Swiss ReAssistant Vice President - Compliance Specialist
Jan. 2017 - Sep. 2017Overland Park, KSPromoted to manage compliance, organizing and working with detailed source documents from internal and external customers, following procedures to determine appropriate next steps.
Diligently prepare documents for issuance and review for customer approval with strict attention to detail.
Actively manage small projects and participate on projects as a subject matter expert for Create business correspondence using template forms where possible per guidelines to increase efficiency.
Modify and update process changes in appropriate tools, systems and documents to ensure efficient operations. Disseminate and explain information, take direction and address complaints to enhance customer satisfaction.
Deliver timely and accurate business processing on administrative and technical support for the business unit .
Reviewed, streamlined and implemented an efficient reporting process to increase reporting efficiency and to remain compliant with federal Medicare guidelines.
Increased productivity for existing Medicare processing by 25%. Regularly met and maintained deadlines for monthly and quarterly reporting requirements to aid in decision-making. Provided annual training for claims teams on updates and changes to Medicare guidelines and processes to increase staff skill levels.
Conducted monthly and quarterly audit review of Medicare in-scope claims and payments for reporting accuracy. Prepared, analyzed and oversaw the preparation of regular reports needed for governance, Service Organization Controls, Department of Insurance, Maryland and Texas State Claims Recovery, and New York Disaster Recovery.
Ensured accuracy of Full Time Equivalent Allocator for CorSo Claims Operations team on a regular basis .
Developed and implemented various audit controls to ensure timeliness and accuracy targets were met.
Collaborated with accounting team to book corrections and assure ledger accuracy.
Increased productivity for bulk claim set up and acknowledgment by 30%.