Experience

MDwise, Inc.

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Provider Relations Representative II

  • Aug 2022 - Present



IU Healh Plans

• Indianapolis, Indiana

• Team Lead of Member Services

  • Oct 2018 - Aug 2022



DXC Technology

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Provider Relations Consultant

  • Nov 2017 - Oct 2018



MDwise, Inc.

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Claims Trainer

  • Aug 2016 - Nov 2017

  Design, organize and deliver training curriculums for the Claims Research Department *Conduct the Claims Research portion of the New Employee Orientation for Claims Research staff *Administer ongoing training to existing Claims Research staff *Develop knowledge of programs, policies and procedures, and training requirements *Analyze departmental and individual educational and training needs to existing programs *Develop training manuals and other educational materials *Develop tracking system for all Claims research activities. *Miscellaneous duties as needed Show less



Hewlett Packard Enterprise

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Provider Relations Consultant

  • Mar 2007 - Aug 2016

  Claims Team Lead (2010-2012) /Provider Relations Consultant (2012-current) *Process and research Medicaid Claims *Train new team members on processing claims *Distribute work to team members *Update the IHCP Provider Manual *Adjust both non-check and check related claims *Complete adjustments inventory/production spreadsheets *Compile monthly status reports *Complete Mass Adjustments/Reprocessing request *Complete daily/monthly Quality reviews *Subject Matter Expert for special projects *Conduct customer and association meetings as requested by the Family and Social Services Administration and the Operational verification & validation agent *Plan & Execute quarterly and annual workshops conducted by Indiana Health Coverage Program *Service providers in designated territory Show less