# Janice Morgan

Janice Morgan is a remote worker on Himalayas, Medicare Eligibility Specialist at VillageCareMAX, based in United States.

Source: https://himalayas.app/@janicemorgan

```text
Medicare Eligibility Specialist at VillageCareMAX reconciling enrollment data and auditing Medicare applications for accuracy and compliance.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 60k+ USD |
| Job categories | Data Operations Specialist, Data Analyst, Operations Specialist |
| Skills | Medicare Eligibility, Data Reconciliation, Quality Assurance, Medicare Application Auditing, CMS Regulations, Enrollment management, Provider Data Management, Master Data Management, Workflow Optimization, Operational Reporting, System Troubleshooting, Vendor coordination, Salesforce, Tableau, Excel |
| LinkedIn | https://linkedin.com/in/janice-morgan-6a70a4124 |

## About

```text
At VillageCareMAX, I reconcile membership data with external State and CMS databases to resolve eligibility discrepancies and maintain an accurate enrollment census.

I conduct quality assurance audits on enrollment files and Medicare applications, and I verify member correspondence for accuracy and regulatory compliance.

I also coordinate with external BPaaS vendors to troubleshoot system issues, eligibility errors, and processing delays. At Affinity Health Plan, I supported provider network accuracy and operational reporting through provider data verification, quality checks, and delegated entity roster workflows.
```

## Experience

### Medicare Eligibility Specialist (current)

VillageCareMAX. Dec 2018 - Present

```text
Executes complex data reconciliation between internal membership systems and external State/CMS databases to maintain a precision enrollment census. Conducts daily quality assurance audits on enrollment files and coordinates with external vendors to resolve system issues.
```

Skills: Salesforce, Tableau, Excel, Data-Reconciliation, Quality-Assurance, Compliance, CMS-Regulations, Vendor-coordination, Troubleshooting

### Provider Data Analyst

Affinity Health Plan. Jun 2016 - Dec 2018

```text
Served as main liaison for client reporting, researching and verifying provider contact information to maintain network accuracy. Performed high-volume data entry and quality checks on provider records, reducing errors in operational reporting and claims processing.
```

Skills: Data-Entry, Quality-Assurance, System-Troubleshooting, Reporting, Workflow-Management

### Junior Account Manager

Northern Leasing Systems Inc.. Jan 2014 - Dec 2015

```text
Managed account operations and client relations, supporting leasing processes and administrative workflows.
```

### Head Teller

[Bank of America](https://himalayas.app/companies/bank-of-america). Jan 2010 - Dec 2014

```text
Oversaw teller operations, ensuring accurate cash handling and customer service excellence.
```

## Education

### City College of New York (CUNY)

Some College (No Degree)

```text
Completed some college coursework towards a Bachelor's degree without earning a degree.
```

## Tech stack

- Tableau
- Salesforce
- Microsoft Teams
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint

To contact Janice, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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