At ADP, I guide healthcare clients through implementations and ongoing Affordable Care Act compliance, reporting, and operational readiness requirements. I translate complex requirements, resolve issues, and coordinate timely solutions across internal teams.
I analyze client data and workflows to identify risks and improve process efficiency, accuracy, and regulatory compliance. I also mentor consulting staff on procedures, issue resolution, and client support.
At CLEVELAND CLINIC, I managed prior authorizations for oncology and specialty medications. I verified coverage, reviewed payer criteria, and worked with physicians, clinical staff, pharmacies, and insurance carriers to submit and resolve requests.
Earlier, I supported patient access and benefits coordination at AUGUSTA UNIVERSITY MEDICAL CENTER, MILTON HALL SURGICAL ASSOCIATES, and GEORGIA CANCER SPECIALISTS. My work included eligibility verification, appeals, precertifications, and maintaining accurate authorization and insurance records.
