Monique Sanders-Ellis
Southfield,MI
Summary
Experienced Health Care Supervisor with over 15 years experience in challenging business environments requiring strong sales, organizational. Analytical, and follow through capabilities. Dynamic problem solver with proven effectiveness in identifying system inefficiencies and implementing effective measures that improve cash flow, reduce costs, and strengthen business relationships. A leader in building dynamic relationship with providers and patients. That works diligently with vision which drives teams to meet goals.
Overview
8
8
years of professional experience
Work History
Supervisor of Analytics
Dearborn Group/HCSC
06.2023 - Current
- Experienced Compliance and Health Care supervisor with in the healthcare industry. Skilled in driving initiatives, policy implementation, regulatory accreditation adherence, and risk management
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Facilitated collaboration between team members on projects requiring cross-functional expertise for successful outcomes.
- Created and managed project plans, timelines and budgets.
- Created policy and procedures using NCQA guidelines.
- · Collaborated with the legal team to ensure compliance with healthcare laws and regulations.
- Managing a team of 10 plus with maintaining the organizations credentialing database Experienced Compliance and Credentialing Manager with 10+ years of experience in the healthcare industry. Skilled in driving initiatives, policy implementation, regulatory accreditation adherence, and risk management.
- Collaborated with the compliance and audit team to ensure that credentialing department met regulatory guidelines and standards.
- Monitored workflow to improve employee time management and increase productivity.
- Led major initiatives within the department that drove innovation or addressed critical business challenges.
Account Coordinator
Dearborn Group/ HCSC
01.2020 - 06.2020
- Provides relationship management between the clients and providers.
- Strategically works to create in depth knowledge with network support to help assist the department with resolving provider and claims issues effectively.
- Assisted with managing network partner relationships for sales, compliance, and access.
- Conducted thorough market research to identify new opportunities for account growth.
- Lead weekly team meetings to develop resolutions around issues.
- Completed bi-weekly payroll for 10 plus employees.
Officer Manager
Dental One Partners
02.2016 - 12.2019
- Educates patients and providers on claims processing, prior authorizations, and claim payments.
- Prepared and submitted detailed reports regarding assignments and ongoing investigations.
- Implemented process improvements that streamlined workflows, reducing redundancies and increasing operational efficiency.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Ensures that the organizations profit and loss statements are under budget, managed payroll system through ADP, and hired and trained new team employees on company policy
Education
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZ05.2016
MBA - Business Administration
University of Phoenix
Tempe, AZ08.2024
Skills
- Project Management
- Inventory Control
- Analytical Thinking
- Training and mentoring
- Policy Enforcement
- Strategic Planning
- Data Analytics
- Operations Management
- Quantitative skills
- Process Monitoring and Improvement
Timeline
Supervisor of Analytics
Dearborn Group/HCSC
06.2023 - Current
Account Coordinator
Dearborn Group/ HCSC
01.2020 - 06.2020
Officer Manager
Dental One Partners
02.2016 - 12.2019
Bachelor of Science - Health Administration
University of Phoenix
MBA - Business Administration
University of Phoenix
Similar Profiles
Stephanie FletcherStephanie Fletcher
SENIOR PRIOR AUTHORIZATION SPECIALIST at HCSC/CIGNA GROUPSENIOR PRIOR AUTHORIZATION SPECIALIST at HCSC/CIGNA GROUP
Tomeka ChannelTomeka Channel
STD Claims Analyst at Dearborn GroupSTD Claims Analyst at Dearborn Group
Victoria WilliamsVictoria Williams
CLIENT SERVICE SPECIALIST at HCSC- GROUP CLIENT SERVICESCLIENT SERVICE SPECIALIST at HCSC- GROUP CLIENT SERVICES