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Calvin Muse personal email
Calvin Muse is a Operations Supervisor at PAN Foundation.
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Operations SupervisorPan Foundation Jan 2021 - PresentWashington, District Of Columbia, United States -
Reimbursement Case ManagerCaremetx, Llc Aug 2018 - Apr 2021Bethesda, Maryland, United States -
Assistant Manager OperationsAmerisourcebergen Feb 2017 - Jun 2018Rockville Md• Works with manager to support the client needs and contract requirement and identifies client issue • Compiles and provides a wide range of routine reports related to program management and clients • Analyze reports for trends and offer recommendations • Provides day-to-day instruction to team members on job responsibilities • Reviews and approves timesheets • Implements initiatives to support smooth operation of the team • Conduct performance reviews and facilitate team meetings • Determines appropriate staffing needs for program operations and manage phone schedules; implement procedures to ensure that team is meeting client requirement • Helps associates resolve associate work-related issues • Searches for new opportunities to service clients • May identify new approaches to enhance current service • Trains new and current team members on programs; addresses team members' program questions • Identifies individual as well as group training needs and appropriately address training gaps • Supports new associates in their efforts for growth and development • Assists in ensuring program quality and compliance with SOPs -
Reimbursement Case ManagerCaremetx, Llc Aug 2015 - Feb 2017Bethesda , Md• Acts as single point of contact and voice for all providers, patient and product/sales team • Serve as a patient advocate and enhances the collaborative relationship between the payer, provider and patient • Coordinate access to therapies, conducts appropriate follow up and facilitates access to appropriate support services • Manages a regional case load • Collect and review all patient insurance benefit information, to the degree authorized by SOP of the program. • Provide assistance to physician office staff and patients to complete and submit all necessary insurance forms and program application in a timely manner. • Track and follow up on prior authorization and appeal request when necessary. • Provide exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalate complaints accordingly. • Report any reimbursement trends/delays to supervisor • Communicate effectively with payers to ensure accurate and timely benefit investigations • Work on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgement within defined SOP to determine appropriate action. -
Financial Compliance RepresentativeAdventist Healthcare Jul 2014 - Jul 2015Rockville, Md• Assists with patient’s registration, admission, financial clearance, and cash collection for provided services. • Ensures expedient payment of hospital bills, by verifying information gathered during registration/admission process is accurately presented to third-party payers or guarantors, and minimizes errors that would result in penalties or other delays in payments to hospital. • Verify eligibility benefits and obtain insurance prior authorizations. -
Operations SupervisorCovance May 2004 - Feb 2014
Calvin Muse Education Details
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Health Services Administration
Frequently Asked Questions about Calvin Muse
What company does Calvin Muse work for?
Calvin Muse works for Pan Foundation
What is Calvin Muse's role at the current company?
Calvin Muse's current role is Operations Supervisor.
What is Calvin Muse's email address?
Calvin Muse's email address is cm****@****ion.org
What schools did Calvin Muse attend?
Calvin Muse attended University Of Maryland Global Campus.
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