Summary
Overview
Work History
Education
Skills
Internalreferences
Certification
Timeline
Generic

HEATHER STANTON

Collierville,TN

Summary

Results-driven Supervisor with extensive experience at Aetna, recognized for elevating team productivity and ensuring project alignment. Achievements include increasing departmental scores from 84 to 96 at CVS Caremark, showcasing expertise in staff and project management. Proficient in customer service and business development, consistently achieving impactful metrics while fostering staff development. Committed to leveraging skills to drive organizational success and enhance team performance.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Supervisor, CCR DRG

Aetna
Woonsocket, RI
12.2024 - Current
  • Conducted regular performance evaluations, providing constructive feedback and setting individual goals.
  • Coordinated with other department supervisors to ensure smooth workflow and project alignment.
  • Managed team of 17 employees, ensuring high productivity and quality standards were met.
  • Acted as a liaison between upper management and staff, facilitating open communication.
  • Set specific goals for projects to measure progress and evaluate end results.

QA Champion Parkinson's COE and Xiaflex COE

CVS Caremark, LLC
Woonsocket, RI
01.2021 - 12.2024
  • Highest individual departmental Mattersight score for Xiaflex and Parkinson's teams
  • Increased total departmental Mattersight scores from 84 to 96
  • Responsible for training of 49 member staff to ensure effective resolution of member and provider cases
  • Responsible for developing and mentoring team, reports, and project work
  • Responsible for day-to-day implementation of complaints policies and procedures

Billing Manager

Baptist Memorial Health Care Corporation
Memphis, TN
01.2017 - 01.2020
  • Managed staff of 22 to ensure timely completion of company metrics and objectives
  • Responsible for medical billing, coding, and collection of claims in Tennessee, Arkansas, and Mississippi
  • Managed insurance accounts receivable activity and appropriate corrective measures
  • Managed departmental processes to ensure compliance and performance metrics
  • Responsible for completion of claims edit, denial, and billing functions for timely completion

Assistant to the Dean/Academic Coordinator

Texas A&M University
College Station
01.2002 - 01.2009
  • Managed a staff of eight to coordinate cross departmental objectives
  • Developed and secured budget approvals
  • Provided reporting and institutional effectiveness support for Council on Education and Public Health Accreditation (CEPH)

Practice Administrator

Health Texas Partner Network, Baylor Hospital
Dallas, TX
  • Served as a liaison for 10 physicians and HTPN
  • Responsible for daily and monthly clinic and financial performance report
  • Medical coding, charge entry, claims, payment posting, reimbursement management cycle, EOBs
  • Managed Care/PPO/HMO/Medicare

Education

Bachelor of Science - Biomedical Science

Texas A&M University
College Station, TX

Skills

  • Customer service
  • Business development
  • Staff management
  • Project management

Internalreferences

  • Michele Fedornock, Supervisor, Parkinson's COE Specialty Pharmacy Services
  • Stephanie Drummond, Supervisor, Xiaflex COE Specialty Pharmacy Services
  • Michael Park, Supervisor, Xiaflex COE Specialty Pharmacy Services

Certification

  • Professtional Coder, AAPC

Timeline

Supervisor, CCR DRG

Aetna
12.2024 - Current

QA Champion Parkinson's COE and Xiaflex COE

CVS Caremark, LLC
01.2021 - 12.2024

Billing Manager

Baptist Memorial Health Care Corporation
01.2017 - 01.2020

Assistant to the Dean/Academic Coordinator

Texas A&M University
01.2002 - 01.2009

Practice Administrator

Health Texas Partner Network, Baylor Hospital

Bachelor of Science - Biomedical Science

Texas A&M University

Similar Profiles

CREATE PROFILE
HEATHER STANTON