Barbara Herrera Email & Phone Number

Sunrise, Florida, United States

Sunrise, Florida, United States

Servicing solely P4P and Shared Savings/Risk Groups [~50], Large and Delegated Groups [Specialists, Hospitals]. P4P servicing includes analyzing and reviewing monthly HEDIS reports. Shared Savings/Risk servicing includes analyzing and review monthly HEDIS reports and financials. Project management. Collaborations with all other departments. Collaborator for department presentations.

Sunrise, Fl

Servicing in-network providers (primary care including P4P groups, specialists, ancillary): Contracting, Credentialing Submission, System Updates. Assisting other departments with provider-related matters, included emergent issues. P4P servicing includes analyzing and reviewing monthly HEDIS reports. Training onboarding personnel.

Sunrise, Fl

Supporting 2-3 Provider Operations Representatives and/or Contract Negotiators with contract processing and data loading to Epic. Provider Operations Hotline, routing calls and servicing non-participating providers and vendors. Provider Medicaid verification and auditing. Letters of Agreement. Training of new coordinators. Participated in process improvement projects. Responsible for monthly department committee presentation creation. Responsible for daily department operations reporting.

Sunrise, Fl

Customer Service Agent assisting members, providers, and vendors obtain benefits, eligibility, and status of claims and authorizations.

Florida, United States

Managed internal team of 6, supporting external team of 8 stationed a various local car dealerships. Insurance Agent [220] writing auto, home and business policies. Collaborating with underwriters.Closely collaborated with ownership for operations support.