Anderson Perez Email and Phone Number
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Anderson Perez is a Regional ValueBased Sr Manager at Molina Healthcare. They possess expertise in healthcare management, healthcare, hipaa, managed care, hospitals and 21 more skills. They is proficient in English and Spanish.
Molina Healthcare
View- Website:
- molinahealthcare.com
- Employees:
- 17057
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Regional Valuebased Sr ManagerMolina HealthcareNew York, Ny, Us
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Value Based Contracting ManagerEmblemhealth Nov 2020 - PresentNew York, New York, United States -
District Manager Market Development Medicaid And MedicareHealthfirst Oct 2018 - Sep 2020 -
District Manager Facilitated EnrollmentHealthfirst Nov 2016 - Oct 2018New York, New York
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Ancillary Services ContractorHealthfirst Nov 2014 - Nov 2016New YorkComplete company projects-Establishing relationships with LICHSA providers-Proficient in MHS, Macess, and CCMS-Creating provider workshops/trainings for educational purposes.-Negotiating rates for contracting providers and rate increases -Educate agencies on billing guidelines and authorization request.-Keep provider profiles updated with new DOH laws-Settlements negotiations-Research claim denials and review claims projects-Audit LICHSA setups - Webinars and trainings to educate LICHSA on all company policies and procedures and billing- ICD10 project lead for network management. -ICD10 education to provider network and colleagues.-Claims project review and find the root cause of the problem to avoid future claim denials.-Manage top 3 Pca providers accounts.
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Network Management Account Executive For Community And Corinthian IpaHealthfirst Aug 2013 - Nov 2014New York Ny-Assist medical provider with issues, complaints or denials-Contracting providers into the Health first network to make it more accessible for our members and detailed new provider orientation with health first expectations.-Educate provider on Health first portal, new products, new insurance laws, -Keep providers files updated for state audits-Assist providers with claim denials and appeals.-Help providers meet company goals by assisting them with needed information.-Create analysis for provider rate increases and provide recommendations for providers.-Contract negotiations for new providers.-Assist providers on reaching the maximum potential in their quality scores and educating providers on needs to exceed the potential.-Surplus presentation to Corinthian Medical IPA-Establishing relationships with community providers as well as IPA.-Proficient in MHS, Macess, and On Contact-Creating provider workshops/trainings for educational purposes.
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Physician LiaisonDoshi Diagnostic Imaging Feb 2011 - Aug 2013Bronx, NyPromotion from clerical to Marketer due to excellent performance as a clericalCreate connection between company and doctors officeMeet monthly personal revenue goalsEducated physicians and employees in doctors’ office on what is necessary to meet the required insurance needsMeet sites monthly goalDiscuss business contracts with doctors to work with the businessAuthorize exams through insurancesPerform excellent customer service and patient care
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Peer Educator And Data EntryAlianza Dominicana Inc Dec 2008 - Jan 2011Peer Educator and Data Entry/HOPE Program Received participants at the front desk, evaluate their need and refer them to the Case ManagerPromoted education campaign and educate participants to prevent HIVMaintained participants sign in and sign out sheetAssisted Case Manager in finding and connecting participants with community resourcesActed as positive role model to encourage participants to achieve their goals Collected, sort and verify the accuracy of data to be entered into the databaseCorrected any discrepancies foundInputted revised data into the databaseMaintained log of activities and completed workOrganized and file completed records in a safe place
Anderson Perez Skills
Anderson Perez Education Details
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Lehman CollegeBusiness/Business Management -
Business/General Management -
New Explorers High SchoolHigh School Diploma
Frequently Asked Questions about Anderson Perez
What company does Anderson Perez work for?
Anderson Perez works for Molina Healthcare
What is Anderson Perez's role at the current company?
Anderson Perez's current role is Regional ValueBased Sr Manager.
What is Anderson Perez's email address?
Anderson Perez's email address is an****@****rst.org
What schools did Anderson Perez attend?
Anderson Perez attended Lehman College, Bloomfield College, New Explorers High School.
What are some of Anderson Perez's interests?
Anderson Perez has interest in Social Services.
What skills is Anderson Perez known for?
Anderson Perez has skills like Healthcare Management, Healthcare, Hipaa, Managed Care, Hospitals, Data Entry, Management, Outlook, Contract Negotiation, Customer Service, Bilingual Communications, Public Relations.
Who are Anderson Perez's colleagues?
Anderson Perez's colleagues are Miriam Favela, Gloria August- Jones, Manikanta P, Erin Davis, Kristina Powell, Tejveer Singh, Denys Bezman.
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1valenciacollege.edu
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