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marilee tonn
Worked at AONHewitt
Attended University of Phoenix
Lives in Houston TX
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marilee tonn

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Hi everyone.  Just wanted to let you know that I am currently looking for a new job.  I have posted my work history and would appreciate any leads that you may have on a new position.  Thanks, Marilee
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People
Have her in circles
1 person
Steve Guerrero's profile photo
Work
Skills
Consulting, Excel, Word and Powerpoint
Employment
  • AONHewitt
    Plan Reporting Team Requirements Analysis, 2005 - 2012
    PLAN REPORTING TEAM- REQUIREMENTS ANALYST Responsible for managing the health plan reporting requirements and delivery of eligibility and premium reporting for multiple large Fortune 500 and mid-market clients Daily and direct interaction with high profile client contacts to consult on health and welfare employee benefit programs and eligibility/premium reporting Manage Health and Welfare benefit relationships between Aon Hewitt ,clients, third party vendors and various medical, dental and vision plans Develop and update requirements documents for administration events and delivery channels Consult to ensure provision requirements match technical specifications Ensure metrics are achieved for on time delivery of eligibility reporting and discrepancy resolution Responsible for ensuring the proper extraction of weekly eligibility files and monthly premium files from the Total Benefits Administration system into the Connections proprietary carrier group files according to data specifications Consult with individual health plans on behalf of clients regarding changes to accommodate customized needs Project manage the implementation of new clients, into the Aon Hewitt benefits reporting model Manage requirements for out of scope activities by analyzing requests for compliance Act as a subject matter expert for benefit plan provisions, processing procedures, application of business objectives, client-specific topics, testing and alternatives for service delivery Build relationships with clients, colleagues, and health plan administrators by effectively resolving issues, properly defining expectations, and successfully communicating information. Contribute globally to team process improvements, documentation revisions, and training coordination for new hires and annual enrollment process changes Conduct testing to ensure internal and external quality results Manage the scope of annual enrollment, mid-year benefit changes and projects Serve as the main point of contact for clients, client teams and health plans for implementation and change order enhancements Mentor new requirement analyst’s when they leave training to assist them with setting up their work priorities and answering and assisting them with any questions.
  • Aetna US HealthCare
    Instaliation Support Coordinator, 1998 - 2003
    INSTALIATION SUPPORT COORDINATOR Coordinated the installation process of group health care products for clients from 2 to 250,000 members. Single point of contact for client, sales and internal functional areas during the installation process of medical, dental, life and disability coverage Conducted installation meetings with clients, sales, internal functional areas and project manager functions. Trouble shoots any problems, follow up with functional areas and notify sales and client of issues and resolutions. Technical Lead on Regional Conversion Team. Responsible for moving claim and eligibility information from Prudential systems onto the Aetna systems. Regionally assisted in moving 2 million members. Subject matter expert for the conversion process and also attended weekly conference calls with client and national. Accountable for case statues information being current in conversion tracking system.
  • Prudential Healthcare
    Case Installation Manager, 1984 - 1998
    Case Installation Manager 1996 – 1998 Accountable for the installation of medical and dental coverage on the Prudential systems. Single point of contact for client, sales and internal functional areas during installation process and up to 60 days after installation was completed. Oversaw installation process including setting time lines with the client and sales. Hold weekly status conference calls with client, sales and other internal functional areas. Handle issue resolution for sales, client and functional areas. Kept installation process on time and notified all parties of any delays. EIB Authorizor 1990 – 1994 Assisted in the programming, testing and implementation of the Electronic Issue Brief (EIB) system. Converted cases from old paper brief system onto the EIB system. Our team converted approx. 4,800 cases. Quality Review responsibility of EIB input process and 4 team members. Created a 4-week training program to teach new Case Installation Managers how to complete the installation process and how to use the EIB system. Traveled for 18 months around the country training approx. 100 people. Assisting in testing new program enhancements for the EIB system and reviewing state legislation for new enhancements. Technical Team Lead 1986 – 1990 Technical and quality review lead for a team of 5 people who processed new cases, re-rate and plan changes into the billing and eligibility systems. Assisted management in balancing work flows, timelines and performance evaluations. Responsible for training of new associates and continuing training of existing associates when processes changed their workflow and responsibilities. Claims Adjuster 1984 – 1986 Paid HMO, Point of Service and Indemnity claims for 2 years, exceeded production and quality standards. Instructed other claim examiners on hot to process cliams on a new cliaimpayment system. One of the initial trainees on a new claim payment system. Traveled to other claim offices to assist with their training and to help them decrease their backlog of pending claims due to the new claim system training.
  • Medical Imaging Services
    Medical Billing/Claims, 1983 - 1984
    Medical Billing Coordinator Coded and submitted radiological claims for a Radiologist with inpatient and outpatient services. Used ICD9 and CPT coding for all claims. Worked with Medicare, Medicaid, Commercial, and Workers Compensation insurances. Applied payments from insurance and patients, to patient accounts. Responded to inquiries from insurance plans and provided additional information as needed. Followed up with insurance plans for payment. Provided customer service to patients regarding questions about their billing and payments. Resolving issues for patients and also worked out payment plans as needed. Assist CPA with the monthly financial reports.
  • Mt Sinai Medical Center
    Phyisician and Hospital Billing/Claims, 1976 - 1983
    Physician Biller/Customer Service Responsible for creation and submission of physician charges to Medicare, Medicaid, Workman’s Compensation and Commercial insurance companies for payment. Coded claims with ICD9 and CPT coding as required. Process claims for a variety of physicians: Emergency Room; OB-GYN, Outpatient clinic, psychiatric and renal dialysis physicians for both inpatient and outpatient services. Responded to questions from insurance carriers and provided additional information as needed. Responded to patient inquires about insurance payments and/or reasons for denial of benefits. Assisted patients with making payment plans on any balances due. Reviewed monthly financial reports to make sure that all claims, payment and write-off amounts were accurate with the actual daily processing reports. Hospital Biller/Customer Service Responsible for submission of hospital charges to Medicare, Medicaid, Workman’s Compensation and Commercial insurance companies for payment. Coded claims with ICD9 and CPT coding as required. Responded to questions from insurance carriers and provided additional information as needed . Responded to patient inquires about insurance payments and/or reasons for denial of benefits . Assisted patients with making payment plans on any balances due. Coded payment information from insurances and patients for processing by the data center.
  • Federal Supply Inc.
    Office Manager, 1973 - 1975
    Responsible for accounts receivable and payable processing. Daily banking deposits. Inverntory control system processing Processed payroll Handled employee benefits programs and questions. Trained office staff
Places
Map of the places this user has livedMap of the places this user has livedMap of the places this user has lived
Currently
Houston TX
Previously
Milwaukee WI - Clearwater FL - Gill Rock WI - Wausau WI - Milwaukee WI
Story
Tagline
Cat Lover looking for work.
Education
  • University of Phoenix
    Business Adm, 2003 - 2004
    Business Administration degree
  • Marquette University
    Business Administration, 1975 - 1983
    Studied business administration and marketing while working full time, degree not completed.
Basic Information
Gender
Female