BEVERLY ANDREOZZI

*** *** ******, #** ***-

***-****

Waltham, MA. 02453

acya3t@r.postjobfree.com

Configuration Analyst/Trainer/Documentation Specialist

Healthcare professional who combines excellent MS Office skills with a

reputation of creating and maintaining quality client records and meeting

deadlines. The skill to learn new computer systems and applications and

then customize specific training plans for departments. Success has been

based on exceptional 'internal' and 'external' customer relationship

practices; the ability to identify issues, propose solutions, create test

plans, and document new processes as needed.

Girl Scouts of Eastern Massachusetts

2016

Administrative Position (Office Team: September - October)

Created vouchers for checks and fulfilled special check requests as needed.

Updated the Comerica accounts on line to reconcile receipts. Used

Salesforce to research and verify background checks. Wrote step by step

procedures for Salesforce and Comerica processes. Additional duties as

required.

DentaQuest, Charlestown, MA

2004 - 2015

Client Configuration Analyst (2012 - 2015)

Created new client records in the Delta, Commercial, MA Marketplace and

Government Business Units in Windward. Requested scripts to run monthly

rate changes for both the Delta and Commercial Business Units.

> Investigated system issues to determine source of problem(s) and

resolved, minimizing issues with claims processing

> Participated and developed specialized testing for system enhancements

to Windward

> Completed the process improvement to eliminate the Commercial Monthly

Renewal Rates Updates spreadsheet that was manually entered into

Windward which also improved the Audit trail

> Participated in Service Organization Controls [SOC] Audit, representing

Client Configuration in a successful audit.

Technical Resource Representative (2008 - 2011)

Worked with Underwriters to produce contracts for new and existing credible

accounts. Supported the Sales Department with Schedule As and Management

Reports mailing.

> For the implementation of HIPAA (Health Insurance Portability and

Accountability Act) Federal guidelines, reviewed all clients that

received the Sales Department Management reports and changed who

received reports that contained both PHI [Protected Health

Information] and ePHI [Electronic Protected Health Information]

> For audit purposes ran monthly report to verify/check all groups and/or

prospects were entered in the Delta Dental Plans USA database and

corrected as needed.

Account Services Analyst (2004-2008)

Created new step by step procedures for the Technical Resource Team using

the Triple Option Dental [TOD] application. Created new procedures to train

finance staff on the Resource Information Management Systems [RIMS].

> Assisted in the creation and maintenance of Metadata for the Data To

Information projects, developing definitions for the new Data

Dictionary; in Cognos Framework Manager completed quality checks of

both definitions and callouts

> Created "How to" documentation and User Manuals working with COGNOS

developers; conducted training sessions for Sales and Professional

Relations departments.

BEVERLY ANDREOZZI

Tufts Health Plan, Watertown, MA 2002-2003

Quality Assurance Coordinator in Secure Horizons Capitation Operations

(2003)

Reviewed and monitored monthly Capitation Cycle processes, identifying

discrepancies and creating solutions.

> Created Test Plan and completed Capitation Test Cycle for the Medicaid

Revenue Enhancement Project, as well as an enhancement to an Access

program to report prior 2003 payments from Centers for Medicare &

Medicaid Services [CMS].

Secure Horizons Capitation Analyst (2002-2003)

Performed pre-production and production monthly cycles of capitation, using

the DIAMOND system. Created presentations and assisted on additional

projects when possible.

> Created and maintained a new step-by-step Policy and Procedure Manual

for the department, which increased standards and efficiency

> Created a Power Point Concert review presentation to the department to

demonstrate the Capitation Department's support of new Mission

Statement

> Created more than a dozen flow charts for the Medicaid Revenue

Enhancement Project.

LIFEGUARD Corp., Milpitas, CA

1996-2001

Trainer/Documentation Specialist (1999-2001)

Trained Claims Department on Facets, the new core computer system. Created

Claims section of new Facets manual adding new procedures and flow charts

as needed. Developed training outlines, exercises, class agendas, concert

reviews and job aids. Travelled to Pennsylvania and Wisconsin to train

additional claims personnel on Facets

> Assisted in testing and documenting changes to Service Resource Policy

manual

> Created and taught classes for an upgrade to the Macess System, using

WebEx to conduct the training session to the remote offices.

Supervisor, Medicare Membership Accounting Department (1996-1999)

Supervised and trained staff of four. Met production and quality standards

set by Medicare and Lifeguard for eligibility, reconciliation and

capitation reports. Acted as Plan liaison to Health Care Financing

Administration (now CMS) for resolution of membership issues.

> Documented and updated department's policies and procedures reflecting

Medicare compliance regulations for eligibility and enrolment

> Participated in developing processes and overseeing same when the

Medicare Product was terminated (more than 7 thousand members)

> Represented department during all regulatory audits related to

Lifeguard For Seniors membership.

Education & Professional Development

> MWCC. Computer Information Systems Associate Degree, 2017

> Certificate in Applied Project Management, Boston University Corporate

Education Center, 2005

> Boston University, School of Fine Arts, Boston, MA: Music

> Northeastern University, Boston, MA: Theatre

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