Cheryl Allcock

• Foster memorable experiences for stadium guests and teammates
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• Processed insurance claims efficiently, ensuring accurate billing for pediatric services.
• Eligibility and benefit verification.
• Reviewed patient accounts regularly to verify accuracy and resolve discrepancies along with insurance carrier collaboration.
• Proficient in accurate ICD and CPT codig

• Assisted pharmacists in preparing and dispensing prescriptions accurately and efficiently.

Professional history from 1995-2019 with Franciscan Alliance Health Care, Wellgroup Health Partners, Suburban Heights Medical Center amid integrations.

April 2018-July 2019 remote consultant/director of operations management

2008-April 2018 Director of Operations

• Led operational strategies for multiple PHO departments from 2008 to 2018. Supervised St. Anthony Health Network, St. Anthony Physician Organization, Franciscan Hammond Clinic, and St. James PHO. Initiated process improvements that enhanced patient satisfaction and operational workflows. Analyzed performance data to guide decision-making and increase efficiency. Engaged with stakeholders to ensure alignment with organizational objectives. Designed and implemented staff training programs to boost performance. Streamlined interdepartmental communication for effective collaboration. Oversaw budget management, ensuring fiscal responsibility across all departments.
• Supervised managed care department for Well Group Health Partners from 1995 to 2008. Enhanced operational processes to drive efficiency in service delivery. Managed financial resources effectively to support departmental goals. Guided professional development of team members through mentorship. Established collaborative relationships with external healthcare entities.

Duties included the successful operational oversite necessary for the performance of managed care strategies and optimal financial performance.

Managed appropriate level of experience and training of 26 staff members to achieve accuracy of performance of Case Management, Claims, Referrals, Financial Reporting and contractural terms of business lines.

Proficient in contract negotiations with various health care providers and facilities within the insurance clients networks.

Years of experience in the development of systems and processes to support the delivery of managed care/medical office operations including Policies and Procedures, Utilization Management plans and achieved optimal adherence to quality and HEDIS requirements.

Administrator and Board Member for the St. Anthony Physician Organization (SAPO), St. Anthony Health Network Finance and Contracting Committee and St. Anthy Health Network Board of Managers.

Co-Managed and created a behavioral health network in Northern Indiana exclusive for our network recipients.

Other responsibilities included: payroll, budget, equipment and performance evaluations.