Various skills in Healthcare Industry 18+ years
Last active: 10/28/2014
Hello! I have experience in the healthcare industry for the past 18 years. My most recent position was with a major health insurance company, in the job role of "Quality Team Lead" managing 12 employees who were all full-time telecommuters from Hartford, Long Island, Dallas, and Chicago. Our area of the company worked specifically with implementing new business, renewals, and off-renewal plan changes, end to end. This particular QA team had to quickly become an expert in 5 different jobs within the company, so that they could not only review all components of a customer's set-up, but always conduct Audit the Auditor (ATA) reviews, monthly calibrations, often conduct training's, and do specialized Customer Specific Audits requested by the clients. Due to the constant changes with HCR (Healthcare Reform a.k.a. "ObamaCare") it's difficult for anyone to say they fully comprehend all of the aspects of the law, however I feel I do have a strong understanding of what has already been rolled-out/deciphered thus far. My experience includes: Administrative Services Only customers, as well as Fully Insured clients. Medical, Dental, Vision Pharmacy, Life, ancillary products such as FSA, HRA, HSA, LHCSA, CERA, COBRA. I specifically was "groomed" to work for a number of years on 'Alliance' customers which included MEDICA (out of Minnesota), as well as HARVARD PILGRIM (Massachusetts, Maine, & New Hampshire).
Prior to working in the insurance part of the healthcare industry, I worked for Orthopedic Surgeons, what is now called The National University of Health Sciences in Lombard, IL, and for Podiatrists located in Wheaton, IL. Working for all the doctors and at the college, I had to be extremely good with people, especially since almost all of them were suffering physically, emotionally, or financially. I was extremely talented with Medical Transcription, and have often thought of trying to get part-time work doing it again because that's how much I enjoyed it! I'm extremely proficient and after recently testing myself online, I'm between 77 - 83 WPM. (I used to be faster, so once I get back into the groove of it, look out!)
Lastly, I am a certified Hospice Volunteer through Evercare Hospice, a subsidiary of UnitedHealthcare, and am a Red Cross RWTC volunteer.
My apologies this is so lengthy! On a personal level, I enjoy spending time with my family and my dogs (Aussie Shepherd and Border Collie/Aussie mix). I have many friends from all walks of life, and thoroughly enjoy seeing them when life allows. I have been fortunate enough to see a lot of sickness and death throughout my life - I say fortunate because it really makes you appreciate the "little things" in life, and, it's made me an extremely sympathetic, empathetic, and compassionate individual. Lastly, since so many friends and family have had medical "drama" for years, I am often asked by nurses and doctors while visiting either Hospice patients, or friends/family "are you a doctor?" - Quite the compliment, but I'm happy to NOT have that responsibility!
Thanks again for your consideration.