Cathy Buttons

Work History

MCNA Dental

10.2022 - Current

Championed process improvements within company by identifying outdated practices and recommending innovative solutions that align with current regulatory requirements.
Supported external audits by providing necessary documentation, addressing inquiries, and implementing corrective actions as needed.
Assisted in the preparation of regulatory submissions, ensuring timely submission and approval of essential documents.
Collaborated with cross-functional teams to develop comprehensive risk management strategies and reduce exposure to non-compliance penalties.
Reduced non-compliance risks with proactive monitoring of changes in relevant legislation or industry standards affecting the organization's operations.

Excellus BlueCross BlueShield

01.2014 - 10.2022

Represented both Medicare and Medicaid regulatory concerns with internal and external stakeholders
Project leader for implementation of 21st Century Cures Act: Medicaid and Child Health Plus Providers must be enrolled in State Medicaid Program
Independently performed complex internal compliance audits and risk assessments including documentation, process flows and testing. Generated reporting to track changes and results. Drive Development of recommendations to help improve the compliance and efficiency of the business.
Collaboration across the enterprise to monitor vendor compliance with Medicaid contract.
Acted as a Business Liaison for a Medicare Sales Surveillance vendor
Implemented the Medicaid Managed Contract changes per New York State budget from 2016-2022 within a matrixed environment
Instituted audit of Health Commerce System corporate individual contributors implementing continuous process improvement
Established the Restricted Recipient Program for Medicaid population based on contractual guidelines.

Excellus BlueCross BlueShield

01.2011 - 01.2014

Successfully managed multiple projects simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
Established effective communication among team members for enhanced collaboration and successful project completion.
Identified solutions and facilitated implementation of processes to close operational gaps in a customer service/claims environment
Acted as a change agent when working with teams supporting corporate culture and vision
Facilitated the transition of Federal Employee Benefits coverage to Facets based system
Updated operational guidelines to improve performance metrics
Development of reports to support operational goals

Excellus BlueCross BlueShield

01.2007 - 01.2011

Review and Analyze reimbursement to improve claims processing
Boosted financial performance by identifying trends and recommending improvements to reimbursement procedures.
Served as a subject matter expert on specific payers or types of claims, contributing specialized knowledge during internal meetings or presentations aimed at improving overall team effectiveness in handling reimbursement matters.
Execute successfully multiple Medicare Bonus Programs ensuring compliance with mandatory guidelines
Supported team members by sharing expertise in reimbursement methodologies and payer contracts analysis.