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Experience

    • United States
    • Non-profit Organizations
    • 1 - 100 Employee
    • Membership Coordinator
      • Dec 2019 - Present
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Regional Director
      • Jan 2009 - Dec 2019

      Responsible for managing organization development initiatives throughout the organization. Plan, develop, and implement programs to promote the company. Developed and implementing community outreach programs, including social & community awareness incentives. • Oversee multi-locations, business development, negotiate contracts for incoming business. Develop regional strategic plans, utilizing feedback from officers, committee members' and consumers. Develop and implement policies and procedures standards. Monitor compliance and consumers satisfaction •Conduct regional self‐evaluation (report card) quarterly to determine the best method for providing services •Provide on-going formal and informal employee's evaluation with input from consumers/representative based on agreed-upon position descriptions, performance expectations, and assigned duties. •Assure that personnel policies are implemented and understood by all staff Show less

    • Representative & Credentialing Coordinator
      • Jan 2007 - Feb 2011

      Communicating contract specifications to corporate staff as well as coordinate contract requirements and monitor compliance. •Verify provider's credentials •Enter provider's data into the CAQH database •Bring up to date, all Contract Services forms from paper-based to electronic forms. •Perform database maintenance to adjudicate claims proficiently. •Complete and submit new provider applications to existing & new vendors. •Increase proficiency in enrolling providers in hospitals for staff privileges, surgery centers, health plans, as well as Medicare & Medicaid. •Update providers profile with Medicare and Medicaid. Show less

    • Case Coordinator Specialist
      • Sep 2005 - Jul 2007

      Monitored the physician reviewers' progress, track reports through the quality assurance process and communicates with clients and resolve any disputes. •Served as Team Lead for the case coordination unit. •Primary liaison to customers and ensured a consistently positive customer experience. Monitored the physician reviewers' progress, track reports through the quality assurance process and communicates with clients and resolve any disputes. •Served as Team Lead for the case coordination unit. •Primary liaison to customers and ensured a consistently positive customer experience.

Education

  • Arizona Institute of Business and Technology
    A.A, Business Administration
  • Ottawa University

Community

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