Angela Shay-Rivera Email & Phone Number

San Francisco Bay Area

Portland, Oregon Area

• Serve as the point of contact for Providence Medical Group clinics going cashless. Assisted in the creation of the alternate payment policy pilot, created surveys, and participated in the analysis of results. Acted as.
• Effective collaboration and communication with staff including members of the SLT and clinical departments to identify and resolve problems and ensure complex projects were completed on time.
• Plan, organize, book and handle all aspects of the 29 Medicare 101 classes in 4-locations throughout Oregon, including advertising design, database analysis, distribution and registration management.
• Design reference materials distributed to all medical groups such as Well-Child Visits, Ocular Photo screening and Adult Vaccinations as related to major insurances.
• Assist clinics as needed with insurance questions, problem-solving, patient outstanding debt and financial assistance; assign various projects as needed by revenue director.
• Acted as a centralized insurance expert for all facets of the Providence organization, including executive leadership team, directors from all departments, and clinic staff.

Portland, Oregon Area

• Created training materials (e.g., workflows, job aids, and webinars) and provided trainings to providers and clinical support staff.
• Provided guides for authorization/referral processes and for using estimates in Epic, help isolate registration errors and real-time eligibility (RTE) errors in Epic to reduce denials.
• Performed operational and clinical data analysis and interpretation to advise supervision leadership in their decision- making.
• Handled the direct interaction with patients and their families during difficult times, providing financial, insurance and payment information to assist them in planning and managing their account balances.
• Worked to resolve billing concerns from patients at the clinics including patient account inquiries and resolving patient complaints.
• Served as the primary resource to facility managers, supervisors, and staff for Insurance and business office inquiries and/or issues.

Portland, Oregon Area

• Made liability decisions through scene investigations and interviewing customers, claimants and witnesses.
• Partnered with appraisers and estimators to manage vehicle repairs.
• Negotiated with customers and other insurance carriers.
• Organized, planned, prioritized, and problem solved to ensure that goals are met and claims are closed in a timely manner.
• Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Documented all information gathered field and uploaded data to company database for efficient processing.

San Francisco Bay Area

• Prepared for appointments, provided marketing and quote information to clients, responded to client inquiries and administrative questions.
• Managed phone calls and walk-in clients, ordered supplies and processed expenses.
• Opened, closed and transferred accounts, processed trades and other transactions, processed retirement and/or estate accounts.
• Handled marketing mailings, and implemented client seminars.
• Processed Insurance, Long term Care and Life Insurance paperwork as well as follow-up to contract completion.
• Developed and implemented marketing plans, special promotions and customer relations events.