Monica Olivera
Trafford,PA
Summary
Results-oriented individual that excels in managing complex provider networks. Skilled in account management, customer service and claims resolution. I adeptly coordinate cross-departmental collaborations, ensuring compliance and high-quality provider relations. Driven by passion for continuous learning and successfully navigating change.
Overview
10
10
years of professional experience
Work History
Network Support Consultant
Elevance Health
Seven Fields , PA
05.2022 - Current
- Effectively manage over 40 behavioral health and substance use disorder providers enrolled in PA Health Choices.
- Collaborate with other departments within the organization to resolve complex provider issues.
- Coordinate training sessions on topics such as coding updates, claims processing, and Medicaid guidelines.
- Oversee network requests, provider enrollment, licensing, and contracts.
- Monitor provider network capacity. Prepare Access and Availability reports for internal staff and stakeholders.
Office Manager
UPMC
Pittsburgh , PA
01.2022 - 05.2022
- Managed staff schedules, verified, and submitted payroll.
- Worked with IT to enhance the EHR with specific fields to improve documentation, tracking, and reporting of data.
- Participated in the patient safety committee. Discussed adverse events, cases, and developed new processes, increased signage, and staff training.
- Oversee the ordering of supplies, and manage endoscope inventory repairs and replacements with an external vendor.
- Coordinated with insurance companies to verify coverage of services rendered.
Office Coordinator
UPMC
Pittsburgh , PA
02.2021 - 01.2022
- Oversaw clinic staff and provider schedules in a large ENT practice.
- Trained staff in the sterilization and disinfectant procedures, in accordance with office policies and JCAHO regulations.
- Maintained clinical competencies for staff upon hire, and yearly thereafter.
- Managed the authorization work queue, coordinated peer reviews and scheduled diagnostic testing.
Office Manager
Western PA Behavioral Health Resources
Latrobe , PA
09.2020 - 02.2021
- Oversaw office staff, scheduling, and day-to-day operations of a busy behavioral health practice.
- Received and organized correspondence, patient records, and encounter forms for appointments.
- Managed grievances, complaints.
- Medication refills and prior authorizations.
- Periodic review of patient medical records to ensure the accuracy and completeness of documentation and treatment plans.
Senior Certified Medical Assistant
Independence Health
North Huntingdon, PA
09.2015 - 09.2020
- Developed and maintained positive relationships with employers. Adhered to written protocols for their outlined employee health programs.
- Oversaw billing, charge entry, and accounts receivable for employer accounts.
- Developed EHR workflows.
- Coordinated and scheduled post-offer employment physicals, annual surveillance exams, and workers' compensation injuries.
- Conducted auditory, visual, and respiratory screenings to ensure compliance with OSHA and NIOSH occupational standards.
Education
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Manchester, NHAssociate of Science - General Studies
Community College of Allegheny County
Pittsburgh, PACertificate, Medical Assistant
Sanford Brown Institute
Pittsburgh, PASkills
- Account management
- Organizational skills
- Claim resolution
- Provider enrollment
- Effective communication
- Data analysis
- Network management
- Attention to detail
- Problem solving
- Project management
Timeline
Network Support Consultant
Elevance Health
05.2022 - Current
Office Manager
UPMC
01.2022 - 05.2022
Office Coordinator
UPMC
02.2021 - 01.2022
Office Manager
Western PA Behavioral Health Resources
09.2020 - 02.2021
Senior Certified Medical Assistant
Independence Health
09.2015 - 09.2020
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Associate of Science - General Studies
Community College of Allegheny County
Certificate, Medical Assistant
Sanford Brown Institute