Amanda Caplinger Email & Phone Number

Responsible for the timely and accurate creation and distribution of official CMS required notifications and letters related to approvals, denials, and QIO appeals.▪ Scheduling of Peer-to-Peer review phone conferences between Requesting Physicians and Humana’s Reviewing Medical Directors.▪ Receipt and routing of clinical documentation for active clinical authorizations for utilization review in CGX 2.0.

Incorporated learning through balanced schedules including play, rest, learning activities, and various age-appropriate outings.▪ Communicated with children's parents or guardians about daily activities, behaviors and related issues.▪ Minimized spread of germs with thorough cleaning and sanitizing.

▪ Inventory management through routine cycle counts and audits.▪ Cost reduction through effective use of Lean and Six Sigma principles.▪ Support HR and payroll using Kronos systems.▪ Evaluation and execution of production plans and strategies based on customer demand.▪ Documentation and reporting of productivity.▪ Completion of scheduled inspections.

▪ Systematic review and collection of aging accounts.▪ Daily processing of invoices, cash, and wire deposits.▪ Tracking of billing and payment activities.▪ Assistance with month-end account reconciliations.