Experience

Your Hearing Network

• United States
• Wellness and Fitness Services
• 1 - 100 Employee

• Vice President Operations

  • Jul 2020 - Present

  • Oversee day to day company operations. • Define and implement operations strategies, structure and processes. • Manage the quarterly/annual budgeting process and P&L responsibilities • Monitor performance through KPI’s to identify opportunities for efficiency and develop solutions through process development and automaton. • Maintain a working knowledge of all phases of operations. • Coordinate support to operations throughout the business. • Interview, hire, train and mentor the operations management team. • Provide regular performance updates to the executive leadership team. Show less



Your Hearing Network (A William Demant Company)

• Somerset, New Jersey

• Director Of Operations

  • Apr 2016 - Jul 2020

  • Ensure that all of the company's major strategic operations initiatives are effectively achieved by holding managers accountable to the company strategic plan. • Oversee the development, maintenance and weekly updating of all project plans for all direct reports. • Conduct weekly conferences with all direct reports. • Collaborate with sales leadership to ensure strong and effective support of the company's sales efforts. • Interface with outside managed care plans, TPAs & others as required- in essence function as the vendor lead for the organization • Cross-functional lead on all internal communication & collaboration within the organization Show less



For Eyes

• Retail
• 200 - 300 Employee

• Director of Managed Vision Care

  • Apr 2012 - Apr 2016

  • Manage all aspects of the Vision Claims department including Plan Set Up, Benefits, Billing, Payment Posting and A/R research. • Manage the support of all locations via department hotline and Managed Care Helpdesk. • Develop manuals and training materials and lead field level trainings for over 120 locations. • Implemented electronic billing (EDI) for 20+ insurance companies. • Manage the integrity of cash data in the lockbox, as well as the resolution of all cash discrepancies and payment posting systems. • Analytical and supervisory responsibility for the payment posting functions and resolutions of cash discrepancies. • Develop financial reporting to become more efficient in daily cash management. • Manage the hiring and termination of all team members for a department of 16+ employees. • Develop discount programs to increase additional cash flow revenue through broker contacts and geographical proximity promotions. • Responsible for the review of all agreements for new and established partners to ensure favorability. • Negotiate reimbursements on behalf of the company to ensure optimal profitability. Show less



National Vision Administrators

• Manager Network Development / Provider Relations / Claims Auditing

  • Oct 2007 - Mar 2012

  • Responsible for overseeing high volume call center for network doctors. • Develop, execute, manage and perform provider claims auditing department. • Management of relationships with large chains such as Wal-Mart, JC Penny, Target, Sears, Macy’s etc. • Development of legal agreements and co-managed contract negotiations with all partners. • Developed department manuals and training courses for multiple departments within the corporation. • Directly responsible for overseeing and performing quality checks of the provider information entered daily into the AS400 network system. • Primary contact for Programming Department to develop system improvements and modifications for multiple departments. • Implementation of all new departmental workflow processes and changes. • Responsible for maintaining provider relationships and satisfaction. • Manage the recruitment of new providers to the NVA panel. • Identify and develop policies for national network with NVA’s Chief Optician. • Handle all escalated issues between member groups and providers, such as claims payment setups, benefit inquiries, patient out of pocket discrepancies, wholesale factors, A/R investigations, etc. Show less



MMF Systems Incorporated

• Assistant Vice President Customer Relations / Implementation Manager

  • Feb 2003 - Sep 2007

  Implement and manage a perioperative data collecting software and web-based program into numerous hospitals and medical centers throughout the United States.* Oversaw training of all hospital employees affiliated with the Operating Room (Hospital administrative staff, Surgeon office staff, Nurses, Anesthesiologists & Surgeons). Managed behavior modification projects to improve the compliance rate of all surgical affiliates.* Primary point of contact to consult on all process and business needs. Responsible for the hiring of all implementation associates. Managed Sales & Implementation of MMF's service to other non-surgical departments (radiology, endoscopy, cardiac cath lab Show less



Keyspan Energy Services

• Field Customer Service Representative

  • Jan 2002 - Jan 2003

  Worked with an emergency unit to prevent the leakage of natural gas. Interacted with a diverse group of customers out on the field. Ensured customer satisfaction through the maintenance of all public safety protocols regarding hazardous materials.* Worked with an emergency unit to prevent the leakage of natural gas. Interacted with a diverse group of customers out on the field. Ensured customer satisfaction through the maintenance of all public safety protocols regarding hazardous materials.*