Summary
Overview
Work History
Education
Skills
Timeline
Generic

Stephanie Loveless- Price

Staunton,VA

Summary

Proven leader in sales and operations management, adept at driving significant market development with Medicaid Done Right LLC. and enhancing client relationships. Excelled in territory management and strategic planning, achieving notable client acquisition and sales growth. Skilled in Microsoft Office and relationship building, consistently delivering results beyond expectations.

Overview

24
24
years of professional experience

Work History

Territory Manager - Market Development

Medicaid Done Right LLC.
05.2020 - Current

• Applying Long Term Care residents for Medicaid

• Contracted with several Nursing facilities in Virginia

• Meet with families, schedule appoints and gather documents

• Work with processing team for approvals

• Work closely with Department of Social Services

• Assisting residents on spending down funds to qualify for LTC

  • Working closely with Skilled Nursing facilities to ensure they receive payment for services rendered.
  • Travel to 8 different facilities in the virginia contracted areas.

Credentialing Specialist

Valley Community Services Board
01.2011 - 05.2020
  • Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
  • Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
  • Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
  • Enrolled providers and Medicaid, Medicare, and private insurance plans.

Director of Transportation

Valley Community Services Board
01.2011 - 05.2020
  • Hired and promoted [Number] personnel within transportation department to maintain adequate coverage and top talent.
  • Coordinated schedules to get clients/ patients to and from appointments.
  • Provided recommendations to Director on safety hazards, closings.
  • Contracted with Enterprise rentals and scheduled new vehicles and leases.
  • Optimized fleet management by regularly reviewing vehicle maintenance schedules and implementing cost-effective solutions when necessary. Maintained a fleet of 65 plus
  • Safety Inspections for all handicap accessible vehicles.
  • Billing to third party insurances for all mileage reimbursement for covered individuals.

Client Services Manager

Valley Community Services Board
01.2011 - 05.2020
  • Built client relationships by responding to inquiries, identifying and assessing clients' needs, resolving problems, and following up with potential and existing clients.
  • Collaborated with cross-functional teams to ensure timely delivery of projects, meeting or exceeding client expectations.
  • Developed new employees and on-going performance assessment of current employees.
  • Resolved escalated issues with professionalism, maintaining client trust and safeguarding the company''s reputation.,
  • Collected all payments and supervised front Desk Staff. bank deposits

Reimbursement Manager

Valley Community Services Board
01.2011 - 05.2020
  • Facilitated cross-functional meetings to discuss the impact of policy changes on the reimbursement process, ensuring clear understanding among all stakeholders.
  • Improved patient satisfaction by ensuring timely and accurate reimbursements for their medical expenses.
  • Monitored industry trends and regulatory changes to stay current on best practices for reimbursement management.
  • Provided exceptional customer service when addressing patient inquiries about their reimbursements, resolving issues promptly and professionally.
  • All billing procedures to Medicaid, Medicare and third party affiliates.
  • Maintained up-to-date knowledge on national healthcare policies affecting reimbursements, advising senior leadership on necessary adjustments or updates to internal processes accordingly.
  • Managed a team of reimbursement specialists, providing guidance and support for optimal performance.
  • Collaborated with insurance providers to clarify requirements and ensure proper submission of claims for faster processing times.
  • Analyzed data to identify patterns and opportunities for improvement within the reimbursement process.
  • Streamlined communication between departments involved in the reimbursement process, fostering collaboration and accuracy.
  • Conducted regular audits of reimbursement activities, identifying areas for improvement and implementing corrective actions as needed.
  • Worked closely with finance department to address discrepancies or concerns related to payment collection from insurance companies or patients directly.
  • Reduced errors in reimbursement claims through rigorous attention to detail and thorough documentation.
  • Developed strong relationships with insurance companies and healthcare providers, fostering collaboration and ensuring smooth communication for reimbursement matters.
  • Developed comprehensive training materials for new hires, resulting in a more efficient onboarding process.
  • Implemented new software solutions to automate aspects of the reimbursement workflow, increasing overall productivity.
  • Maintained strong knowledge of medical terminology and procedures.

