Experience

C2C Solutions, Inc.

• United States
• 1 - 100 Employee

• Quality Coordinator II

  • Jan 2019 - Present

• Quality Manager

  • Mar 2013 - Present



C2C Innovative Solutions, Inc.

• Production And Quality Manager

  • Mar 2013 - Present

  Provide leadership to employees in support of accurate and timely processing of appeals. Hold regular team meetings. Ensure decision makers adjudicate cases timely and accurately. Responsible for the development of a cohesive team and for providing mentoring, coaching and leadership in the development of the staff. Continually improve processes to improve efficiency and control unit cost. Plan and forecast workloads and resources. Use data analysis to identify problems, trends and improvement opportunities. In addition, my role in Quality serves to perform monthly quality audits for C2C DME employees. Conduct training and meetings with all personnel involved in the appeals process. Perform continuous improvement practices for the appeals process. Train new and existing employees to help ensure accurate decisions are made in accordance with Medicare policy, guidelines, protocols, regulations, and medical evidence. Show less

• Production And Quality Manager

  • Mar 2013 - Present

  Provide leadership to employees in support of accurate and timely processing of appeals. Hold regular team meetings. Ensure decision makers adjudicate cases timely and accurately. Responsible for the development of a cohesive team and for providing mentoring, coaching and leadership in the development of the staff. Continually improve processes to improve efficiency and control unit cost. Plan and forecast workloads and resources. Use data analysis to identify problems, trends and improvement opportunities. In addition, my role in Quality serves to perform monthly quality audits for C2C DME employees. Conduct training and meetings with all personnel involved in the appeals process. Perform continuous improvement practices for the appeals process. Train new and existing employees to help ensure accurate decisions are made in accordance with Medicare policy, guidelines, protocols, regulations, and medical evidence. Show less



The Scooter Store

• Home Care Intake Coordinator

  • Nov 2008 - Mar 2013

  This was not an employer This was not an employer



Lincare

• Healthcare Specialist

  • Jan 2004 - Sep 2008

  Managed Care billing of claims, including processing appeals, submission of claims, contract billing. Customer support that includes explanation of charges and determination of financial hardships Excellent communication, organizational and analytical skills. Intake, upkeep and log of products. Extensive knowledge of DME billing of many Managed Care organizations Managed Care billing of claims, including processing appeals, submission of claims, contract billing. Customer support that includes explanation of charges and determination of financial hardships Excellent communication, organizational and analytical skills. Intake, upkeep and log of products. Extensive knowledge of DME billing of many Managed Care organizations



Central Texas Medical Center

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

• RCP

  • Sep 2000 - May 2004

  Provide respiratory therapy to patients in a 80 bed hospital. Assist nurses and physicians in a fast paced setting, including ER, ICU and Main Floors Provide education of respiratory diseases to the pulmonary patient Provide respiratory therapy to patients in a 80 bed hospital. Assist nurses and physicians in a fast paced setting, including ER, ICU and Main Floors Provide education of respiratory diseases to the pulmonary patient



CHRISTUS Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Respiratory Therapist PRN

  • Jul 1998 - Mar 2000

  Provide respiratory therapy to Floor Patients in a 200 plus childrens hospital Provide respiratory therapy ordered by physicians with included education on the Pulmonary system Work in a fast paced hospital setting with high stress that demanded for physical and mental ability for Critical Thinking Provide respiratory therapy to Floor Patients in a 200 plus childrens hospital Provide respiratory therapy ordered by physicians with included education on the Pulmonary system Work in a fast paced hospital setting with high stress that demanded for physical and mental ability for Critical Thinking