Anthony Ta Email & Phone Number

Abington, MA, US

Boston, Massachusetts, United States

• Serve as the Key Contact and primary interface for designated integrated care plans.
• Develop productive relationships with integrated care plan key contacts, and provide technical support and assistance as needed to plans.
• Review plan marketing material submissions, annual benefits material submissions, audit materials, and other required materials as needed.
• Handle member and other external inquiries and concerns effectively and with compassion.
• Monitor the performance of integrated care plans to ensure compliance with contractual requirements including, but not limited to, all contractual reporting requirements, grievance and appeals processes, and the.
• Use quality, financial and other performance data to monitor and manage assigned integrated care plans toward improved performance and member outcomes.

Quincy, Massachusetts

• Supervision of Program Coordinators to ensure resolution of all transportation claims denials, incidents, and complaints are resolved in a timely manner.
• Responsible for collecting, analyzing, and reporting data on costs and operations, preparing annual cost and trip projections based on prior years data, identifying operational process improvement opportunities and.
• Provide management guidance in the development and implementation of new transportation policies and procedures relating to the delivery of transportation to MassHealth members and other state agencies as needed.
• Provide policy guidance on MassHealth non-emergency Transportation Brokerage contracts with contracted regional transit authorities (RTAs); recommend process improvement opportunities and implementation strategies and.
• Handle escalated member and RTA issues regarding member eligibility, scheduling, complaints, and claims.
• Work in collaboration with the HST Brokerage Operations Manager and the Transportation Manager on operation, policy, program and management issues; and preparation of position papers on HST priorities, strategies, and.

Boston, MA

Greater Boston Area

• Recipient of the MAXIMUS, Inc. CEO Excellence Award in July 2013; a corporate award for employees who demonstrate excellence in delivering quality, profitability and growth, and demonstrate exceptional leadership.
• Manage Call Center staff within the Transportation unit. Including, shift schedule, interviewing and hiring, salary reviews, performance, quarterly bonus evaluations, disciplinary action and training.
• Manage preparation of appeal materials, including representing MassHealth in telephonic Transportation Appeal hearings.
• Research, and efficiently resolve escalated member and provider Transportation issues
• Responsible for daily workflow assignments/rotations, peer to peer training, employee vacation approvals, and shift rotations
• Handle escalated member and provider issue and education calls members

Analyze, research, and efficiently resolve member and provider Transportation Prior Authorization issues.Educate members, providers and Customer Service Representatives in State Regulations, verification requirements, policies and procedures.Review Prescription for Transportation (PT-1) forms, requests for personal reimbursement for medical transportation.

Responsible for shift schedule to include: daily workflow assignments/rotations, employee training, employee vacations, employee breaks, back up for absent employees, and shift rotations. Analyze, research, and efficiently resolve member and provider Transportation Prior Authorization issues.Educate members, providers and Customer Service Representatives.

Receive, and respond to incoming member and provider telephone calls.Analyze, research and efficiently resolve member and provider issues.Educate members in MassHealth eligibility standards, State regulations, verification requirements, policies and procedures.Review claim inquiries, monthly premiums, and Managed Care enrollment.Educate, and escalate.

Receive, and respond to incoming member and provider telephone calls.Analyze, research and efficiently resolve member and provider issues.Educate members in MassHealth eligibility standards, State regulations, verification requirements, policies and procedures.Review claim inquiries, monthly premiums, and Managed Care enrollment. Educate, and escalate.

Quincy, Massachusetts, United States

Institutional Trading - Incoming WiresReceive, monitor, and process routine income wire transactions requested by clients and/or brokers, and dealers.Performing first, and second line Quality Assurance on all department processed transactions.Research, and resolve routine-processing problems as needed; communicate daily with management regarding daily work.

Process routine transactions.Operate an imaging workstation and enter new accounts, cash transactions, maintenances and other type of transactions.Assist Customer Service department in resolving customer inquiries.Quality assurance for all department transactions, and reconciliation.Research and resolve routine problems as needed.Complete necessary forms.

Associate'S Degree (Anticipated), Business Administration And Management, General

Education record