Cheryl Mann Email & Phone Number

Fair Oaks, Ca, Us

Rancho Cordova, California

Rancho Cordova, Ca

Review, process and make final determinations on TRICARE network and non-network provider and beneficiary appeals, beneficiary grievances, case reviews, train employees, case audits, edit training documents, triage new cases, review denials, forward claims appropriate for reprocessing of payment, update authorizations, respond to TRICARE inquiries, treatment authorization review, case reviews with Medical Directors, respond to call inquiries, research new appeal requests for acceptance.

Sacramento, California Area

Audit patient accounts, supervise employees, audit employee errors, daily adjustment audits, customer service, account escalations, accounts receivable, quality assurance reports, training, management meetings, customer Service, account reconciliation, accounts receivable, resolved customer complaints and concerns, billed laboratory services, updated patient medical insurance information, medical billing, customer Service, secondary and terciary billing and auditing, account audits and resolution, customer complaint resolution, generation and auditing of data reports.

Rancho Cordova, Ca

Supervise 80+ employees, analyze call statistics, payroll approval, claim review, train employees, develop/implement reports and training material, coach and mentor employees, research and respond to escalated issues, assign and direct day to day work to call center agents, responsible for day to day operations, recommend operational improvements, responsible for organizational policy and procedures, call monitoring for quality assurance, create training material, conducte training classes, interviewing and hiring of employees, employee terminations, create and facilitate a specialized DME phone line to assist providers, resolve escalated calls, SME, attend meetings with EDS employees, State Medi-Cal representatives and providers, claim processing system error resolution, research and resolve issues regarding prescriptions, billing, pre-authorizations, point of service equipment, attended manager meetings to assist with problem resolution, POS Helpdesk, eTAR assistance

Accounting And Finance

Diploma, General

Sociology / Psychology, Sociology / Psychology