Cyndal Cerza Email & Phone Number

Nashville, Tn, Us

Wellesley Hills, Massachusetts, Us

• Provide support over the administration of the TennCare Dental Benefits program.• Communicate information accurately and efficiently, to ensure that company is meeting and exceeding client expectations, and the terms of the RFP and contract. • Responsible for on-going, effective communications and service to the State of Tennessee via on-site meetings, conference calls, and day-to-day email interaction.• Responsible for updating Office Reference Manuals, implementing corrective action plan responses and effectively organizing client audits (PMV, NAV, PERM, AQS, ANA) • Monitor changes in regulations and fee schedules, and communicate same to ensure compliance with state and federal guidelines.• Support innovative business practices and process improvement opportunities for the TennCare dental program. • Perform functions that support timely and accurate reporting to State of Tennessee regarding the dental benefits management of the TennCare programs including TennCare EPSDT, Adults, 1915c waiver, ECF CHOICES, and CoverKids.

Dallas, Tx, Us

• Own the relationship with 9 assigned anesthesia clients and provide superior service while analyzing and determining solutions to trends that may impact clients.• Create and review monthly revenue reports using MedSuite, Cognos and PowerBI.• Monitor and meet with clients to discuss performance, trends and recommendations.• Use sound judgement to ascertain threats and escalate indication of dissatisfaction.• Knowledge of and compliance with applicable laws regarding billing standards.

Wellesley Hills, Massachusetts, Us

• Responsible for on-going, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction.• Responsible for updating Office Reference Manuals, implementing corrective action plan responses and effectively organizing client audits.• Monitor changes in regulations and fee schedules, and communicate same to ensure compliance with state and federal guidelines.• Support innovative business practices and process improvement opportunities for current and prospective clients.• Perform functions that support timely and accurate reporting to clients.• Provide support to companies leadership for administration of the client's program, and communicate information accurately and efficiently, to ensure that company is meeting and exceeding client expectations, and the terms of the RFP and contract.

Wellesley Hills, Massachusetts, Us

• Create provider-facing downstream contracting documents including provider agreements, single case agreements, and amendments in collaboration with the internal legal team• Coordinate the internal ticketing process for all fee updates during new program implementations and provider fee schedule amendments• Present information and provider training as an exhibitor at vision provider shows and meetings• Recruit and contract providers for all vision networks to ensure client and state compliance requirements are met• Complete competitive analyses and validate the accuracy to ensure compliance with client and CMS regulations• Coordinate and complete data analysis for department projects in which I am managing.• Partner with large groups, national chains and other vision organizations for contracting, planning, and for future expansion• Manage and organize provider communications as part of approved template repository to ensure provider communication occurs on client compliant letters• Attend client meetings as the face of provider network management

Wellesley Hills, Massachusetts, Us

• Set up and maintain accurate and clean provider information in all vision systems to meet CMS and client requirements• Support implementations of new benefits or programs and network development activities in new and existing markets• Act as the primary point of contact for contracted providers and work to troubleshoot any questions that arise in current networks• Ensure complete credentialing packages are submitted and obtain any missing information from providers• Educate providers by instructing and advising of the comprehensive policies and procedures involving all phases of the corporation's benefits and contracts through office visits and communication over the phone and email• Host provider training via webinars to ensure smooth on-boarding• Implement process improvements to make the contracting process and training process electronic and automated

• Acted as the primary point of contact ensuring that all patients and visitors were welcomed and greeted upon arrival• Checked in each patient appointment by collecting detailed demographics and any applicable copayments while verifying and loading insurances accurately into EPIC to ensure ease of billing• Answered the phone in a polite, consistent phone manner and directed calls as applicable while scheduling patient appointments and managing schedules for two full time providers• Implemented a database system to automate appointment reminders and CPAP supply ordering• Worked directly with practicing providers on business specific projects

Wausau, Wisconsin, Us

• Answered phone calls to assist patients with medical questions and organize incoming and outgoing patient transportation both emergent and non-emergent• Upheld HIPAA standards to maintain patient confidentiality while ensuring patient satisfaction and scanning patient charts• Acted as the primary point of contact when patients arrived to the emergency room to ensure they were greeted with a positive attitude, arrived in the system and triaged according to severity • Entered medical insurance and claims correctly into EPIC while collecting copayments• Delegated transportation tasks to emergency personnel to ensure patients radiology orders were met • Paged hospital personnel according to each code procedures to ensure timely requirements were met and all staff were notified and present upon patient's arrival

• Greet customers and ascertain what each customer wants or needs• Worked one-on-one with customers, acting as their personal shopper• Managed cash register, computed sale prices, and processed cash and credit payments• Answered incoming phone calls to assist customer with inquiries• Maintained knowledge of current sales and promotions• Designed store and window layouts for marketing purposes