Teresa Graves

P

BUSINESS OWNER

PEPPY PAWZ, LLC,

Nov 2017 - Current (7 years 10 months)

Insured business owner who is passionate in providing in-home daytime, evening and/or overnight pet care as well as daily dog-walking services • Provide pet care services which include: dog walking; feeding; light grooming; refilling of water bowls; cleaning of litter boxes and accidents/messes; providing play and cuddle time. • Administer oral and topical medications as well as provide insulin injections as needed. Record and report any changes in behavior as well as any physical issues exhibited by pet not previously noted. • Provide house sitting duties which include: collecting of mail, newspaper and/or packages; watering plants; putting garbage and/or recycling bins out on designated days • Conduct new client meetings which consist

END USER SERVICES SYSTEMS ANALYST

Primetherapeutics

Dec 2015 - Nov 2017 (2 years)

Coordinated and executed operations and engineering improvement initiatives. Was responsible for identifying, recommending and managing the implementation of processes, procedural documentation and training materials to improve the quality of End User Services. Fostered positive working relationships with IT leaders, functional change agents and department personnel. Utilized best practices, problem solving techniques and process methodology toolsets as well as training and influencing skills to achieve specific organizational change objectives. Was responsible for reporting on the progress of assigned improvement activities. KEY ACHIEVEMENTS: • Modeled existing business processes in order to define current business activities for the deve

BUSINESS SYSTEMS ANALYST

HealthPartners

Sep 2008 - Dec 2015 (7 years 4 months)

Managed membership and premium billing production system support issues for organization's Medicare, Medicaid and Commercial products ensuring that system enhancements were based on Centers for Medicare/Medicaid Services (CMS) and Department of Human Services (DHS) mandated Federal/state guidelines/regulations. Lead/participated in work groups, standing meetings, and/or projects related to system enhancements. Served as primary business systems contact for Medicaid/Medicare core administrative system functions including system functional capabilities, electronic enrollment, system outputs, and business processes/procedures. Allowed for system enhancements through development of business systems requirement documents. Validated required chan

S

SALES CONSULTANT

Sep 2007 - Sep 2008 (1 year 1 month)

Assisted with service aspects of Level I, II, and III accounts including claims analysis, performance guarantees for all accounts, contracts, reports, plan design development, and financial analysis of executive summaries for employer reports. Improved operational processes by developing/implementing renewal process for Level III accounts. Developed and conducted group open enrollment presentations expanding account base and awareness of organization. Served as liaison between HealthPartners employer groups and consultants forging strong, open lines of communication. KEY ACHIEVEMENTS: • Retained and expanded number of Level III accounts on profitable basis by providing financial analysis and effective strategies enabling maintenance/growth

M

MEDICARE TECHNICAL SPECIALIST

Aug 2004 - Sep 2007 (3 years 2 months)

Served as first point of contact for Centers for Medicare/Medicaid Services (CMS) including managing electronic file/data exchange process with CMS/Department of Human Services (DHS). Prepared/submitted payment and administrative discrepancy reports to CMS meeting all deadlines. Managed/coordinated reconciliation activities for HealthPartners Medicare/Medicaid products. Determined operational objectives by evaluating CMS/DHS mandated system changes, provided recommendations, and coordinated implementation of development, testing, and training regarding system enhancements and changes. KEY ACHIEVEMENTS: • Implemented enhancements and managed departmental changes in conjunction with Membership Accounting Manager and Supervisor • Recommended

C

ELIGIBILITY ANALYST

CIGNA BEHAVIORAL HEALTH, EDEN

Oct 1999 - Aug 2004 (4 years 11 months)

Verified eligibility/benefits status for large corporate accounts by providing information through system analysis/employer contact. Ensured reliability of systems regarding eligibility of members for timely payment of claims/benefit processing meeting CIGNA's performance guarantees in conjunction with Claims, Customer Service, and Intake staff. Ensured members ability to utilize benefit plans/integrity of plans by completing incomplete registrations for members accessing mental health and/or substance abuse benefits.

I

INTAKE SPECIALIST

Oct 1998 - Oct 1999 (1 year 1 month)

• Acted as an advocate for General Electric employees and their family members who needed assistance regarding mental health and/or substance abuse services. • Assisted patients and providers with understanding benefit information, including information regarding the Employee Assistance Program (EAP), referrals to mental health providers and authorization of initial and ongoing treatment to participants. • Helped provide crisis triage services and facilitated emergency appointments as necessary. • Provided information regarding claims issues and updated insurance and eligibility requests as a customer service representative

Teresa Graves

About

Detail

Timeline

Résumé