Catherine Class Email & Phone Number

Rutland, Ma, Us

Monitor, Maintain and Analyze Monthly Data Analytics and ReportingMonitor data flowing into reporting for accuracy and work with staff to remediate errorsTrain staff to use data tools such as SharePoint Lists and ExcelConduct monthly meetings with Clinical Leadership to review utilization reportingWork with leadership and ownership to evaluate data and reporting in order to increase efficiency and financial performanceApprove and Track Purchase Orders and Other Spending… Show more Monitor, Maintain and Analyze Monthly Data Analytics and ReportingMonitor data flowing into reporting for accuracy and work with staff to remediate errorsTrain staff to use data tools such as SharePoint Lists and ExcelConduct monthly meetings with Clinical Leadership to review utilization reportingWork with leadership and ownership to evaluate data and reporting in order to increase efficiency and financial performanceApprove and Track Purchase Orders and Other Spending Across the OrganizationApprove order requests for individual regions and locationsDeveloped internal process to track purchases and reconcile monthly statementsAnalyze trends in spending and income IT Administration Collaborate with IT to provide tier 1 IT support to staff across locationsManage all Teams, Distribution Lists and Groups within Microsoft 365Create and manage all company SharePoint pages and Shared Drives Manage IT vendorsMap technical specs for new locationsProvide Operational Support as a Subject Matter ExpertCollaborate with Director of Clinical Operations and CEO to develop operational processes and policiesCreate and maintain process and procedure documents Train operational staff across disciplines including Intake, Scheduling and HRProvide support to all operational teams during transitional periods Interim Human Resources Professional, May 2022- PresentProcess bi-weekly payrollMaintain benefits for full-time staffMonitor HR inbox and answer related questions and concerns Show less

Develop, Maintain, Analyze and Present Monthly Data Reporting Developed database using Microsoft SharePoint to track business performance across departments including Client Intake, Clinical Utilization, HR and SchedulingDeveloped and maintain interactive Reporting Dashboards using Microsoft Power BI to analyze data and present monthly reporting to ownershipWork directly with leadership and ownership to evaluate data and reporting in order to increase efficiency and financial… Show more Develop, Maintain, Analyze and Present Monthly Data Reporting Developed database using Microsoft SharePoint to track business performance across departments including Client Intake, Clinical Utilization, HR and SchedulingDeveloped and maintain interactive Reporting Dashboards using Microsoft Power BI to analyze data and present monthly reporting to ownershipWork directly with leadership and ownership to evaluate data and reporting in order to increase efficiency and financial performanceTrain Clinical Leadership to use interactive reporting dashboards to increase their efficiency and efficacy in managing clinical teams and performanceManage a Team of Administrative Staff including Client Intake Specialists, Schedulers, Client Outreach Coordinators and Human Resource professionalsLead weekly team meetings to ensure open and efficient communication between the administrative team, the clinical team and leadership Monitor staff performance and provide necessary coaching, mentoring and trainingCreate and maintain accurate process and procedure documentsKeep up to date with regulatory changes Interview incoming candidates and perform regular evaluations of current staffLead Process Improvement EffortsEvaluate potential process improvement initiativesUtilize technology to improvement efficiency in new and established processes Vendor ManagementMaintain relationships with vendors for billing, credentialing and program managementEscalate issues in a timely mannerCoordinate staff trainingEvaluate potential new vendors Assist the Director of Clinical Services and Director of Clinical Operations Provide support in the management of Clinical Staff including providing feedback and mentoringDevelop and execute contracts between Applied Behavior Institute and area school districts Assist in the interview of incoming candidatesProvided interim management and oversight of lower-level clinical staff Show less

• Provide Claims Subject Matter Expertise o Play a key role in the planning, testing and implementation of system updates, vendor solutions and process improvement projects.o Research and resolve escalated claim issueso Participate in daily meetings to manage, review and operationalize COVID-19 regulatory changes and lead Claims efforts to process and reprocess affected claims in accordance with new guidelines.• Manage a team of 4 Claim Examiners, a team of 3 Claim Quality… Show more • Provide Claims Subject Matter Expertise o Play a key role in the planning, testing and implementation of system updates, vendor solutions and process improvement projects.o Research and resolve escalated claim issueso Participate in daily meetings to manage, review and operationalize COVID-19 regulatory changes and lead Claims efforts to process and reprocess affected claims in accordance with new guidelines.• Manage a team of 4 Claim Examiners, a team of 3 Claim Quality Auditors and a team of 3 Payment Integrity Auditorso Lead monthly one-on-one and team meetings with staffo Monitor claim inventory, staff productivity and staff quality to ensure team and departmental goals are meto Coach, mentor and conduct performance management, as necessaryo Report on monthly departmental metricso Create, review and update process and procedure documentso Lead teams through multiple challenging transitions as a result of department re-organizationso Analyze data to make recommendations on staffing models and yearly budgets• Oversee Claim Quality Control processo Worked with developer to create a new QC database to pull claims for audit and store claim quality datao Lead the quality audit dispute process holding weekly meetings with the claims management team to review audit disputes and determine the appropriate outcomeo Work with Claim Quality Auditors to spot and act on trends in claim processing errors • Oversee Claim Payment Integrity processo Manage vendor relations with 5 payment integrity vendorso Monitor and report on monthly claims savings o Worked with staff to improve the negative balance recovery process resulting in a reduction in the open provider negative balance from over $1M to $600K. Show less

Worcester, Massachusetts

Supervisor for the Claims Specialist Team involved with high level claims processing, claims adjustments and process improvement projects

Worcester, Ma

Processed high level claims and claim adjustments. Involved in testing and executing process improvement projects.

Monitor and post to the Central MA Heart Walk Community Teams social media pagesHelp plan and promote events

Gloucester, Ma

• Record and edit pre-concert podcasts• Monitor Symphony Facebook and Twitter pages• Assemble donor request packets• Designed 2011 Board of Director’s Handbook cover• Concert stage manager

Gloucester, Ma

Data entry as a temp for the Massachusetts Division of Marine FisheriesCopying information from hand-written forms submitted by fishermen into an online database for the Marine Fisheries statistics department

• Wrote press releases and newsletter articles• Designed flyers and brochures for various Hospital events• Assisted in event planning and setup• Assisted in the completion of the 2011 Physician Directory• Small-scale research

• Designed and created useful marketing tools- Wrote advertisements for new procedures and equipment- Wrote advertisements for the office and its website- Created new patient brochure• Downloaded electronic dictation into Electronic Medical Record and fax to referring physicians for three Urologists• Vacation coverage for full time Appointment Secretaries, Receptionist and Switchboard Operator - Greeted and registered patients- Coordinated physician orders-… Show more • Designed and created useful marketing tools- Wrote advertisements for new procedures and equipment- Wrote advertisements for the office and its website- Created new patient brochure• Downloaded electronic dictation into Electronic Medical Record and fax to referring physicians for three Urologists• Vacation coverage for full time Appointment Secretaries, Receptionist and Switchboard Operator - Greeted and registered patients- Coordinated physician orders- Answered multi-line telephone system and triage calls- Medical records maintenance Show less