Dione D. Major

Assisted buyers with finding ideal homes by assessing needs and requirements.

Prepared homes for client arrivals during open house events and established signage.

Completed property walkthroughs prior to completed deals to uphold accuracy in listings and appraisals.

• Communicated on over 10 contract terms, payment structures, reimbursement rates to physicians.
• Analyzed financial impact of contracts and terms
• Maintained over 50 contracts and documentation within a tracking system.

• Performed strong organization and flexibility, with the ability to multitask and work in a fast-paced environment.
• Performed training to over 30 medical partners via healthcare web portal
• Communicated effectively, knowledgeable in healthcare information terminology with all levels of the healthcare organization, within both corporate and regional market environments.

Performed projects from the Florida Agency for Healthcare Administration and Provider Relations, which resulted in over 50% reimbursement accuracy of claims payments.

• Worked closely as the liaison between providers and health plan.
• Assisted in resolving and satisfying client requests and internal operational issues.
• Assisted credentialing department with document and dissemination during acquisition.

• Processed Physician Medicaid Claims
• Researched correspondence issues received from medical partners
• Reviewed and resolved over 100 appeals to ensure appropriate payment adjustments were applied

• Performed Provider Education during weekly provider visits to ensure quality service
• Identified Network Gaps for recruiting of qualified providers
• Implemented strategies to providers for HEDIS/RISK and Medical Loss Ratio reporting, which resulted in improved cost savings by 10% as well as the quality of care for patients.
• Distributed provider credentialing applications, Issued Completed Contracts to Providers ·

• Consistently complied with applicable state laws and regulations and ensured healthcare providers adhered to Medicare and Medicaid regulations.
• Trained new staff, implemented and communicated new and revised policies
• As Subject Matter Expert, achieved resolution for over 100 physician and hospital claim discrepancies.
• Routinely collaborated with department counterparts, which improved accuracy of reimbursement of claims