Cassandra Mcburney, Mha Email & Phone Number

•Neutral broker coordination- role includes scheduling meetings and briefings for the Administrator and coordinating communications between/among central and regional offices to ensure that emerging issues are identified early, all concerned components are directly and fully involved in policy development/decision making, and that all points of view are presented.•Provides leadership and management of CMS-wide Executive Correspondence system; control for response an average of 100+ inquiries at once, across a three to eight-month timeline, from multiple stakeholders (Congressional and Senate members, major organizational leadership, and nationwide Medicare and Medicaid beneficiaries). •Coordinated Strength and Development Inventory retreat for 30+ team members across four Departments.

Arlington, Virginia

Continuance of Revenue Specialist role PLUS•SaaS experience- daily interaction with Salesforce platform, case assignment and resolution across 1,100+ providers, 5 national markets and 30+ insurance payers.•Support interdepartmental and care center community efforts to ensure reimbursement in line with payer contract agreements.

Worked closely with the population health teams, primary care providers (PCP’s), networked facility partners, and practice operations at Privia Health, providing care coordination and support for Privia’s at-risk patients. Provide inbound and outbound telephonic support for care management team. Primary work includes outbound calls to patients to provide coordination services, fill gaps in care, and promote improvements to patient outcomes. Relevant clinical experience as Emergency Medical Technician (EMT) and Medical Assistant (MA).• Assist physician practices in identification and completion of quality care goals through direct patient outreach.• Collaborate effectively with integrated care team to support care coordination for patients.• Review patient non-compliance lists and conduct telephonic outreach to ensure timely disease specific and wellness visits.• Answer and resolve business office inbound calls related to population health, care coordination, or other basic clinical activities.• Motivate patients to be proactive about their healthcare.• Assist patients in accessing care at the appropriate source.• Make appropriate referrals to internal care team, community resources, and disease management programs.• Attention to detail for patients: medical, social, family, economical, and behavioral issue- work to mitigate these barriers.• Develop relationships with the care coordination teams.• Assist in scheduling PCP or specialist appointments.• Route clinical calls and referrals to the appropriate resource: Nurse care manager, pharmacist, social worker, or appropriate resource.• Annual support of reporting of contract-mandated quality metrics specification and pay for performance measurements, and medical record review criteria for GPRO.

Arlington, Va

Responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming telephone calls or SalesForce cases and providing information as requested or properly authorized. Strong follow up skills, attention to detail, a solutions focused mindset, and a driving work ethic. This position works collaboratively with the staff in our physician practices as well as team members at Privia Headquarters.• Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.• Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.• Independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.• Policy updates as needed, to all RCM policies.• Works closely with the Revenue Integrity team, to support efforts to ensure reimbursement is in line with payer contract agreements. Performs Denial analysis utilizing the Trizetto platform.• Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality.• Laser focused drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.

Uss Monterey Cg 61

• Expertly managed departmental budget and acquisition of $150k in consumables and $500k in medical equipment annually to provide immediate patient support to over 350 personnel. • Executed 135+ hours of medical equipment maintenance through personal action or immediate coordination with required personnel/activities.• Fully responsible for multiple Naval Health Clinics by sustaining immunization compliance, preventive health assessments, and patient counseling, resulting in over 97% employee wellness and customer satisfaction. • Maintained computerized and paper record management systems to store and process data with absolute HIPAA compliance. Weekly submission of data to Executive and Commanding Officer(s) for advisement of necessary inspections in accordance with safety and sanitation guidelines. • Coordinated and conducted over 200 hours as lead training representative for over 500 individuals across 10+ departments to ensure adequate health and safety requirements were met, onboarding of new personnel and Basic Life Support.• Directly supervised one employee and 16 departmental support staff.

Naval Hospital Naples, Italy

• Assessed injuries, administered emergency medical care, and transported injured or sick persons to medical facilities.• Audited and corrected over 30 training records monthly resulting in increased readiness from 88 to 92 percent. • Supported over 10 medical providers, providing a wide range of clinical and administrative duties to over 400 patients.

Master Of Health Administration (Mha), Health Adminstration

Associate’S Degree, Contract Management

Bachelor’S Degree, Psychology