Michelle Ardis

Manages the front desk of a healthcare facility by greeting patients, scheduling appointments, verifying insurance, and handling administrative duties while ensuring HIPAA compliance.

Outreached to members to ensure their current information is updated in the system. Provided benefit and incentive information and assisted with locating providers and community programs beneficial to their well-being.

Processed Government Public On-Exchange ancillary group builds for new groups, renewals, and changes. Ensured accurate member enrollment and premium billing, reviewed benefit source documentation, and provided guidance to internal customers.

Created, audited, and maintained benefit source documents for Individual Medicare, Group Medicare, and Prescription Drug Plans. Participated in system and process design, performed user-acceptance testing, and ensured quality of product-related data.

Processed Government On-Exchange and Off-Exchange new group builds, renewals, and changes. Ensured accurate member enrollment and premium billing, reviewed source documentation, and provided guidance to internal customers.

Processed new group builds, renewals, and changes after reviewing and understanding specific source documentation. Provided guidance to internal customers concerning timelines, process concerns, and group-specific questions.

Accurately entered plan benefit information into the Product Database system after interpreting and analyzing benefit source documentation. Tracked and managed projects in required databases and provided input on project impacts.

Provided guidance on customer concerns and complaints through subject matter expertise and conflict resolution. Assisted supervisory staff with special projects, led team initiatives, and mentored associates in handling escalated customer concerns.

Documented and resolved group, agent, and broker concerns related to billing, enrollment, and pharmacy issues. Ensured compliance with federal COBRA guidelines and provided excellent communication in a fast-paced environment.

Maintained an active partnership with Sales to provide benefit information to ASO, SmartSuite, and National company employees during open enrollment periods. Assisted members with in-depth benefit concerns and guided callers through the online enrollment system.

Studied English as a major at the University of Kentucky from 1991 to 1994.