Roslynn Turner
Detroit,MI
Summary
Results-driven Provider Engagement Coordinator successful at optimizing administrative procedures to control costs and improve operations. Experienced in building positive relationships with physician and staff to provide sustainable policies. Natural leader and problem-solver with articulate communication style.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Provider Engagement Coordinator
Advantasure
Southfield, MI
08.2016 - Current
- Oversees and implements healthcare quality and improvement initiatives.
- Ensures maintenance of quality improvement measures.
- Reporting and monitoring for key performance measures.
- Serve as primary contact for providers and health insurance plan.
- Educates providers on policies and procedures related to Medicare Advantage.
- Assist with the training of new employees.
- Completes special projects as assigned.
- Evaluates provider performance and offers suggestions for improvement.
- Collects patient data to ensure HEDIS measures are being addressed by physicians.
- Works closely with physicians and staff to achieve yearly goals.
Billing Specialist
Henry Ford Health System
Detroit, MI
03.2008 - 03.2010
- Completing and maintaining chemotherapy infusion billing, assisting with billing for other inpatient and outpatient areas, assisting front desk staff in resolving issues, assisting coders with billing issues.
Customer Service Representative-Leader
Henry Ford Health System
Detroit, MI
09.2005 - 03.2008
- Developing staff schedules for employees, scheduling patients, checking patients in for appointments, making charts, organizing patient paperwork, ordering supplies for the clinic, schedule maintenance of doctor clinic appointments, maintaining and organizing billing, assisting with billing for other clinics, organizing patient panels for physicians
- Working closely with doctors and nurses to resolve billing issues, maintaining clinic office equipment.
Customer Service Representative
Henry Ford Health System
Detroit, MI
12.2000 - 03.2005
- Scheduling patients, checking patients in for appointments, making charts, organizing patient paperwork, ordering supplies for the clinic, schedule maintenance of doctor clinic appointments, maintaining and organizing billing, assisting with billing for other clinics, organizing patient panels for physicians, working closely with doctors and nurses to resolve billing issues.
Clinic Receptionist
Dr. Thomas Park
Detroit, MI
09.1997 - 12.1998
- Checking in patients, maintaining patient dictation, billing for services rendered, appointment scheduling and maintenance of the doctor's personal and professional schedule.
Community Health Navigator AmeriHealth Caritas
Southfield
MI, July 2015
01.2016
- Assist with obtaining community resources, conduct outreach for education for members, attend patient care planning meetings, assist with determining Hedis impacts, assist with Medicaid redeterminations and developing reports and documentation to track progress.
Panel Management Associate Henry Ford Health System
Detroit
MI, December 2010
07.2015
- Working closely with patients to resolve any issues that may arise and outreaching to patients who need testing or preventative care
- Working closely with physicians during their training to add extra information on the entire clinic experience, data collection and compiling quarterly reports, conducting monthly meetings with residents as a part of their training within the clinic.
Education
Masters in Business Management -
University of Phoenix
09.2013
Bachelors - Healthcare Administration
University of Phoenix
12.2011
Medical Office Assistant
Detroit Business Institute
09.1997
Skills
- Microsoft Word
- Excel
- Powerpoint
- Planning and coordination
- Data Analytics
- EPIC Sharepoint
- Implementation Management
Certification
Completed project management certification program. Completed billing and coding certification program.
Personal Information
Title: Provider Engagement Coordinator - Advantasure
Timeline
Provider Engagement Coordinator
Advantasure
08.2016 - Current
Community Health Navigator AmeriHealth Caritas
Southfield
01.2016
Panel Management Associate Henry Ford Health System
Detroit
07.2015
Billing Specialist
Henry Ford Health System
03.2008 - 03.2010
Customer Service Representative-Leader
Henry Ford Health System
09.2005 - 03.2008
Customer Service Representative
Henry Ford Health System
12.2000 - 03.2005
Clinic Receptionist
Dr. Thomas Park
09.1997 - 12.1998
Masters in Business Management -
University of Phoenix
Bachelors - Healthcare Administration
University of Phoenix
Medical Office Assistant
Detroit Business Institute
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