to support executive operations with measurable results.
- Maintained accurate claims records for audit readiness and improved documentation reliability with measurable results.
- Interpreted insurance policies, endorsements, and riders to identify coverage limits and exclusions and reduce incorrect denials.
- Reviewed, researched, and evaluated customer claims to determine coverage under policies and applicable laws, improving decision consistency with measurable results.
- Monitored performance metrics such as cycle time, customer ratings, and loss ratios to inform data-driven claims decisions with measurable results.
- Managed CEO's daily calendar, prioritizing meetings and reducing scheduling conflicts.
Administrative Assistant - Virginia Housing - Glen Allen, US
- Managed the daily operations of retiree health benefits, ensuring compliance with policy guidelines and prompt service delivery.
- Conducted thorough analysis of claims, accounts receivable, and accounts payable using Tableau to maintain accurate financial records.
- Evaluated and processed reimbursement claims, verifying that each submission met IRS requirements and maintaining detailed documentation.
- Built a searchable folder structure for policy memos and forms, shortening staff lookup time during calls.
- Compiled audit packages of claims and approvals, organizing exhibits to match internal control checklist requirements.
- Reviewed incoming claims documentation and flagged IRS or policy exceptions for benefits team review.
- Reconciled monthly benefits receipts against ledger entries in MS Excel to clear posting discrepancies.
- Managed Salesforce case queue triage for retiree questions, routing priority issues to subject matter experts.
- Processed confidential retiree benefit correspondence in Epic, logging actions to maintain audit trail records.
- Coordinated virtual counseling appointments with retirees, preparing personalized benefit summaries and materials.
Administrative Support Coordinator - Magellan Complete Care of Virginia - Glen Allen, US
- Managed appointment calendars in MS Outlook, resolving scheduling conflicts and reducing no-shows.
- Validated prior authorization documents against policy guidelines, preventing denials and preserving member coverage.
- Coordinated vendor deliveries and office supplies, maintaining inventory levels and avoiding workflow interruptions.
- Implemented standardized intake templates in Epic, shortening data entry time and improving record completeness.
- Prepared weekly operational reports in Tableau for managers, highlighting workload trends and staffing needs.
Executive Assistant to the VP of Operations - Pediatrix - Glen Allen, US
Managed the medical billing operations, ensuring compliance with third-party requirements and regulatory guidelines at federal, state, and local levels.
- Utilized Tableau to generate daily and weekly reports, and employed Epic for claim status monitoring and team coordination.
- Conducted thorough investigations of electronic claims submission errors and collaborated with various departments to resolve issues.
- Built a SharePoint filing structure for operations documents, cutting retrieval time across teams.
- Compiled monthly expense packages in Excel, reconciling receipts and producing CFO-ready summaries.
- Managed VP's daily calendar in Outlook, resolving scheduling conflicts and prioritizing briefings.
- Managed incoming correspondence, triaging 150+ emails daily and routing action items to stakeholders.
- Prepared concise executive briefings from operations reports for weekly leadership meetings.
