As a subject matter expert and leadership team member in Individual Membership Accounting, I ensure the accuracy and compliance of enrollment, billing, and reconciliation processes. I audit Membership Accounting Specialists’ work using statistically valid sampling, manage routine adjustments, and operate across key platforms including Facets CRM, SEED (SBM-FP platform as Oregon moves to a state-run platform), and Microsoft Office.
I monitor quality trends, conduct targeted audits, and deliver actionable reporting at both the individual and departmental levels to drive continuous improvement. My analysis supports strategic decisions that enhance operational efficiency, accuracy, and compliance with internal standards and regulatory requirements.
In addition to leading audit initiatives, I contribute to process documentation, support quality improvement efforts, and foster a collaborative team environment. Currently, I lead the Financials Workgroup and manage the BERP (Billing Entity) Report at Moda Health, which identifies billing anomalies and flags potential fraud or misrepresentation in claims—reinforcing financial integrity and oversight.More...
Chelse Nealeigh
RN@Moda Health
Verified
Chelse Nealeigh is a highly qualified and experienced Registered Nurse (RN) currently serving at Moda Health. She has dedicated her professional career to the healthcare industry, focusing on patient care, healthcare management, and care coordination. Chelse earned her nursing degree from a reputable institution and has since been applying her skills and knowledge in practical settings. Her areas of expertise include intensive care and cardiac care, patient education, and prior authorizations. Her dedication to her profession and commitment to patient care have made her a valuable asset in the nursing field.More...
Tiffany Meyer
Marketing and Communications Consultant@Numa Marketing
Verified
For more than 20 years, Tiffany Meyer has earned her spot as a sought-after small business brand, marketing, and strategic growth advisor — from solopreneurs hanging out their shingle for the first time, to scrappy startups, and growth stage service businesses. She has headed up marketing and communications functions for a wide range of consulting and professional service businesses, and has invested the majority of her career thinking about the unique challenges leaders of these organizations face.
Her unique superpower is her ability to clarify — and articulate — what makes a business remarkable and translate this into narratives, creative, and marketing strategies her clients can run with. Further, her expertise in writing and design make her a uniquely valuable asset to her clients, where her partnership has helped CEOs/founders translate their vision into decks, talking points, and narratives that align teams to achieve breakthrough growth.
Tiffany operates with a “distributed” team of exceptional talent that can expand to the needs of every client. Her team roster includes front end website developers, e-commerce developers, illustrators, animators, videographers, and much more.
KEY SERVICES INCLUDE:
Brand Strategy and Identity • Marketing and Sales Enablement Campaign Development and Management • Content Marketing • Content Development • Strategic Communications (internal and external) • Thought Leadership • Graphic Design • Executive CommunicationsMore...