Cindy L. Walton, APHR
Broker Services
Brentwood,TN
Summary
Dedicated healthcare / business professional with proven track record of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Highly organized and dedicated team player able to work with little to no supervision.
Overview
1
1
Certification
3
3
years of post-secondary education
18
18
years of professional experience
Work History
Broker/Provider Services
Anthem BCBS
Louisville, KY
06.2016 - Current
- Assisted brokers across nine states with all needs related to enrollment including application status, benefit plan interpretation, network information, claims, billing, and commission information associated with Individual, ASO and Fully Insured product lines.
- Assisted providers with claim status, reconsideration and appeals, coding, benefit verification and precertification requests.
- Collaborated as cross-functional team member to assist with department workload and special project assignments including new employee training/mentoring.
- Experience with individual, small group, large group, self-funded and fully funded groups/plans.
- Open enrollment ambassador and health fair participant.
Center Director
LasikPlus
06.2013 - 05.2016
- Managed four sales centers across Wisconsin, Indiana and Kentucky exceeding company’s quality, performance and production targets by at least 10% in each location year-over-year, completed monthly reporting, and budget review.
- Responsible for interviewing, coaching, performance evaluations, disciplinary actions, and training.
- Responsible for day-to-day operations, assisted physicians in clinic and OR when needed.
- Launched a social media strategy, that then became corporate standard practice, and was designated as national “mentor” to help deploy this strategy across the company. My center was top social media performer 7 months in a row.
- Deployed recruiting efforts to find new talent when staffing needs deemed it appropriate.
- Kept facility in compliance with all applicable standards and laws
Clinical Research / Ophthalmic Technician
Atlanta Ophthalmology Associates
03.2011 - 03.2013
- Responsible for all duties related to the Transcend Medical sponsored clinical trial for Cypass implantable stent for the treatment of glaucoma in conjunction with cataract surgery.
- Served as clinical doctor’s assistant and surgical scheduler/counselor to the glaucoma specialists and worked as back-up coverage for rest of the clinic.
- Responsible for maintaining study subject schedules, visits and adherence to study and FDA protocols including regulatory binders, CRF completion and data transfer, device tracking and storage.
- Worked with local IRBs to ensure study compliance, certified with National Institute of Health (NIH) to participate in human clinical trials.
Refractive Coordinator
Thomas Eye Group
05.2007 - 02.2011
- Built a LASIK surgery practice from the ground up including design and development of the surgical suite, which optimized patient flow and consumer experience, including collaboration with architects, designers and contractors to deliver project on time and on budget.
- Recruited, interviewed and trained technical staff on equipment, patient flow and processes, while also participating in training of the surgeons on new equipment.
- Responsible for recruitment and contracting of Partner Network providers and Aestheticians who leased space for non-clinic days to generate additional revenue for the practice.
- Oversaw daily operations of aesthetic center including patient exams for refractive team and clinic overflow for retina, glaucoma and general clinics.
Refractive Ophthalmic Research Technician / Marketing
Emory Vision
06.2005 - 05.2007
- Recruit, prepare and facilitate patient seminars and facilitate staff trainings.
- Cultivate existing referral doctor network relationships and recruit new physician partners to integrate for referral client base.
- Clinical, OR and admin coverage when needed.
- Responsible for maintaining study subject schedules, visits and compliance to study and FDA protocols including regulatory binders, CRF completion and data transfer, device tracking and storage.
- Developed and maintained courteous and effective working relationships
Center Manager
Woolfson Eye Institute
04.2003 - 05.2005
- Responsible for day-to-day operations of the center.
- Recruited and maintained network of over 100 physicians who referred patients to center for treatment.
- Management and coordination of physician contracting, hospital privileges certification, credentialing and re-credentialing efforts.
- Developed and deployed quarterly CME courses and training programs targeted to partner network physicians and clinical staff training programs.
- Assisted oculoplastic surgeon with minor in-office procedures and assisted with patient exams.
Education
B.S - Human Resource Management
Western Governors University
Salt Lake City, UT 11.2019 - 10.2021
Speech Pathology
University of Toledo
Toledo, OH 09.1990 - 03.1992
Skills
Proficient in Microsoft Office: Word, Excel, PowerPoint, Outlook, Teams, Skype for Business, WebEx and WorkDay HRM system
undefinedCertification
APHR - Associate Professional in Human Resources - HRCI
Timeline
B.S - Human Resource Management
Western Governors University
11.2019 - 10.2021
Broker/Provider Services
Anthem BCBS
06.2016 - Current
Center Director
LasikPlus
06.2013 - 05.2016
Clinical Research / Ophthalmic Technician
Atlanta Ophthalmology Associates
03.2011 - 03.2013
Refractive Coordinator
Thomas Eye Group
05.2007 - 02.2011
Refractive Ophthalmic Research Technician / Marketing
Emory Vision
06.2005 - 05.2007
Center Manager
Woolfson Eye Institute
04.2003 - 05.2005
Speech Pathology
University of Toledo
09.1990 - 03.1992
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