Cord Leone Email & Phone Number

Greensburg, Pa, Us

As an Appeals Specialist, I specialize in managing individual and group appeals, ensuring a thorough review of cases to determine the possibility of administrative resolution. If cases cannot be resolved administratively, I act as the subject matter expert during hearings, providing insight and expertise to support the appeals process. My role emphasizes compliance, working closely with providers to ensure adherence to federal regulations. I leverage strong analytical skills and a deep understanding of regulatory frameworks to facilitate fair and efficient outcomes in the appeals process. I strive to enhance the overall quality of service while maintaining the highest standards of compliance and integrity.Key Responsibilities:- Analyze and manage individual and group appeals.- Assess cases for potential administrative resolution.- Act as the subject matter expert during hearings for unresolved cases.- Ensure compliance with federal regulations among providers.- Collaborate with stakeholders to advocate for CMS and improve processes.

Pittsburgh, Pennsylvania, United States

• Established Tentative Settlements• Audited Medicare Cost Reports for accuracy and to ensure providers are following CMS regulations. Issues audited include: DSH, Bad Debts, NAHE, IME/GME, Wage, S-10• Communicated with providers to assure they improve procedures for future accuracy• Created adjustments based on findings during desk review and PS&R settlement data• Audited hospitals including: Psychiatric, ESRD, Rehab, Home Offices, SNFs, PPS

Pittsburgh, Pennsylvania

Ligonier, Pennsylvania

One common goal at the Rolling Rock Club: The complete ultimate experience. I provided an unparalleled service to the members of the club. I worked very closely with them on a daily basis to make sure I can surpass their expectations.

Ligonier, Pennsylvania

Gained knowledge from a valuable experience working alongside the CFO and the accounting department. Responsibilities included: endowment valuations, financial performance reports, cash and investment reports, journal entries, cash flows statements, and closing of month-end operational budget for a 15-million-dollar organization.

Ligonier, Pennsylvania

Independently managed fitness center while scheduling and billing fitness and spa services for members.

Greensburg, Pennsylvania

I completed car preparations once a car was purchased. I was responsible for working on detailing cars as requested by the customer. I worked with customers to meet their ideal specifications for their new or current vehicles.

Bachelor Of Business Administration - Bba, Finance, 3.923

Activities and Societies: Summa Cum Laude honorsMajor finance courses

Business/Commerce, General, 3.941

Activities and Societies: President's List honorsCompleted general coursework as well as business prerequisites before transferring.