Matthew Bachman

Experience

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  Anthem

  Jan 2008 - Jul 2012

  Operations Expert

  Managed a team of Claims Adjusters (team ranged in size from 12-30 direct reports). Provides technical direction, guidance and resources to associates on the Central Host Adjustments team on a day-to-day basis. Primary duties include, but are not limited to: Serves as a first line resource for operation associates for workflow and technical related processes; provides operational training; assists associates by answering day-to-day technical questions; encourages a teamwork environment; monitors inventory to ensure workflow remains uninterrupted; handles complex case research and resolution; reviews, interprets and maintains records of service level, quality, accuracy, and productivity; reviews department policy and procedure manuals for accuracy; works with training department to ensure procedures and policies are accurate and complete. Made project lead for numerous ongoing projects. Helped to re-write/revise the training documents and workflows for both rekeying and adjusting claims, as well as facilitating training classes (both classroom and virtual). Show less

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  WellPoint

  Jul 2012 - Jul 2013

  Trainer II

  As a Trainer in the Enterprise Claims and Adjustments team, I Used a variety of educational media to design and develop state-of-the-art training tools and programs for designated Anthem audiences; assesses and reports on the effectiveness and ROI of training programs. Design, Develop and delivers curriculum and training sessions to uniquely defined designated audiences of learners. Collaborate with local leadership to ensure the successful development and transfer of learning from the classroom back to the job. Independently oversees the classroom environment for long-term and complex training situations, managing all aspects of student performance and feedback to management. CTT+ certified. Travelled both nationwide and internationally. Show less

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  HealthSCOPE Benefits

  Aug 2013 - Dec 2015

  Responsible developing and implementing training materials and curriculums for both new hires and existing employees. This includes writing and developing training materials, training plans, orientation and timelines. Responsible for rolling out the plans, and measuring and evaluating the effectiveness of the training. Also responsible for evaluating individual and staff development needs. Managing multiple ongoing projects related to onboarding and implementation of new clients. This includes defining and adhering to project metrics, client meetings, data tracking, and program development. Show less Responsible developing and implementing training materials and curriculums for both new hires and existing employees. This includes writing and developing training materials, training plans, orientation and timelines. Responsible for rolling out the plans, and measuring and evaluating the effectiveness of the training. Also responsible for evaluating individual and staff development needs. Managing multiple ongoing projects related to onboarding and implementation of new clients. This includes defining and adhering to project metrics, client meetings, data tracking, and program development.Formerly supervised team of Claims Analysts (size ranged from 5-15 direct reports). Helped team achieve defined productivity, timeliness, and quality standards in Claims Processing. Motivated, developed, and retained a successful Claims staff. Developed training and mentoring plan for new hires, as well as continuing education for existing employees. Participated in new client installation process. Identify, create, and test claim parameters for clients (both new and renewals). Tested all plan enhancements prior to release. Research and resolve issues related to the processing of client benefits in the claim system. Assist in the recognition, analysis and resolution of organizational and procedural problems. Maintain active command of processing skills. Show less

  • Senior Training Coordinator

    Aug 2013 - Dec 2015

  • Claims Supervisor/Senior Training Coordinator

    Aug 2013 - Dec 2015
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  Health Design Plus

  Jun 2016 - Jun 2017

  Claims Technical Manager

  Manage a team of Claims Technicians and Coordinators who are responsible for the following areas: Claims Appeals, Stop Loss, Pharmacy & Medical Accumulators, Overpayments/Voids/Refunds, Subrogation, and the Mailroom. Develop and maintain procedures and process improvements, as well as project management. Set goals and career progression for team members. Design testing methods for system upgrades and new client implementations. Research and resolve escalated client and member issues. Create training materials for all responsible departments. Show less

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  Molina Healthcare

  Jul 2017 - Nov 2019

  Supervisor - Provider Data Validation
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  CareSource

  Nov 2019 - now

  Manager