Mariya Yesilevich

Manage claim payment posting, tracking and adjudication and resolve claim holds and escalations while handling payer/provider enrollment and credentialing to improve revenue cycle completion and reporting accuracy.

Manage claim payment posting, tracking and adjudication while resolving claim holds and coordinating payer/provider enrollment and credentialing; improved accuracy of revenue cycle reporting and reduced claim escalation through process mapping and troubleshooting.

Conducted inbound/outbound Medicare sales and enrollments during AEP/OEP, met KPI quotas, and implemented marketing campaigns that improved call flow and sales performance.

Verified eligibility and educated Medicare beneficiaries, performed plan comparisons, handled outbound retention campaigns, and maintained strict script compliance to drive enrollments.

Scheduled and conducted benefits reviews for Medicare recipients, performed eligibility checks, and consistently met call and sales quotas while onboarding new beneficiaries.

Led front-desk operations, trained and mentored new hires, managed donor intake and vital assessments, and resolved client issues while ensuring regulatory compliance.

Managed logistics and scheduling, handled payroll and hiring, processed customer orders and inquiries, and coordinated cross-department communication during a company acquisition.

Completed an Associate degree in Computer Information Systems focusing on foundational IT and computer systems concepts.