Anthony Tobine

Anthony Tobine Email and Phone Number

Managed Care, Provider Data Specialist at Phoenix Children's Hospital @ Phoenix Children's Hospital
Anthony Tobine's Location
Los Angeles, California, United States, United States
Anthony Tobine's Contact Details

Anthony Tobine personal email

n/a
About Anthony Tobine

Experienced Provider Network Coordinator demonstrated history of working in the hospital health care industry. Skilled in U.S. Health Insurance Portability and Accountability Act (HIPAA), Healthcare Information Technology (HIT), Healthcare, Healthcare Management, and Microsoft Excel. Strong community and social services professional with a bachelors degree in Business Management with emphasis and certification in Project Management.

Anthony Tobine's Current Company Details
Phoenix Children's Hospital

Phoenix Children'S Hospital

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Managed Care, Provider Data Specialist at Phoenix Children's Hospital
Anthony Tobine Work Experience Details
  • Phoenix Children'S Hospital
    Senior Provider Data Specialist- Remote
    Phoenix Children'S Hospital Dec 2018 - Present
    Phoenix, Arizona, United States
    -Direct point of contact for all providers within the PCH provider network-Collect all credentialing and other data as needed to enroll PCH providers-Primary credentialing contact for providers within the PCH network-Identify gaps, discrepancies with data and to ensure no adverse impacts -Manage tracking of follow ups and communications with providers/insurers-Act as a customer service steward to ensure providers are satisfied. -Establish and maintain strong working partnerships with senior management and all medical staff -Manage and establish new procedures and processes for efficiency gains in work process.-Claim resolution and unpaid claim issues.-Healthcare project management and efficiency process management.
  • Healthnet Of Arizona
    Provider Network Coordinator
    Healthnet Of Arizona Nov 2015 - Sep 2016
    Phoenix, Arizona Area
    • Manage provider data according to departmental process and procedures.• Research and reconcile data from multiple data sources to ensure accurate provider detail payee entry.• Responsible for maintaining accuracy and timeliness of data entry and distribution of reporting. • Manage provider office relationships to ensure accurate provider information.• Inquiry Service Form subject matter expert for Tempe office personnel• Conduct internal audits for rejection population and research and determine root cause of gap in process. • Provider liaison and customer service issue analysis when applicable. • Maintain provider databases, including data entry, maintenance of records and files and distribution of materials to Provider Network staff. • Working knowledge and trainer of ABS, NCTS, MACESS, NDS systems.• Facilitate and assist with special projects as assigned by department manager. • Manage external correspondence letters to providers based on eligibility to contract with HealthNet.
  • Centene Corporation
    Provider Relations Specialist
    Centene Corporation Nov 2015 - Sep 2016
    Tempe, Arizona
    • Manage provider data according to departmental process and procedures.• Research and reconcile data from multiple data sources to ensure accurate provider detail payee entry.• Responsible for maintaining accuracy and timeliness of data entry and distribution of reporting. • Manage provider office relationships to ensure accurate provider information.• Inquiry Service Form subject matter expert for Tempe office personnel• Conduct internal audits for rejection population and research and determine root cause of gap in process. • Provider liaison and customer service issue analysis when applicable. • Maintain provider databases, including data entry, maintenance of records and files and distribution of materials to Provider Network staff. • Working knowledge and trainer of ABS, NCTS, MACESS, NDS systems.• Facilitate and assist with special projects as assigned by department manager. • Manage external correspondence letters to providers based on eligibility to contract with HealthNet.
  • Scottsdale Healthcare Is Now Honorhealth
    Environmental Services
    Scottsdale Healthcare Is Now Honorhealth Jul 2014 - Feb 2015
    Scottsdale Arizona
    • Liaison between facilities and medical staff within the hospital operations.• Drive discipline and consistency in the execution of the enterprise cleanliness model.• Act as a customer service steward to ensure patients are satisfied and have what they require. • Establish and maintain strong working partnerships with senior management and all medical staff. • Manage facilities office and ensure inventory levels are meeting the required supplies levels at any given time for full hospital capacity.
  • Sonora Quest Laboratories/ Laboratory Sciences Of Arizona
    Specimen Prep Tech
    Sonora Quest Laboratories/ Laboratory Sciences Of Arizona Dec 2013 - Jul 2014
    Tempe Arizona
    • Manage incoming specimen sorting by department for testing• Process data entry of specimen files for testing and chargeback to insurance carrier• Ensure adherence to service level agreement to ensure timely insurance communication and turnaround for medical companies. • Ensure quality and attention to detail• Manage specimen disbursement to up-stream and down-stream departments when separate processes are required.
  • Monadnock Community Hospital
    Environmental Services Tech
    Monadnock Community Hospital Jan 2011 - Oct 2013
    Peterborough New Hampshire
    • Inventory management ensuring appropriate levels of supplies on hand for optimal capacity. • Evaluate and drive effective execution of the facilities management operating model. • Act as a relationship liaison with patients to ensure customer satisfaction with patients in all departments.• Maintain working partnerships with all departments and ensure all specific requirements are met by department (i.e. ICU supplies checked hourly etc.)• Data entry into procurement system for ordering of supplies and accounts payable transfer. • Ensure all Service Level Agreements (SLA) are met daily and hold night shift team accountable for inventory levels and SLA’s.

Anthony Tobine Skills

Healthcare Hospitals Healthcare Management Healthcare Information Technology Customer Service Patient Safety Microsoft Excel Hipaa Medical Terminology Data Analysis Microsoft Access Powerpoint Electronic Medical Record Provider Network Development Data Management Data Entry Health Insurance Managed Care Provider Relations Provider Enrollment Provider Networks Credentialing

Anthony Tobine Education Details

Frequently Asked Questions about Anthony Tobine

What company does Anthony Tobine work for?

Anthony Tobine works for Phoenix Children's Hospital

What is Anthony Tobine's role at the current company?

Anthony Tobine's current role is Managed Care, Provider Data Specialist at Phoenix Children's Hospital.

What is Anthony Tobine's email address?

Anthony Tobine's email address is an****@****lth.com

What schools did Anthony Tobine attend?

Anthony Tobine attended University Of Phoenix, Belmont High School.

What are some of Anthony Tobine's interests?

Anthony Tobine has interest in Health, Environment, Economic Empowerment.

What skills is Anthony Tobine known for?

Anthony Tobine has skills like Healthcare, Hospitals, Healthcare Management, Healthcare Information Technology, Customer Service, Patient Safety, Microsoft Excel, Hipaa, Medical Terminology, Data Analysis, Microsoft Access, Powerpoint.

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