Senior U.S. Health Benefit Coding Expert | 10+ Years in Plan Implementation
Are you looking for a Subject Matter Expert (SME) who understands the intricate details of U.S. Health Insurance?
With over a decade of high-level experience at Carelon Global Solutions and Accenture, I specialize in the precise coding and implementation of complex U.S. health benefits. I don't just enter data; I ensure that every plan is structured perfectly to prevent claim denials and ensure compliance with U.S. standards.
My Benefit Coding Expertise Includes:
- End-to-End Implementation: Expertly coding U.S.-based health benefits on client systems with a focus on high-precision data integrity.
- Complex Plan Analysis: Specialized in analyzing and translating Summary of Benefits and Coverage (SBC) into system-ready code.
- Systems Mastery: Advanced proficiency in Wellpoint Database, Front Office Benefits System (FOBS), Salesforce, and Citrix environments.
- Global Quality Assurance: I maintain a consistent 100% Quality Standard. As a Lead Auditor, I perform internal and external audits to catch errors before they impact the bottom line.
- SME & Process Training: I have spearheaded international training for offshore associates (India/PH), creating comprehensive job aids and SOPs for complex benefit coding workflows.
Why I Stand Out:
I am a Top Associate of the Year (FY2024) awardee with a "Significantly Exceeds Expectations" rating. My background in Information Technology allows me to build automations that slash Average Handling Time (AHT) while maintaining perfect accuracy in benefit application.
If you need a senior professional who understands the nuances of the U.S. healthcare landscape—from Plan Neptune to complex record updates—I am ready to deliver.
Let’s connect to discuss how I can bring 100% accuracy to your coding operations.
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