Asyhea Taylor
@asyheataylor
Benefit Services Project Coordinator at Medical Mutual supporting claims and benefit enhancement projects.
United StatesWhat I'm looking for
At Medical Mutual, I support projects affecting claim payment, benefit enhancements, new products, networks, and group installation processes. I also investigate contracting problems, update adjudication systems with new codes, and conduct post-implementation reviews.
Previously at Medical Mutual, I coded and audited contract benefits in TOPPS and created DB2/SQL reports to monitor pricing systems. My earlier experience includes health insurance customer care at Medical Mutual and customer service roles at Progressive Casualty Insurance and AJ Wright Department Store.
Experience
Work history, roles, and key accomplishments
Benefit Services Project Coordinator
Medical Mutual
Dec 2021 - Present (4 years 11 months)
Support corporate and departmental projects impacting claim payment and benefit enhancements, new products, acquisitions, networks, and group installation processes. Provide mentorship and training, conduct post-implementation reviews, and update adjudication systems with new ICD-10 and HCPC codes.
Senior Benefit Coding Specialist
Medical Mutual
May 2018 - Dec 2021 (3 years 7 months)
Supported corporate projects impacting claim payment and benefit enhancements. Coded and audited contract benefits within TOPPS, created and ran DB2/SQL reports, and used Excel and Access for reporting and macros.
Service Consultant- Customer Care
Medical Mutual
Feb 2016 - May 2018 (2 years 3 months)
Provided outstanding service by identifying and resolving customer inquiries about health insurance coverage and claims. Quoted member benefits, reviewed and adjusted claims, and maintained knowledge of CMS regulations.
Customer Service Consultant
Progressive Casualty Insurance
Jul 2011 - Feb 2016 (4 years 7 months)
Generated business revenue and retained existing business while increasing multi-product households. Served as a guide to educate customers and met daily metrics while delivering exceptional customer service.
Customer Service Coordinator
AJ Wright Department Store
Feb 2008 - Dec 2011 (3 years 10 months)
Trained new employees and managed daily operations. Assisted employees when managers were busy and helped facilitate team meetings.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
M.B.A., Business Administration
Completed an M.B.A. in Business Administration in November 2020.
Bryant & Stratton College
B.A., General Management
Completed a B.A. in General Management in May 2012.
Cleveland Heights High School
High School Diploma, General Studies
Earned a High School Diploma in June 2005.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Job categories
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