Residential Supervisor

Gemeinschaft Home
07.2008 - 01.2011
  • Recognized changes in behavior indicating potential crisis situations and took immediate and appropriate action.
  • Handled conflict resolution among residents promptly and professionally, promoting a harmonious living environment for all parties involved.
  • Maintained caring, supportive and safe environment for residents through careful monitoring and continuous oversight.
  • Coordinated all staffing schedules and made sure that each shift had adequate coverage.

Store Manager

Rite Aid Pharmacy
06.2000 - 07.2008
  • Managed daily operations to ensure smooth functioning of the store, maintaining a clean, safe environment for customers and employees.
  • Managed inventory control, cash control, and store opening and closing procedures.
  • Addressed customer complaints promptly and professionally, resolving issues to maintain positive relationships with clientele.
  • Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
  • Assisted with hiring, training and mentoring new staff members.
  • Improved customer satisfaction through staff training in customer service and product knowledge.
  • Maintained proper product levels and inventory controls for merchandise and organized backroom to facilitate effective ordering and stock rotation.
  • Completed point of sale opening and closing procedures.
  • Mentored new hires during their onboarding process, ensuring they were well-equipped to excel in their roles from day one.
  • Rotated merchandise and displays to feature new products and promotions.
  • Maximized sales by creating innovative visual merchandising displays and store layouts.
  • Conducted regular performance reviews for staff members, providing constructive feedback and opportunities for growth.
  • Approved regular payroll submissions for employees.
  • Coached sales associates in product specifications, sales incentives, and selling techniques, significantly increasing customer satisfaction ratings.
  • Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
  • Reconciled daily sales transactions to balance and log day-to-day revenue.
  • Fostered a positive work environment by cultivating strong relationships between team members through team-building activities and consistent recognition of individual achievements.
  • Set effective store schedules based on forecasted customer levels, individual employee knowledge, and service requirements.
  • Supervised guests at front counter, answering questions regarding products.
  • Managed financial aspects of store operations, including budget planning, expense tracking, and accurate record-keeping to maintain fiscal responsibility.
  • Optimized labor scheduling according to store needs while adhering to budget constraints, maximizing productivity without compromising service quality.
  • Increased store profitability by implementing cost-saving measures and efficient inventory management strategies.
  • Upheld and communicated store programs and standards to employees for optimal quality, freshness, safety and cleanliness.
  • Developed strategies for attracting new customers by analyzing demographic data and conducting targeted marketing initiatives.
  • Assisted in recruiting, hiring and training of team members.
  • Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
  • Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
  • Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
  • Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
  • Reported issues to higher management with great detail.

Education

No Degree - Business Mangement

Blue Ridge Community College
Weyers Cave, VA
06.1999

Skills

  • Sales Presentations
  • Data-driven decision-making
  • Sales Training
  • Client acquisition
  • Sales management
  • Operations Management
  • Territory Management
  • Decision-Making
  • Relationship Building
  • Microsoft Office
  • Staff Management
  • MS Office Suite
  • Strategic Planning
  • Customer Relationship Management (CRM)
  • Performance Evaluations
  • Staff Monitoring
  • Calendar Management
  • Business Objective Analysis
  • Budgeting and Allocation
  • Corporate Communication
  • Promotional Events
  • Corporate Communications
  • Budgeting and Allocation 
  • Team Recruiting and Hiring
  • Price Structuring

Timeline

Territory Manager - Market Development

Medicaid Done Right LLC.
05.2020 - Current

Credentialing Specialist

Valley Community Services Board
01.2011 - 05.2020

Director of Transportation

Valley Community Services Board
01.2011 - 05.2020

Client Services Manager

Valley Community Services Board
01.2011 - 05.2020

Reimbursement Manager

Valley Community Services Board
01.2011 - 05.2020

Residential Supervisor

Gemeinschaft Home
07.2008 - 01.2011

Store Manager

Rite Aid Pharmacy
06.2000 - 07.2008

No Degree - Business Mangement

Blue Ridge Community College
Stephanie Loveless- Price