David Lydon Email & Phone Number

Philadelphia, Pa, Us

Newtown Squ

Newtown Square, Pa

Chester, Pennsylvania

Responsible for helping manage the financial resources of Crozer Keystone Health System by conducting a thorough analysis on reimbursement data to create reports identifying trends.

Blue Bell, Pennsylvania

Internal promotion and internal team change with expanded role with similar tasks but higher expectations for overpayments identified, varying concepts assigned and value added for the client, WellCare Health Plans, Inc..

Conshohocken, Pennsylvania

Title change to previous role, same responsibilities. Responsible for auditing client data and generating high quality recoverable claims for Cotiviti Healthcare (formerly Connolly) and our clients utilizing audit tools within Access and Excel. Identify and input recovery claims, voids, or other over-underpayment types. Review agreed upon paper contracts and policies between healthcare provider and payor to locate, validate and pursue reoccurring overpayments.

Conshohocken, Pa

Responsible for auditing client data and generating high quality recoverable claims for Cotiviti Healthcare (formerly Connolly) and our clients utilizing audit tools within Access and Excel. Identify and input recovery claims, voids, or other over-underpayment types. Review agreed upon paper contracts and policies between healthcare provider and payor to locate, validate and pursue reoccurring overpayments.

Conshohocken, Pa

Reach out to candidates via social networking, job boards, data bases, and more. Phone interviews, questionnaire completion, detailing interview criteria. Coordinate and set interview appointments for candidates. Negotiation of pay-scale between candidate and hiring manager. Manage a team of contractors, reviewing time card, performance, and discipline. Accept offers, terminate contractors, and make changes to pay rates.

Conshohocken, Pa

Responsible for auditing client data and generating high quality recoverable claims for Cotiviti Healthcare (formerly Connolly) and our clients utilizing audit tools within Access and Excel. Identify and input recovery claims, voids, or other over-underpayment types. Coordinated implant and high cost drug audits with health care provider contacts requiring procurement and review of itemized bills and invoices to determine if in compliance.

Malvern, Pennsylvania

Daily supervision of 15-20 staff team (Case Coordinators) in fast paced, competitive operations setting. Managed all productivity, discipline, development, time cards, time off & scheduling. Achieved top quarterly bonus one year running between 4-5 peers. Received multiple inner department projects to lead. Liaison for my team on various projects and led all 2013 Summer Intern projects.

Newtown Square, Pennsylvania

Accessed varying client’s electronic medical record systems (Ex. Cerner PowerChart, EPIC, etc,) and compiled information for medical necessity compliance solutions. Consistently met and over exceeded set production goals. Received promotion to Supervisor within 10 months of being hired.

West Chester, Pennsylvania

Supported in daily operations, staffing, scheduling, ordering, inventory and marketing of our location.

Master Of Business Administration - Mba

Bachelor Of Business Administration (Bba), Business Administration And Management, General