Senior Process Associate

UST Global

August 2014 to Actually working here

- Investigates and facilitates the resolution of claims issues, including incorrectly paid claims, by working with multiple operational areas and health plans and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing.
- Identifies the interdependencies of the resolution of claims errors on other activities within operations.
- Coordinates the efforts of several internal departments to determine appropriate resolution of issues within strict timelines.
- Interacts with network providers and health plans regularly to manage client expectations, communicate risks and status updates, and ensure issues are fully resolved.
- Responsible for the end to end planning, development and maintenance of clinical content supporting the product business rules. The analyst will also design, develop, and update claims auditing content.
- Performs other job related duties as assigned.

Medical Technology

Currently studying

Career Goals

To obtain a position where my knowledge of medical coding can be applied

Industries of interest

Areas of interest

Availability to travel and work outside the city

Yes

Interests and hobbies