Overview
Work History
Education
Skills
Timeline
Generic

Aileen Raskin

Parrish,FL

Overview

22
22
years of professional experience

Work History

Manager, Physician Liaison & Community Outreach Specialist

Orlin & Cohen Orthopedic Group
09.2021 - Current
  • Manage and direct the outreach team
  • Hire, train, coach, and educate performance of direct reports
  • Responsible for direction of sourcing and vetting functions in assigned areas including outreach visits
  • Serve as a single point of contact to the physician network and is an accountable owner for all issues and physician needs
  • Anticipate physicians needs ahead of in-person/virtual visit and prepare with information and appropriate messaging based on previous experiences, conversations, referral patterns, etc
  • Identify and coordinate meetings between key referring physicians and Orlin & Cohen physicians (office/virtual visits, community events, lectures, etc.) that result in a positive impact for Orlin & Cohen
  • Cultivate and maintain relationships with physicians, clinicians, health centers and hospitals that lead to referrals and personal introductions
  • Implement and coordinate lectures, community conferences, educational seminars and meet and greets
  • Identify potential opportunities for partnerships between community physicians and Orlin & Cohen physicians
  • Build awareness of Orlin & Cohen regional locations, programs, and treatment advances
  • Analyze field intelligence and contribute to business insight through meaningful conversations with community providers to determine what advances would drive improved relationships
  • Develop innovative, strategic, targeting strategies through analysis and interpretation of internal referral, demographic, and market research data to identify key opportunities for increased referral growth and retention
  • Create content for innovative, impactful collateral materials such as regional market brochures and educational materials to support outreach effectiveness
  • Lead provider education for onboarding, continuing education, and expansion of patient panel
  • Manage data, outreach efforts, and reports in Salesforce (CRM) to demonstrate territory performance, identify key areas for improvements, and inform future strategy
  • Reports directly to the Vice President of Orlin and Cohen

Provider Relations Network Representative

HealthCare Partners, IPA
04.2015 - 09.2021
  • Initiated and maintained strong, positive working relationships with a variety of physicians, specialists, and office staff by visiting provider offices daily
  • Analyzed inquiries through use of personal knowledge of the subject matter and provided resolutions
  • Recruited providers to HealthCare Partners IPA by educating them on quarterly incentive programs, negotiating fee schedules, and discussing other benefits of joining the IPA
  • Planned, organized, and conducted educational training seminars for the assigned provider network
  • Researched authorization and claim issues raised by the physician and their office staff
  • Worked with internal staff to resolve provider issues regarding billing, payment, denials, authorizations, and other interactions; assist in the development and implementation of organizational solutions to prevent future problems
  • Assisted in the marketing initiatives to reach membership goals
  • Educated office staff regarding Claims, Prior Authorization, HCC/Quality Measures, Contracting, Case Management, and Web Portal Access
  • Interviewed eligible candidates for open positions within the Provider Relations Network Department
  • Trained new staff and assisted in developing appropriate responses along with initiatives
  • Managed and attended quarterly medical advisory committee meetings for physicians and office staff to educate on new marketing material
  • Present and explain quarterly incentives in order to support financial success for individual practices

Intensive Case Manager/ Care Coordinator

FEGS
12.2011 - 04.2015
  • Worked as part of a Care Coordination team: attends and participates in team meetings to provide input and feedback around client's medical and psychosocial conditions
  • Reviewed client's medical and psychosocial functioning and status, updates Care Plans and Health Risk Assessments, reviews outcomes to further program goals: coordinates and monitors all care on the behalf of the client
  • Maintained and coordinated effective and on-going communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other agency staff
  • Coordinated care planning with other providers of services/resources to ensure goal directed, collaborative care, including care transitions
  • Conducted initial and ongoing assessments of assigned clients to document strengths, needs, goals, and resources
  • Maintained documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure
  • Acted as a resource/consultant to all team members on psychosocial, medical and/or substance abuse issues and resources
  • Provided telephonic as well as face to face outreach, engagement, and service planning in the field
  • Acted as linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan
  • Responsible for submitting detailed weekly reports regarding court mandated compliance with treatment services
  • Supervised and mentored master’s level interns from Adelphi University

Office Manager

Dr. Rhona Susser, Dermatology
05.2008 - 11.2011
  • Supervised daily operations at Medical Office and coordinates the work activities/ schedules
  • Supervised personnel and activities at the Medical Office including, but not limited to, interviewing, hiring, training, counseling, evaluation, discipline and termination in conformance with office policies and procedures
  • Reviewed medical record documentation to identify all services provided by physician
  • Analyzed and resolved physician claim rejects and denials from the billing system or insurance carriers related to coding issues
  • Organized and prepared successful appeals and audit responses to third-party payers
  • Reviewed patient accounts for both paid and unpaid claims
  • Reviewed all processed claims to ensure payment
  • Appealed claims that were denied and resolved payment issues
  • Negotiated payment arrangements with customers
  • Practiced and understood the importance of providing Quality Service

Administrative Assistant

Complete Packaging & Shipping Supplies
03.2003 - 05.2008
  • Answered in-coming phone calls
  • Provided administrative support to client service representatives, sales team and owners
  • Assisted client service representatives with all administrative functions
  • Collaborated with client service representatives in coordinating sales and marketing efforts
  • Expense reports plus other needs as requested by controller
  • General office support as needed, maintained office supply inventory

Education

Bachelor of Arts Degree - Speech Pathology

Queens College

Skills

  • Sales techniques
  • Business development
  • Key performance indicators
  • Goal setting
  • Lead generation
  • Revenue management
  • Relationship building
  • Networking strategies
  • Marketing

Timeline

Manager, Physician Liaison & Community Outreach Specialist

Orlin & Cohen Orthopedic Group
09.2021 - Current

Provider Relations Network Representative

HealthCare Partners, IPA
04.2015 - 09.2021

Intensive Case Manager/ Care Coordinator

FEGS
12.2011 - 04.2015

Office Manager

Dr. Rhona Susser, Dermatology
05.2008 - 11.2011

Administrative Assistant

Complete Packaging & Shipping Supplies
03.2003 - 05.2008

Bachelor of Arts Degree - Speech Pathology

Queens College

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Aileen Raskin