Access Management Project

Highlight of Qualifications:

Detail-oriented, with a reputation for thorough process documentation, creation, review, and training. Strong interpersonal and communication skills to ensure collaboration with accuracy. Proven ability to quickly and accurately learn various forms of technology and software. Proficient in Microsoft Word, Excel, and PowerPoint. Knowledgeable of SQL, with experience in Active Directory, ServiceNow, and Facets.

Education:

Jefferson Community College

A.A. Computer Science

Awarded 2013

Employment:

Verra Mobility (May 2024- present)

Violations Processing Specialist

Analyzed and reviewed documentation to ensure appropriate handling, identifying inconsistencies or abnormalities.

Created and managed digital batch record of documents.

Identified problems or potential problems and developed solutions with limited assistance.

Assisted in project management and implementation of improvements.

Capital District Physicians Health Plan (March 2013- August 2023)

Identity and Access Management Administrator

Delivered services to ensure users have appropriate access following role-based access models, and security principals within SLAs; auditing cases to ensure compliance.

Processed on-boarding and off-boarding as well as emergency and privileged access management.

Monitored activity logs to identify security incidents.

Processed incident/problem management associated with access entitlements utilizing ServiceNow.

Developed performance metrics/ measurements for user access attestations at departmental level.

Improved departmental delivery and automation through integrations.

Worked with senior leadership to ensure business needs are met with attention to relevant laws and regulations.

Proactively managed incoming workstream; meeting deadlines and requirements for production work orders.

Blue Shield of Northeastern New York (September 2008- September 2011)

Service Support- Claims Adjuster and Correspondence Representative

Monitored queues servicing multiple clients on claim rejections, duplicate claims, records and bills.

Processed outpatient medical, inpatient hospital and dental claims, including prior authorizations per state regulation.

Responded to provider and member correspondence.

Evaluated incoming concerns and returns acknowledgement in a timely manner.

Trained junior staff members regarding work instructions and policies.

Answered incoming calls from providers and members with friendly demeanor.

Processed and maintained referrals, collaborating with PCP and specialist to ensure continuity of care.

Served as liaison for provider projects.

Implemented time effective processes, now standard operating procedure.

Blue Shield of Northeastern New York (June 2006- September 2008)

Service Support- Other Party Liability/Coordination of Benefits

Responded to and resolved incoming and outgoing communication for accident, no fault, and secondary coverage inquiries.

Accurately identified and indexed information; compiling data and charting of claims to resolve cases.

Processed and adjusted claims for Cigna second party prescriptions.

Built and maintained accurate file information in Facets and Coordination of Benefits modules.

Prompted cost saving measures.

Blue Shield of Northeastern New York (January 1999- June 2006)

Membership and Enrollment Coordinator

Processed incoming applications for multiple lines of business including Child Health Plus and Commercial Employee Group Members.

Updated and maintained existing member files to ensure accuracy.

Responded to and resolved customer inquiries, contacting plan administrators, internal and external customers to resolve issues.

Trained junior staff members regarding work instructions and policies.

Served as on the job trainer for EHR-Facets implementation and subsequent upgrades.

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