Jennifer Behrens

Experienced, customer focused, who is flexible, adaptable and able to manage multiple priorities at the same time

Quartz Hill, CA 93536

ac5soi@r.postjobfree.com

661-***-****

A self-motivated and organized professional with over 13 years' experience in the Healthcare Insurance industry. Highly

effective and in a fast-paced multitasking environment; able to prioritize effectively to accomplish objectives accurately

and timely.

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Administrative Assistant

Change Healthcare - Los Angeles, CA

February 2017 to February 2018

Do daily reports from EPIC showing which work queue our providers are being dropped in. Populate batches for the medical coders to code.

Do monthly invoices on coders productivity.

Quality Improvement Specialist

Anthem Inc

July 2012 to October 2015

SME for UAT testing environments including CM/UM WMDS, eCensus, AIM/UAT testing Take minutes on weekly meetings

Export on excel from SharePoint to get specific information for auditing purposes Put together the monthly roster for all teams within Medicare and Medicaid Updated departmental standard operating procedures and database to accurately reflect the current practices.

Created PowerPoint presentations used for business development. Created weekly and monthly reports and presentations. Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and lists.

Systems used; WMDS, ECC, CCB, Facets, WGS, Tableau, Business Objects, SharePoint, RightFax Clinical Operations Specialist

Anthem Inc

June 2009 to July 2012

Helped develop and implement the Provider Engagement/Enabler Pilot Program. Help develop and initiate team pods for CKD/ESRD Senior Initiatives. Cross train my peers on Rightfax, Filenet, SharePoint, WMDS, CCB. Developed organizational change management strategies. Documented process flows and developed requirements for functional improvements and enhancements.

Customer Service Rep III

Wellpoint/Anthem Inc - Woodland Hills, CA

September 2006 to June 2009

Generating denial letters for concurrent, pre-cert, and pharmacy reviews. Handling multiple tasks daily while exceeding production and department goals. Training new and back-up associates in all job functions. Network Management Rep

Wellpoint - Newbury Park, CA

November 2004 to November 2005

Non-Clinical support within the Post Service Review. Case set up of both post service review and PDRs for both Nurses and Physician reviewers. Inputting authorizations/denials/pends into WMDS and ensuring timely letter generation. Collected and reported error report and pend report totals and provided to management. Provider Relations Rep II

Wellpoint - Newbury Park, CA

August 2002 to December 2004

Assisting both providers and members with determining/obtaining pre-authorization for upcoming medical

Assisting RN staff in length of stay compliance time frames by providing hospital utilization review departments

Demonstrating ability to handle high levels of call volume efficiently while maintaining quality. Train new and back-up associates.

Education

High School Diploma in General Education

Canyon High School

Associate of Science in Science and Nursing

College of the Canyons

Additional Information

Technical Skills Dependable

Active listening skills Quick learner

Time management Flexible/Adaptable

HIPAA compliance Telecommunication skills

Maintains strict confidentiality ICD-10 coding

Knowledge of HMOs, Medicare and Medi-Cal CPT and HCPCS coding

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