
Operations Manager with extensive experience in workflow optimization and compliance. Proven ability to enhance processes and elevate customer satisfaction. Committed to applying strong leadership skills and a dedicated work ethic to drive operational excellence.
Monitored incoming faxes for Medicare appeals and grievances to ensure timely processing. Handled incoming emails related to Medicare appeals and grievances for effective resolution. Reviewed and entered expedited member appeals for Medicare Part B, Part C and Part D.
Facilitated member access to care by identifying and removing obstacles. Created unique approaches to provide timely and deserving healthcare for all members. Worked with various partners to improve pathways for accessing necessary services. Promoted solutions that ensured efficient and effective care delivery for members.
Provided members with support for eligibility claims, authorizations, PCP research, and billing.
Oversaw branch operations involving more than 25 employees, streamlining daily functions. Coordinated equipment maintenance and scheduled routing for operational effectiveness. Ensured vehicle inspections and certifications met regulatory standards across counties. Facilitated weekly departmental meetings, enhancing communication and collaboration. Reviewed and approved time cards, maintaining accurate payroll processes.
Conducted all HR responsibilities, encompassing new hire onboarding and payroll management for various employee types. Oversaw daily operations, prioritizing efficient employee scheduling and routing. Implemented inventory control measures to ensure stock accuracy. Managed accounts receivable to improve cash management practices. Evaluated profit and loss statements for strategic decision-making.
Orchestrated day-to-day operations through inventory control, ensuring efficient scheduling and routing of technicians alongside bookkeeping, payroll, and customer service calls.