Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Anastasia Nauman

Lakeworth,FL

Summary

Hardworking individual focused on completing work efficiently to exceed targets. Dedicated to business success, customer service, and quality of work. A skilled team player also works well independently to handle challenging tasks. Motivated to learn and grow and able to take on multiple projects and complete them at the highest standards. Has a strong ability to multi-task and work in a fast-paced environment with great time management skills as well as the ability to prioritize and problem solve. A self-starter with the ability to efficiently complete all job duties with minimal supervision. Strong communication skills with the ability to pay strong attention to details.

Overview

8
8
years of professional experience

Work History

Contracting Manager

Retreat Behavioral Health
04.2020 - Current
  • Responsibilities include but are not limited to facilitating all contracting activities for new and existing payer contracts seeking opportunities to expand our current and new contracts and negotiating rate increases with all insurances
  • Managing and maintaining all payer contracting information and databases for all 12 Retreat locations
  • Serving as the point of contact with all insurance contacts and responsible for maintaining Retreat’s relationships and communication with all payers
  • The Contracting Manager position requires exceptional organization and communication skills to effectively and efficiently complete all duties promptly
  • Working closely with various departments within the organization, including the Billing, Administration, and Retreat’s executive leadership team
  • Responsible for managing 3 credentialing employees to make sure they are credentialing all current 70+ providers including all new providers for each state and location and making sure the CAQH portal, NPI registry, and all provider portals are updated
  • Assisting the billing/claims department with any claim denials that pertain to the facilities and individual providers
  • Also responsible for maintaining multiple spreadsheets as well as completing numerous projects for upper management and communicating updates during meetings
  • Offering ideas on how to grow the company and expanding the current services offered and offering opportunities and ideas to grow as a company.

Patient Care Coordinator

Retreat Behavioral Health
12.2018 - 04.2020
  • Managing a caseload of 25+ patients
  • Meeting with each patient regularly to discuss aftercare plans and offering recommendations based on treatment needs and working closely with the family to set up the best aftercare plans that will assist with the patient’s success once they are discharged
  • Initiating and upholding consistent communication with the patient's referral source
  • Perform thorough written documentation of all interactions and development of patients' stay
  • Coordinating with other facilities, outpatients, and therapists to set up the continuum of care
  • Also, working closely with sober living homes and setting patients up with the best sober living options in their area [Throughout Florida] Communicating with the patient’s therapist and treatment team to address issues and concerns regarding the patient, family and aftercare
  • Working closely with the patient’s insurance to make sure current and aftercare treatment plans meet their expectations
  • Assessing, implementing, and coordinating all options regarding patients' discharge planning
  • Assist in the process of applying and fulfillment of FMLA, Short Term Disability and Medical Absence needs of patient
  • Maintain a symbiotic relationship with the Clinical team to ensure the most appropriate care of the patient
  • Demonstrate knowledge of the patient's medical necessities while planning discharge, in cooperation with the medical team
  • Provide all financial counseling for current patients
  • Provide a clear and comprehensive explanation of insurance authorizations, denials, etc.
  • To the patient and if need be, family or designated person, by the patient
  • Handling of all required medical record processes for residential patients
  • Continuous monitoring and evaluation of patient during stay up to point of discharge
  • Then ensure the patient has a thorough understanding of their specific aftercare plan.

Administrative Clinical Aide

Retreat Behavioral Health
01.2016 - 12.2018
  • Managed a team of about 40+ Clinical Aides to ensure day-to-day operations ran smoothly for each shift, including morning, evening, and overnight shifts
  • Worked closely with the patients to make sure their needs were met and assisted the clinical and nursing team with day-to-day operations
  • Created a handbook that details the rules, procedures, and requirements for each position within the clinical aide department and made sure the rules and procedures were followed
  • Met with each member of the clinical aide team weekly to discuss any issues or concerns they may have and also discuss ideas that would benefit the department as well as other departments within the company
  • Also discussed any concerns regarding quality of work and if needed gave out warnings and write-ups and worked closely with HR to make sure the quality of each member’s work was up to par
  • Went over the handbook, policy, and procedures with each employee and updated and edited the handbook and policy and procedures as needed
  • Trained all of the new Clinical Aides on all roles on every shift and checked in daily to make sure they felt comfortable performing those tasks/roles.

Education

High School Diploma -

Fallston High School

Marine Biology -

Coastal Carolina
01.2013

Skills

  • Organization
  • Decision making
  • Leadership
  • Efficiency
  • Teamwork
  • HIPPA Training
  • Organizational skills
  • Writing Skills
  • Research
  • Communication skills
  • Microsoft Excel
  • Microsoft Office
  • Microsoft Word
  • Microsoft Outlook
  • Administrative experience
  • Adobe Acrobat
  • CAQH
  • Time Management

References

  • Personal: Samantha Gardner, 305-979-1781
  • Supervisor: Matthew Moyer, Director of Managed Care Contracting and Credentialing, Retreat Behavioral Health, 484-269-4415
  • Current Employee that reports to me: Amanda Merced:754-265-0976

Timeline

Contracting Manager

Retreat Behavioral Health
04.2020 - Current

Patient Care Coordinator

Retreat Behavioral Health
12.2018 - 04.2020

Administrative Clinical Aide

Retreat Behavioral Health
01.2016 - 12.2018

High School Diploma -

Fallston High School

Marine Biology -

Coastal Carolina

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Anastasia Nauman