Airiel D

I am an experienced Managed Care Professional with a strong background in claims management, quality improvement, and provider relations. Over the years, I have developed a keen ability to navigate managed care billing guidelines and appeal processes, particularly within skilled nursing environments. My exceptional communication skills and attention to detail have been recognized by peers and supervisors alike, allowing me to foster strong relationships with clients and providers.

In my most recent role as a Benefits and Claims Specialist at Experis, I collaborated with Account Managers and Brokers to manage time-sensitive projects during the Annual Enrollment Period. I ensured seamless transitions for new and renewing clients while maintaining client confidentiality and adhering to managed care standards. My previous experience as a Medicare Enrollment Specialist at UnitedHealth Group further honed my skills in claims management and patient engagement, where I consistently exceeded call center expectations and contributed to quality improvement initiatives.