Description
Career Summary Considerable knowledge of management practices and federal and state regulations for home medical equipment and medical supplies. Proficient in MS Outlook, MS Excel, MS Power Point, and MS Word., have managed a team of 28 employees with great success, achieving monthly, quarterly, and year end goals. Outstanding attention to detail, able to analyze data with the knowledge to identify trends immediately and have resolved quickly, experienced with Medicare, Medi-Cal, California Managed Care Health Plans, Medical Groups, IPA's, and Capitated Hospital risk. Utilize provider portals, in regards to eligibility/benefits, authorizations, and claims status. Byram Healthcare, Huntington Beach, CA - Manager - Insurance Verification-Reorder (Verification and Documentation) July 2015 - March 2018 Job Description Coordinate and perform activities associated with maintenance, development, and processes Daily team huddles, monthly team meetings to discuss progress, issues, and updates Utilizing data reports to identify and analyze trends that may prevent a delay in order releasing Verify customer benefits and eligibility via phone, website portal, and fax Develop training for direct reports to improve and increase productivity, provide coaching, and one on one's with staff Effectively manage and coordinate all activities relating to document submissions, e.g prescriptions and authorizations, ensure follow up is done in a timely manner, adherence to company processes Process and release orders using Byram's ERP system, achieve daily release target of 1100 orders Issued corrective actions, documented verbal coaching, and PIP's (performance improvement plans) Participate in the hiring and firing process as well as performance appraisals and merit increases
Work Experience
COMPANY | POSITION HELD | DATES WORKED |
---|---|---|
Home Medix Inc. | Operations Manager | 4/2005 - 10/2014 |