Summary
Overview
Work History
Education
Skills
Timeline
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MICHAELA HENDERSON

Henderson

Summary

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

9
9
years of professional experience

Work History

Senior Claim Benefit Specialist

CVS HEALTH CORPORATION
10.2023 - Current
  • Championed efforts towards maintaining a positive work environment within the Claims Department by promoting teamwork and collaboration.
  • Managed a team of junior claim benefit specialists for increased productivity and quality outcomes.
  • Mentored junior staff members, developing their skills in claim analysis, negotiation, and settlements.
  • Collaborated with cross-functional teams to develop new product offerings tailored to client needs.
  • Played a pivotal role in transitioning from paper-based processes to an electronic document management system, resulting in reduced overhead costs and faster turnaround times on claims decisions.
  • Recognized as a subject matter expert in benefits administration, regularly consulted by peers for guidance on challenging cases.
  • Identified trends in claims data, proposing changes to underwriting guidelines for risk mitigation purposes.
  • Reduced claim resolution time with thorough investigations and efficient communication with policyholders and providers.

WORK FORCE MANAGEMENT

AMERIHEALTH CARITAS
04.2023 - 10.2023
  • Developed and maintained an effective system for tracking labor costs and other metrics.
  • Coordinated with other departments to ensure workforce objectives are met.
  • Monitored and evaluated employee performance and recommended disciplinary actions when needed.
  • Collaborated with other departments to ensure that organizational objectives are met.
  • Monitored and evaluated labor relations programs to ensure effectiveness and compliance.
  • Facilitated the development of conflict resolution strategies to improve workplace relationships.

Program Specialist

COVANCE
10.2020 - 04.2023
  • Developed and implemented program evaluation processes to assess program effectiveness.
  • Developed and executed comprehensive program plans to ensure successful and timely program completion.
  • Developed and implemented program-specific policies and procedures to ensure compliance with organizational regulations.
  • Managed program-related activities and resources to ensure program objectives were met.
  • Coordinated program activities with other departments to ensure effective program operations.
  • Evaluated and monitored program performance to ensure goals and objectives were met.

Financial Claims Representative

CVS Caremark Specialty
01.2017 - 10.2020
  • Greeted patients and answered phones in a professional and courteous manner.
  • Verified patient demographics, insurance information and collected co-payments.
  • Followed up with patients and insurance companies to obtain prior authorizations.
  • Responded to patient inquiries and resolved billing issues in a timely manner.
  • Coordinated with other departments to ensure timely and accurate patient care.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Utilized excellent communication and interpersonal skills to provide patients with a positive experience.
  • Managed patient accounts, including collections, payments, and insurance verification.
  • Followed up with patients and insurance companies to ensure timely payment.

Education

Associate of Applied Business - Business Administration

Vance-Granville Community College
Henderson, NC
12.2019

Skills

Project management

Account Management

Program Management

Customer Relations

Critical thinking capacity

Medical terminology mastery

Attention to detail and accuracy

Claims management expertise

Timeline

Senior Claim Benefit Specialist

CVS HEALTH CORPORATION
10.2023 - Current

WORK FORCE MANAGEMENT

AMERIHEALTH CARITAS
04.2023 - 10.2023

Program Specialist

COVANCE
10.2020 - 04.2023

Financial Claims Representative

CVS Caremark Specialty
01.2017 - 10.2020

Associate of Applied Business - Business Administration

Vance-Granville Community College

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MICHAELA HENDERSON