Rosemary K.

Key Skills

Software

Other

Top Subject Matter

ICHRA / health insurance enrollment eligibility and coverage validation (HIPAA-regulated member data)

Eligibility/coverage documentation review for health insurance enrollment

Health program enrollment eligibility and compliance review (medical record verification)

Top Data Types

Text

Document

Top Task Types

Classification

Freelancer Overview

Health Insurance Advisor (Contract) – Medix Contractor for Gravie (Remote). Brings 11+ years of professional experience across legal operations, contract review, compliance, and structured analysis. Core strengths include Other. Education includes Bachelor of Science, University of Phoenix. AI-training focus includes data types such as Medical and DICOM and labeling workflows including Classification.

Labeling Experience

Health Insurance Broker – Healthcare Solutions Team (Remote)

OtherClassification

Completed ACA Marketplace and private health plan enrollment processing by verifying eligibility-related information and progressing applications through carrier and enrollment systems. Supported open enrollment, qualifying life events (QLEs), and plan changes by ensuring client data was correctly entered and tracked to completion. Maintained HIPAA and federal/state compliance while operating in a high-volume remote workflow. • Processed enrollments for open enrollment, QLEs, and plan changes • Guided clients through plan selection, eligibility, and application submission • Tracked application status across carrier and enrollment systems • Ensured HIPAA and federal/state regulatory compliance

2023 - Present

Health Insurance Advisor (Contract) – Medix Contractor for Gravie (Remote)

OtherClassification

Performed end-to-end ICHRA enrollment lifecycle processing by reviewing, validating, and classifying member eligibility and enrollment details prior to carrier submission. Ensured data integrity through audits and discrepancy resolution to maintain coverage accuracy and compliance. Maintained strict handling of sensitive member data under HIPAA while operating in a high-volume workflow. • Reviewed and validated enrollment data, eligibility, and supporting documentation • Submitted and tracked enrollments through carrier and internal systems • Performed post-enrollment audits to verify coverage accuracy • Coordinated with teams and carrier systems to resolve discrepancies

2025 - 2026

Surge Support Analyst (Contract) – IDR Contractor for Deloitte (Remote)

OtherClassification

Conducted eligibility documentation review and discrepancy identification to support accurate enrollment and eligibility determinations. Ensured information met compliance requirements through completeness and accuracy checks. Improved workflow efficiency and data processing accuracy while handling high-volume cases and deadlines. • Reviewed eligibility documentation for accuracy, compliance, and completeness • Identified discrepancies and collaborated to resolve issues • Improved workflow efficiency and data processing accuracy • Managed high-volume caseload while meeting deadlines

2024 - 2025

Case Manager – Pinellas County Government (On-site)

OtherClassification

Performed enrollment and eligibility processing by reviewing medical records and supporting documentation to support accurate coverage decisions. Ensured compliance with program guidelines through careful documentation and audit-ready records. Investigated and resolved complex cases and enrollment discrepancies to improve correctness and member access outcomes. • Processed enrollments and eligibility determinations for two county health programs • Reviewed medical records and supporting documentation for compliance • Maintained detailed documentation to support audits and reporting • Investigated and resolved complex cases and enrollment discrepancies

2016 - 2023

Education

Work History