Aimme Spinoso

Operations & Case Management

• Oversaw daily operations, ensuring compliance with industry standards and regulatory requirements.
• Monitored client progress, adjusting care plans as necessary to ensure optimal outcomes.
• Successfully managed multiple projects, one involving 300 files, simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
• Oversaw Account Receivables Purchases

Training

• Led training sessions to equip volunteers with essential skills
• Evaluated training needs through assessments and feedback, leading to tailored training interventions.
• Trained new staff on case management protocols and best practices for client engagement.
• Developed and implemented comprehensive training program to increase employee productivity and morale.

• Responsible for negotiation, oversight, monitoring, and management of regulatory and contractual requirements
• Manage single case agreement and master agreement pipeline
• Account management for all existing and new Providers in markets such as Colorado, Nevada, New Mexico, Arizona, Texas, Georgia, Tennessee California, and Utah
• Responsible for developing and maintaining national and regional partnerships to support growth and market needs
• Responsible for overseeing new market growth and network development following market trends
• Administration work including Provider Onboarding, filing provider paperwork and creating account profiles
• Responsible for completing a full background check, financial analysis, and media checks on providers
• Bulk Purchase (AR) sales
• Marketing/In-Field sales with Law Firms and providers
• Team Development and Training
• Developed effective policies and procedures that ensure consistent and effective provider management
• Created training program for departments such as Sales & Contracting, Account Management and Customer Experience
• Developed and implemented performance metrics to monitor team productivity and effectiveness.

• Reference based pricing specialist
• Responsible for larger provider account management, such as but not limited to: Legacy Health, Centura Health Corp., Sharp-Rees Stealy Medical Group, etc.
• Contract negotiation under reference-based pricing standards
• Closed contracts in timely manner while building provider relationships
• Care Coordination
• Communicated with medical providers to collect all medical documentation for up to 70-100 patients, such as but not limited to: medical notes, HCFA's, referrals, prior records.
• Assisted in coordinating medical appointments for respective clients and other services including, but not limited to, Ubers, Taxis and translators.
• Worked with case managers to effectively assist in moving treatment forward in a timely manner
• Reviewed attorney intake forms for new client cases that required extreme attention to detail in order to adequately gauge risk to business.
• Communicated closely with client to coordinate all medical treatment associated to date of loss
• Worked closely with attorneys to successfully move personal injury cases forward up to settlement by effectively managing their client's treatment

• Monitor existing contracts for upcoming expiration dates, subsequently coordinating with appropriate channels for contract re-negotiation and possible renewal.
• Analyzed performance of current contracts to identify amendment additions
• Developed contracts for legal review for presentation to senior management staff.
• Conducted market research, devised strategies and drafted and finalized contracts.
• Provided updates on status of contract processes to Director of Operation's and President of Company.
• Administered contract change requests and resolution.
• Negotiated changes and issued change orders and contract amendments.
• Checked information in company's database for accuracy and updated data with current information to maintain records.
• Managed care contract experience
• Reviewed fee schedules and current marketplace data to negotiate best rates for both business and provider
• Supervised provider relations team members
• Delegated work to staff, setting priorities and goals.
• Oversaw sales and marketing operations while developing strategic partnerships.
• Also acted as account manager creating, maintaining, and growing new and existing relationships
• Analyzed operations and market data to assess areas in need of improvement and capitalize on changing conditions.
• Oversaw provider growth in our biggest markets such as Texas, Georgia, Colorado, Arizona, Tennessee, Utah, New Mexico, and South Carolina
• Led staff meetings for team to communicate directives, as well as joined in all market meetings.
• Created and negotiated contracts unique to each provider to build network(s)
• Cultivated relationships and contracts with entities such as Banner Health, Roper St. Francis, Green Imaging, Texas Tech University, and Thriveworks, etc.
• Created an entire provider network in South Carolina and Alabama
• Training Duties
• Wrote training material and taught training classes
• Coached staff on strategies to enhance performance and improve customer relations.
• Created and implemented a process for team members to follow a clear path to promotion/leadership roles
• Wrote and implemented standard operating procedure
• Responsible for conducting interviews for potential candidates as well as hands on training with new hires
• Spearheaded training initiatives to improve employee performance and bottom-line business results.
• Case Management
• Managed attorney, provider and client relationships for the market state of Utah

• Fielded and directed over 100 calls a day.
• Analyzed credit card transactions for suspicious and fraudulent activity.
• Made outbound calls to confirm account activity.
• Analyzed account activity for fraudulent trends.
• Processed and reviewed confidential account paperwork
• Filed paperwork in proper cabinets.
• Processed credit card applications and reviewed credit bureau reports
• Worked with up to 15 open applications at once on computer.

• Researched banking guidelines and statutory requirements to stay updated on new laws and applications
• Trained tellers in sales and customer service
• Maintained sales goals of opening 45-50 accounts a month
• Maintained an extensive knowledge of bank products in order to better assist all types of customers
• Created financial plans with customers to assist in long term financial goals
• Processed paperwork for several accounts and loans
• Processed an average of 20 Cold calls a day
• Handled a cash drawer of 15K
• Processed invoices and checks and maintained daily cash logs and deposits.
• Handled teller functions with high accuracy, including making deposits and withdrawals, collecting payments and processing cash orders.
• Authority to approve transactions of up to 25K
• Assisted tellers and bank manager in balancing bank vault, coin/cash machine and teller drawers
• Assisted in finding cash shortages/overages
• Assisted bank manager in accepting cash shipments to bank vault as well as processing paperwork
• Built strong rapport with new and existing clients to better serve financial needs and promote branch loyalty.