DORRENE ROBINSON
WILMINGTON
Summary
Dynamic Eligibility Analyst with a proven track record at Aetna, exceeding performance metrics by over 20% through effective caseload management and process optimization. Skilled in policy interpretation and Microsoft Office, demonstrating exceptional problem-solving and teamwork abilities. Spearheaded initiatives for streamlined application reviews, enhancing efficiency and stakeholder satisfaction.
Overview
20
20
years of professional experience
Work History
Eligibility Analyst
Aetna
09.2005 - Current
- Continuously exceeded monthly performance metrics by effectively managing caseloads and prioritizing high-impact tasks.
- Contributed to process improvements by identifying inefficiencies within the workflow and suggesting actionable solutions for optimization.
- Collaborated with team members, sharing insights and best practices to improve overall performance.
- Successfully managed deadlines under pressure without compromising quality or accuracy of work.
- Developed strong relationships with key stakeholders to facilitate cooperation in meeting deadlines and achieving goals.
- Expedited case resolution by proactively addressing discrepancies or incomplete information in application materials.
- Streamlined application review processes for faster turnaround times and improved efficiency.
- Implemented new strategies for handling complex cases, resulting in higher success rates for challenging eligibility determinations.
- Facilitated communication between clients and relevant departments to ensure timely processing of applications and appeals.
- Processed and certified documents for accuracy and compliance with government regulations.
- Trained staff on current eligibility requirements and policies.
CVU UNIT SECRETARY
Saint Francis Hospital
05.2005 - Current
- Assisted nursing staff with patient care, ensuring timely completion of tasks and improved patient satisfaction.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Managed incoming calls and directed to appropriate department.
- Maintained a clean, organized work environment for optimal efficiency in the delivery of patient care services.
- Contributed to positive patient experiences by greeting visitors, providing directions, and addressing inquiries professionally.
- Maintained rapport with physicians, nurse,s and other healthcare personnel.
- Assisted with the training and onboarding of new unit secretaries, sharing expertise and best practices to ensure their success in the role.
- Improved unit workflow by effectively prioritizing tasks and collaborating with team members to complete assignments in a timely manner.
- Managed inventory levels of office supplies, ensuring adequate stock was available at all times for efficient unit operations.
- Maintained patient confidentiality in line with HIPAA regulations.
- Supported office staff and operational requirements with administrative tasks.
- Maintained current and accurate medical records for patients.
- Transcribed doctors' medication orders, lab test requests, and care plans.
- Upheld a high standard of patient service by addressing concerns and resolving issues in a timely, empathetic manner.
- Monitored inventory levels and advised management of need for replenishment.
- Expedited patient admissions process by gathering essential data from patients upon arrival and accurately entering it into electronic health records systems.
- Facilitated smooth discharge processes for patients, providing necessary documentation and instructions for follow-up care as directed by physicians or nurses.
- Streamlined admission process for patients, reducing wait times and improving overall satisfaction.
- Streamlined discharge process, ensuring patients received clear instructions and follow-up information.
- Supported healthcare staff during emergencies by rapidly assembling patient information and facilitating communication.
Education
No Degree - Medical Coding & Billing
Delaware Skills Center
03-1989
Associate of Science - Medical Management
Delaware Technical Community College
DE05-1986
Certificate of Technical Studies - Medical Office Assistant
DELCASTLE TECHNICAL HIGH SCHOOL
NEWPORT, DE06-1982
Skills
- Verbal communication
- Policy interpretation
- Research
- Confidentiality
- Effective communication skills
- Documentation and paperwork
- Microsoft office
- Knowledgeable in Excel,Word,PowerPoint, Epic Center , Mea( Eligibility Software, GPS( Claims Software)
- Benefits administration
- Medicaid
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Multitasking ability
- Critical thinking
- Active listening
- Effective communication
Timeline
Eligibility Analyst
Aetna
09.2005 - Current
CVU UNIT SECRETARY
Saint Francis Hospital
05.2005 - Current
No Degree - Medical Coding & Billing
Delaware Skills Center
Associate of Science - Medical Management
Delaware Technical Community College
Certificate of Technical Studies - Medical Office Assistant
DELCASTLE TECHNICAL HIGH SCHOOL