Anna M. Email & Phone Number

San Diego Metropolitan Area

• Implementing methods to evaluate products and services
• Ensuring that products and services adhere to quality standards
• Preparing reports by collecting, analyzing and summarizing data
• Working according to deadlines for the delivery of products
• Training and managing service line staff in production practices to ensure the quality of the end work product
• Performing detailed and recorded inspections of final work product so it is up to industry and company standards

• Delegate assignments to support staff and adjunct units in order to keep projects on track
• Support appeal coordinators in finding and utilizing the correct appeals processes and other relevant information for cases that our clients send to us
• Interpret state and federal laws and regulations in order to assess health care providers’ and beneficiaries’ rights
• Utilize payer research, legal writing, denial templates and payer mapping to provide theinformation and tools necessary… Show more
• Utilize payer research, legal writing, denial templates and payer mapping to provide theinformation and tools necessary to advocate on behalf of hospitals to recover properpayment for the services they have rendered
• Determine and develop a process for how to best make our payer data available directly to consumers and health systems

Towson, Maryland

• Managed and maintaining a payer grid database, as well as client databases
• Gathered, researched, and compiled health insurance data and pertinent state laws and regulations for each of the fifty states
• Created Medicaid/CHIP summaries for each state in order to support/educate the sales team when interacting with prospective clients
• Compiled a copyright permissions database for appeal templates
• Made contact with publishing companies to negotiate copyright permissions
• … Show more