Jennifer Werkowski

Effectively communicate, educate, and conduct orientations for providers on new health plans entering their market, ensuring thorough understanding and seamless implementation.
Lead monthly Joint Operating Committee (JOC) with major hospital groups to address and resolve claims-related issues, fostering strong provider relationships.
Collaboratively work with providers and groups to identify and rectify billing errors, optimizing reimbursement accuracy and efficiency.
Educated providers on digital tools and technologies, promoting self-service capabilities and improving efficiency, increasing digital tool adoption by 97%.

Collaborated with care providers and medical groups to maintain accurate and up-to-date rosters, demographics, and network status within all relevant systems.
Managed change requests and data corrections, ensuring timely and accurate updates across all systems, from claim payments to directories.
Maintained current loading protocols for all provider groups across all products and network strategies, proactively identifying updates impacting claims and initiating member reassignments as needed.
Ensured successful execution of new contract provisions across all platforms and processes. Conducted comprehensive data and contract reconciliations across multiple platforms, reducing errors by 90% and improving operational efficiency.

Analyzed and researched requests from internal customers regarding demographic and contractual issues requiring system updates. Took appropriate action to fulfill requests effectively and efficiently. Reviewed provider contracts to identify missing elements and updated systems, ensuring data accuracy and compliance, reducing errors by 90%.
Collaborated with Network Management to resolve complex issues, demonstrating proficiency in utilizing UnitedHealthcare-provided data systems.
Possessed strong Excel skills, including the creation of pivot tables for data analysis and reporting.
Participated in projects to migrate a new Health Plan into UnitedHealthcare systems, where I identified process gaps and proposed effective solutions.
Partnered with other health plans and medical groups to obtain sign-off on the accuracy of network profiles and implemented remediation plans for providers with submission or accuracy gaps
Mentored and trained colleagues, particularly in areas related to researching work and updating systems.
Collaborated with other teams to drive process improvements and enhance operational efficiency.

Responsible for provider credentialing and entering information into multiple platforms.
Conducted outreach to providers to collect necessary information to ensure data accuracy within software systems, thereby minimizing delays in veterans' access to healthcare providers.

Managed and led the safety program for 150 charter bus drivers, ensuring compliance with the drug testing program and company policies, achieving a 100% pass rate in audits.
Managed four direct reports who were the driver trainers.
Ensured compliance with the drug testing program.
Conducted quarterly safety meetings.
Created and maintained company safety and training policies and procedures.
Designed an electronic filing system that streamlined audits with the Department of Transportation, reducing audit preparation time by 100%.
Served as on-call emergency contact to reduce liability exposure.
Handled all ongoing insurance claims and settlements, including workers' compensation claims.
Implemented a disciplinary program for drivers.

Ensured compliance for 380 drivers with all Federal Motor Carrier Safety Administration (FMCSA) regulations.
Successfully managed over a dozen yearly audits from both federal and state agencies, achieving a 100% pass rate in all inspections.
Developed and implemented comprehensive employee training and safety programs, including emergency preparedness procedures.
Supervised a team of nine safety and training coordinators and my direct report administrative assistant. Partnered with leadership to resolve complex employee relations issues, ensuring adherence to legal compliance and company policies, resulting in a 97% improvement in employee satisfaction.

• Maintained detailed records of patient treatments, ensuring accurate billing and efficient followups.
• Increased case acceptance rates through persuasive presentation of treatment options and benefits.
• Explained treatment choices to patients and helped determine best options.
• Provided exceptional customer service to create a welcoming atmosphere for patients and their families.
• Extensive knowledge in the different bracket systems and treatments provided by Orthodontist
• Built trust and rapport with patients