Theresa Bombardier
Summary
Resourceful Account Manager with excellent client oversight, issue resolution and relationship-building expertise. Ability to handle multiple projects simultaneously with a high degree of accuracy. Constantly looking for opportunities to seek professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Provider Relationship Account Manager
Anthem Blue Cross Blue Shield
09.2022 - Current
- Supporting all lines of business: Commercial, Medicaid, and Medicare.
- Point of Contact for Tier 1 and VIP providers across Nevada market.
- Conducting reoccurring meetings and JOCs .
- Taking ownership of escalations to diminish any barriers the provider may face.
- A proactive team player by engaging the necessary internal partners to resolutions.
- Built and strengthened long-lasting provider relationships
- Educate providers on new products or services to increase customer engagement with brand.
- Acts as a provider advocate while addressing concerns and identifying ways to improve existing relationship with Anthem.
Provider Service Unit II
Anthem Blue Cross Blue Shield
01.2020 - 01.2022
- Helped providers with first call resolution services, ensuring high levels of satisfaction.
- Serving the following Medicaid Market: Texas, Louisiana, Nevada, Iowa, Georgia, Tennessee, Washington, Arkansas, Nebraska, and Minnesota.
- Updating OHI, Adding Newborns, Benefits, Authorizations.
- Checking to see if CPT/HCPCS need precertification.
Medicaid & Medicare Credentialing Contractor
Regis University
03.2020 - 05.2023
- Enrolled providers with Colorado Medicaid and Medicare for Physical Therapy & Behavioral Health department.
- Received and evaluated applications to look for missing and inaccurate information.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Developed and implemented onboarding and self service tools for providers to contract with the state.
- Contracted with Regional Accountable Entity (RAE)
- Prepared records for site visits.
Personal Banker
U.S. Bank
05.2016 - 01.2020
- Assisted customers with setting up or closing accounts, completing loan applications, and signing up for new services.
- Cross-sold bank products and services to meet customer needs and provide options.
- Promoted financial products by maintaining excellent service offering knowledge.
Patient & Provider Coordinator
My Hearing Centers
03.2015 - 05.2016
- Scheduling and confirming appointments.
- Handling with benefits and eligibility for members prior to their appointments.
- Working with multiple insurance companies on claim escalations and payment disputes.
- Responsible for inventory, balances, and making deposits.
- Responsible for daily operations for three locations.
Education
Bachelor of Science - Health Administration
Regis University
Denver, CO05.2021
Skills
- Cross-Functional Collaboration
- Time Management
- Event Planning
- Account Management
- Overcoming Objections
- Strategic Planning
- Educational Materials
- Multitasking and Organization
Accomplishments
- Star of the West: October 2022 Anthem Blue Cross Blue Shield
- Nominated for Walter M. Imhoff Service to Others Award: May 2021 Regis University
- Deans List: May 2018-May 2021
Timeline
Provider Relationship Account Manager
Anthem Blue Cross Blue Shield
09.2022 - Current
Medicaid & Medicare Credentialing Contractor
Regis University
03.2020 - 05.2023
Provider Service Unit II
Anthem Blue Cross Blue Shield
01.2020 - 01.2022
Personal Banker
U.S. Bank
05.2016 - 01.2020
Patient & Provider Coordinator
My Hearing Centers
03.2015 - 05.2016
Bachelor of Science - Health Administration
Regis University
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