

Support day-to-day program operations with expertise in records management and resource coordination. Skillfully meet diverse needs and address issues to maintain efficiency and program outreach. Demonstrated success in building long-lasting relationships. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Responsible for creating streamlined resolution responses that decreased audit errors by 42% within 90 days of implementation. Instrumental in spearheading internal guidelines to be aligned with CMS policies for Botulinum Toxins, which saved thousands of dollars to cease overpaying claims in error.
• As a resolute advocate for 5 hospital facilities find solutions tailored to meet the specific needs of the providers' claim issues.
• Provide expertise & knowledge to support a long-term collaborative relationship with UHC by sharing quarterly reports of monies gained/lost on various claim submissions to aid in contract negotiations.
• Through monthly calls, educate on new protocols, polices, and billing practices to avoid audits for Medicaid, Medicare, and Commercial plans.
• Take inbound calls from All State insurance clients to set up Auto and Property claims.