Laura Missimer
Lodi,CA
Summary
Sixteen years’ experience in California school-based Medicaid billing and reimbursement claiming. Hardworking and versatile professional well-versed in executing and communicating complex statewide regulations, preparing and implementing business plans and overseeing customer satisfaction and revenue growth. Thorough knowledge of policy changes and trends paired with strong grasp of the medical model in an educational setting.
Overview
18
18
years of professional experience
Work History
Director I
LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education
01.2015 - Current
- Secured contracts and provide oversight of 250 Local Educational Agencies (LEAS) statewide
- Onsite and virtual sales presentations
- Request for Proposal (RFP) writing, response and interviews for new contract proposals
- Onsite and virtual trainings on LEA Medi-Cal policies and procedures to senior administrators
- Met with stakeholders to address issues and implement solutions.
- Used excellent verbal communication skills for client onboarding and implementation (Onsite and virtual)
- Provide guidance on LEA Medi-Cal Enrollment
- Expert in Federal and State LEA Medi-Cal Regulations and Compliance
- Participate in CA Department of Health Care Services (DHCS) LEA Medi-Cal AdHoc Workgroup Committee meetings (onsite and virtual)
- Budget management (2.5 million)
- State fiscal reporting (Cost and Reimbursement Comparison Schedule, Annual Report, Provider Participation Agreement, Data Use Agreement)
- Audit expertise, liaison between LEA and state auditor
- Provide guidance on DHCS Medi-Cal Provider Portal registration and navigation
- LEA collaborative representation, vendor reports (onsite and virtual)
- Generated compliance reports to review data and issue corrective actions for improvements.
- Educate and train on CA State Plan 15-021 expansion/billing opportunities
- Development and testing site experience with coding and IT development teams
- Film, record and launch virtual trainings and quick tip videos
- Provide training on Electronic Health Record (EHR) documentation.
- Guided and motivated staff to drive maximum performance.
- Developed and presented new ideas and conceptualized new approaches and solutions.
- Planned and implemented strategies for revenue growth.
Coordinator II
LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education
01.2012 - 01.2015
- Conduct onsite and virtual sales presentations to secure new LEA contracts
- Conduct onsite and virtual trainings on LEA Medi-Cal policies and procedures to senior administrators
- Coordinate and provide onsite and virtual trainings to school based health care providers
- Complete LEA Medi-Cal Enrollment documents
- Participate in CA Department of Health Care Services (DHCS) LEA Medi-Cal AdHoc Workgroup Committee meetings (onsite and virtual)
- Exhibitor at statewide conferences
- Fiscal reconciliation including monthly invoicing and monitor revenue growth
- Prepare quarterly compliance reports and communicate findings
- Provide exceptional customer support and technical assistance
- Knowledge of ICD 9, ICD 10 and CPT codes
- Coordinated with other departments to ensure projects were completed on time and within budget
- Develop and tested web-based software/sprints with coding and IT teams
- Collaborated with other developers to design new features for existing products
- Identified bugs and performance improvements in existing software applications
- Created technical documentation for user manuals and help files
- Film, record and launch virtual trainings and quick tip videos
Project Liaison II
LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education
01.2010 - 01.2012
- Knowledge on Individualized Education/Family Plans (IEP/IFSP)
- Electronic Medi-Cal claims submissions to the Department of Health Care Services (DHCS)
- Coordinate and schedule onsite and virtual trainings for school based healthcare providers
- Provide exceptional customer support and technical assistance
- Exhibitor at statewide conferences
- Maintained accurate records of all project-related communications, documents, and activities.
Administrative Assistant
County Operated Schools and Programs, San Joaquin County Office of Education
01.2010 - 01.2010
- Provided administrative support to the Directors, including scheduling meetings and managing calendars.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel
- Provide exceptional customer service via telephone and email
- Ensured efficient operation of office equipment such as printers, copiers and fax machines.
- Created travel arrangements for senior managers according to their requirements.
- Process student enrollment applications
Staff Secretary
Comprehensive Health Programs, San Joaquin County Office of Education
01.2007 - 01.2010
- Provided exceptional customer service
- Provided administrative support to staff members
- Input data into computer systems accurately and efficiently
- Assisted with special projects as needed
- Organized files in accordance with established procedures
- Operated office equipment such as photocopiers, scanners, fax machines
- Bill LEA Medi-Cal claims
- Prepare training materials
Temporary Employee
Comprehensive Health Programs, San Joaquin County Office of Education
01.2006 - 01.2007
- Provided exceptional customer service
- Understood and followed oral and written directions
- Managed office operations and procedures, including recordkeeping systems, filing systems, supply requisition, mail distribution and other administrative services.
Education
Bachelor of Science - Marketing
Grand Canyon University
Phoenix, AZ01-2011
Skills
- Program and Staff Management
- Contract Negotiation
- Verbal and written communication
- Creativity and Innovation
- Cross-functional team leadership
- Contract and Vendor Management
- Issues Resolution
- Expert in Federal and State Medicaid Policies and Procedures
- Exceptional Customer Service
Technology Skills
- Remote Collaboration: Zoom, Microsoft Teams, Google Meets/Hangout, phone, email
- Document Management: Microsoft Suite (Word, Excel, Outlook, Powerpoint, Google Docs), Adobe Acrobat, SignNow
Timeline
Director I
LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education
01.2015 - Current
Coordinator II
LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education
01.2012 - 01.2015
Project Liaison II
LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education
01.2010 - 01.2012
Administrative Assistant
County Operated Schools and Programs, San Joaquin County Office of Education
01.2010 - 01.2010
Staff Secretary
Comprehensive Health Programs, San Joaquin County Office of Education
01.2007 - 01.2010
Temporary Employee
Comprehensive Health Programs, San Joaquin County Office of Education
01.2006 - 01.2007
Bachelor of Science - Marketing
Grand Canyon University
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