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.
• 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.
• 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.
• 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.

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.
• 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.

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.
• 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.
• 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