Transmitted from the Centers of Medicare and Medicaid Services for the Eligibility department. Medicare Data Analyst also worked numerous coordinated tasks that are required to be completed in a timely manner per the Centers of Medicare and Medicaid Services guidelines and schedule.
Download & upload numerous weekly & monthly files from the Centers of Medicare & Medicaid Services Gentran email system.
Submitted enrollment data to Centers of Medicare & Medicaid Services, per guidelines and regulations.
Responsible for all facilitated enrollments & automatic fully dual eligible enrollments.
Knowledgeable regarding all Centers of Medicare & Medicaid Services enrollment election types.
Assigned by manager & CFO, to work 2006 & 2007 multi-million dollar reconciliation Prescription Drug Event errors on deadline for submission to pharmacy vendor before CMS deadline.
Submitted access to the MARx database, & the Gentran email system for submitting and downloading weekly and monthly files that were processed by CMS for enrollment and Covenant Health's IT department.
Submission access to SouthData third party payment coupon vender. Approved payment coupon proofs for 46,000 + membership & sent them to my manager for final approval.
Met once per week with Covenant Health’s IT business analyst & senior programmers to discuss end user issues that require CMS quarterly updates to remain compliant.
Submitted to third party IntegriGuard Company to adjust enrollment data for retro enrollments, pbp changes, and enrollment cancellations.
Assisted IT / programmers with the design and development of the .NET / SQL based Lead Tracking Maintenance System upgrade.
End user tester for IMAXSOFT/amisys01 release
Led departmental team in preparation for company wide Medicare audit.
Established departmental training procedures & guidelines per Medicare guidance.
Proficient SharePoint 2007, Amisys02, SunGard EXP, Lead Tracking Maintenance System (LTMS)