William H. work email
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William H. personal email
Core Competencies:- Chapter 11 Bankruptcy- Denials Prevention - Facility & Pro-Free Claims Management- Gov’t, Non-Gov’t & Commercial Billing- Health Information Management - Lean Six Sigma- Patient Access - Provider Disputes & Appeals- Individual & Group Health Insurance UnderwritingCredentials include:Certified Specialist Managed Care (CSMC) – 03/2021,Prior Authorization Certified Specialist (PACS) – 03/2021,Certified Specialist Physician Practice Management (CSPPM) – 06/2021
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Sales AgentNew York LifeNew York, Ny, Us -
Sales AgentNew York Life Oct 2024 - PresentManhattan, New York, United States -
Underwriting AnalystPrestigepeo Dec 2023 - Sep 2024Melville, New York, United States- Hired as PrestigePEO’s first in-house, group health insurance underwriter- Full-cycle, KPI build out for group health insurance underwriting in Salesforce for PrestigePEO- Establish and reinforce best underwriting practices that align with carrier guidelines (Aetna, Oxford, UHC)- Conduct post enrollment audits across all three books of business for PrestigePEO -
FreelancerSol De Janeiro May 2023 - Nov 2023New York City Metropolitan Area- Selected as part of the premiere cohort of ambassadors for Sol de Janeiro- Educate the customer on product functions, method of preparation, and how to achieve optimal results - Promote special sales, offers and awareness of brand loyalty -
Health Insurance UnderwriterJustworks Nov 2021 - Nov 2023New York, New York, United States- Grow book of business through ethical, underwriting financial models - Support Justworks’ Sales team and brokers in renewals process- Produce timely and accurate client-specific proposals -
AuditorAdvize Mar 2022 - Sep 2022Remote*Per Diem Role*- Medicaid Home & Community Based Services (HCBS) & Long-Term Support Services (LTSS) audits of 2000 records between 3 states - Built and implemented client-specific Microsoft Excel VBA’s for both HCBS & LTSS audits -
Underwriter, Medicare AdvantageHealthcare Support Aug 2021 - Nov 2021New York, New York, United States- Utilize UnitedHealthcare’s underwriting criteria and policies to provide rating methodologies for AARP Medicare beneficiaries in all 50 states and U.S. territories- Validate beneficiary renewals and request for proposals for accuracy- Daily applicant triage and review of CPT, HCPCS, ICD-10, ICD-9 and pharmacy drugs -
Patient Financial ServicesVerity Health System Mar 2015 - Jun 2021Daly City, California, United States- Managed end-to-end revenue cycle before/after Chapter 11 bankruptcy for a six-hospital system alongside executives and C-Suite.- Exceeded cash goals by 10% through accelerated insurance follow-up and collections.- Spearheaded DNFB (Discharged Not Final Billed) by coordinating with ancillary departments, reducing bill holds by $10M in 2 months.- Executed underpayment project, payment variances estimating $56M.- Posted all manual/electronic payments, contractual adjustments, bad debt reports, charitycare/self-pay adjustments and, rejections to patient accounts. -
Managed Care AnalystVerity Health System Oct 2018 - Jul 2019San Jose, California, United States- Streamline revenue cycle before/after Chapter 11 bankruptcy for Verity Medical Foundation, comprised of over 300+ physicians across Northern & Southern CA.- Examined denied and underpaid claims to determine root cause(s).- Audited provider disputes and appeals for ICE and DMHC compliance.
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Mpi SpecialistVerity Health System Jul 2018 - Oct 2018Daly City, California, United StatesMPI Specialist for Verity Medical Foundation:- Audited duplicate records in the Master Patient Index.- Merged records using data migration applications.- Updated patient demographics in MPI with adherence to policies and procedures.
William H. Skills
William H. Education Details
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Lean Six Sigma Green Belt
Frequently Asked Questions about William H.
What company does William H. work for?
William H. works for New York Life
What is William H.'s role at the current company?
William H.'s current role is Sales Agent.
What is William H.'s email address?
William H.'s email address is bi****@****rom.com
What schools did William H. attend?
William H. attended Purdue University, Abraham Lincoln High School.
What are some of William H.'s interests?
William H. has interest in Civil Rights And Social Action, Politics, Education, Poverty Alleviation, Human Rights, Arts And Culture, Health.
What skills is William H. known for?
William H. has skills like Sales, Makeup Artistry, Fragrance, Public Speaking, Improvisation, Cosmetics, Microsoft Word, Microsoft Excel, Social Media, Customer Service, Event Planning, Powerpoint.
Not the William H. you were looking for?
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William H.
Lead Design Engineer At Airbus | Innovating Fuel-Efficient Solutions For The A320Neo | Expertise In Aerodynamic Enhancements And Emissions ReductionLos Angeles, Ca -
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