Sandra Medlin
Claims Call Center Manager at Health Plan of San Mateo (HPSM)- Claim this Profile
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Bio
Credentials
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The Six Morning Habits of High Performers
LinkedInMay, 2022- Nov, 2024 -
Communicating about Culturally Sensitive Issues
LinkedInApr, 2021- Nov, 2024
Experience
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Health Plan of San Mateo (HPSM)
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Claims Call Center Manager
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May 2022 - Present
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Claims Call Center Supervisor at Health Plan of San Mateo
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Dec 2018 - Present
Assist Claims Manager with the daily oversight of the Claims Call Center Staff. Monitor staff, appraising job results, coaching, counseling and implementing corrective action when required. Ensure departmental goals are met, assist Claims Manager develop policies and procedures, job aids, and/or desk top procedures. Recommend opportunities for improvement through trend analysis. Facilitate and document meetings.
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Community Health Center Network
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Claims Supervisor
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Feb 2016 - Dec 2018
Provide support to claims staff regarding claim issues. Evaluate professional skills of claim staff and provide appropriate claim assignments to them.Provide training, and mentoring. Interviewing, hiring and establishes performance development plan.Provides support, guidance, leadership and motivation to promote maximum performance.
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Claims Auditor
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Oct 2013 - Feb 2016
Responsible for quality auditing of the Claims Department. Behavior trending for inconsistencies. Provider dispute reprocessing and accuracy examinations.
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Quality Compliance Specialist
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Feb 2012 - Oct 2013
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Quality Improvement Specialist
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1999 - 2012
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Education
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2023 -
University of Phoenix
Bachelor of Science - BS, Business Administration, Management and Operations
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