ELIZABETH PICHA
Amarillo,TX
Summary
I have 6 years with solid background in customer service. Proven track record of efficiently resolving customer inquiries and maintaining high satisfaction rates. Demonstrated ability to leverage communication and problem-solving skills to enhance customer experience.
Overview
5
5
years of professional experience
Work History
Director, Provider Resolution
The Occunet Company
01.2024 - Current
- Reduce the number of future disputes through judiciously identifying and initiating opportunities to partner with providers by building relationships and getting long term agreements
- Evaluating and negotiating claims while actively tracking negotiation queues and cataloging all communication
- Work cross-functionally with diverse set of internal partners to support contracting initiatives in business planning processes and communication with clients
Regional Director of Contracting
The Occunet Company
04.2023 - 01.2024
- Retaining medial cost savings while reducing turnaround time and number of disputes on behalf of clients and members by initiating, negotiating, and executing contracts with providers, while building a mutually beneficial relationship with providers
- Expertise in hospital, ancillary, and professional reimbursement rates for resolution of disputes across all lines of business
- Rigorously approach complex negotiations of reimbursement rates, payment structure, and term changes to maintain and build best-in-class settlements with providers
Medical Assistant
Family Medicine Center
11.2022 - 04.2023
- Conducted evaluations per day, including measuring weight, blood oxygen, heart rate, temperature and blood pressure and documented results with accuracy
- Communicated clearly and effectively with patients to verify information, determine purpose of visit, and record medical history
- Administered immunizations, and refilling prescriptions for patients as directed by the physician
- Advised patients with any testing performed
- Communicated with patients about their health and concerns
- Help physicians examine and treat patients, handing them instruments or materials for performing procedures
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
Front Desk Assistant Manager
Family Medicine Center
05.2022 - 11.2022
- Worked and assisted to checking in/outpatients
- Learned insurance requirements as well as collected insurance co-pays
- Oversaw the front desk employees
- Created and updated physical records and digital files to maintain current, accurate and compliant documentation
- Oversaw and helped keep inventory for hormone replacement offered by the clinic
- Helped answer phones and assist patients with any needs such as leaving messages for the nurses, helped scheduled future appointments, as well as collecting outstanding balances
- Knowledge in ICD, and CPT coding
- Spent time with billing for 2-3 months
- Gained experience in ECW system, customer service, and maintaining inventory
Ticket Office Supervisor
West Texas A&M University
09.2019 - 05.2022
- Worked and Supervised employees for all athletic sporting events
- Assisted with pre-season events with donors, sponsors, athletes, and coaches
- Successfully ran sporting events and tickets maintaining NCAA COVID restrictions
- Gained experience in Ticket Sales, marketing, and customer service
- Assisted Business Office with deposits, reviewing settlements, and transferring funds to sport accounts
- Supported a positive work culture that prioritized teamwork, professionalism, continuous learning opportunities.
Corporate Operations Intern
West Texas A&M University
05.2021 - 09.2021
- Built relationships with athletes, coaches, and Plains Chocolate Milk
- Talked to athletes throughout summer camps about the advantages of chocolate milk
- Gained marketing experience of summer camps while using mail chimp
- Studied with senior staff to develop deep understanding of team processes and full operational activities.
- Handled administrative and data entry work for staff.
Education
MBA - Healthcare Management Emphasis
West Texas A&M University
Canyon, Texas12.2023
B.S. - Health Science Administration, Management
West Texas A&M University
Canyon, Texas07.2022
Skills
- Problem solving
- Organization
- Time management
- Leadership
- Communication
- Insurance claims
- Contract preparation
- Implementation
- Financial analysis
- Networking
- Relationship building
- Partnership evaluation
Awards And Acknowledgements
- Student Employee of the Year Nominee, I was recognized for exemplary dedication and performance to West Texas A&M University during the 2020-2021 academic year.
- Multiple Dean's List Awards, Maintained a 3.3 GPA.
Timeline
Director, Provider Resolution
The Occunet Company
01.2024 - Current
Regional Director of Contracting
The Occunet Company
04.2023 - 01.2024
Medical Assistant
Family Medicine Center
11.2022 - 04.2023
Front Desk Assistant Manager
Family Medicine Center
05.2022 - 11.2022
Corporate Operations Intern
West Texas A&M University
05.2021 - 09.2021
Ticket Office Supervisor
West Texas A&M University
09.2019 - 05.2022
MBA - Healthcare Management Emphasis
West Texas A&M University
B.S. - Health Science Administration, Management
West Texas A&M University
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