Moirasheen Benz

• Managed staff by recruiting, selecting, hiring, orienting, training, assigning, scheduling, supervising, evaluating and enforcing discipline when necessary.
• Actively involved in cost control, sanitation, menu development, training, recruitment, retail and patient dining and catering.
• Regularly interacted with guests to obtain feedback on product quality and service levels.
• Prepared operational reports and analyses and made appropriate recommendations about progress and negative trends.

• Managed kitchen staff by recruiting, selecting, hiring, orienting, training, assigning, scheduling, supervising, evaluating and enforcing discipline when necessary.
• Maintained updated knowledge of local competition and restaurant industry trends.
• Developed menus, pricing and special food offerings to increase revenue and customer satisfaction.
• Actively involved in cost control, sanitation, menu development, training, recruitment, private dining and catering.
• Regularly interacted with guests to obtain feedback on product quality and service levels.

Progressive growth of management responsibilities culminating in appointment as Department Manager in 2009.

Responsibilities included $1.2 million of onsite and offsite catering.

Managed 4 full-time employees and 30 on call employees.

Assist in developing and implementation of new catering concepts

Employee Recognition Committee participation for 5 years

Exceeded budgeted goals for labor and alcohol

Conducts independent investigations resulting from the discovery of situations that potentially involve fraud, waste, or abuse. 

Utilizes data analysis techniques to detect aberrancies in Medicare claims data, and proactively seeks out and develops leads received from a variety of sources (e.g., CMS, OIG, fraud alerts).

Completes written referrals to law enforcement and takes steps to initiate recoupment of overpaid monies.

Refers suspected instances of apparent unethical or improper practices or unprofessional conduct (e.g. quality of care concerns) to the appropriate entity..

Responds to requests for information from law enforcement.  Maintains cases referred to law enforcement. Reviews information contained in standard claims processing system files (e.g., claims history, provider files) to determine provider billing patterns and to detect potential fraudulent or abusive billing practices or vulnerabilities in Medicare policies and initiates appropriate action.

Research of policy and coverage information to answer questions and determine resolution options.

Serves as first contact and technical expert for internal/external customers.

Develops and maintains strong internal and external client relationships.

Provides on-going education to customer to clarify our position regarding policies and procedures.