TPL Payer Relationship Associate DirectorJune 2011 – November 2012Ensure the overall success of each payer relationship by coordinating TPL efforts including: requisite data, system access, provider information, recovery authorization, training and understanding of payer constraints and requirements • Establish and maintain active communication with the payer on an operational and executive level • Aid payer in preparation of TPL reclamation project scope • Report back payer successes and strategies for improvement regarding denials• Onsite implementation and progress meetings with payer as neededData Mining Senior Director: April 2008 – June 2011Data Mining Director: February 2005 – March 2008; Data Mining Senior Account Manager: September 2003 –January 2005; Data Mining Account Manager: October 2003 – May 2001; Data Mining Process Manager: September 2000 – April 2001; Data Mining Coordination of Benefits Analyst: April 2000 – August 2000 Cigna HealthcareFacility Administrator, 1997– 2000Responsibilities included: facility contract verifications, loading of rates and guidelines into internal system and overall quality controlFresenius Medical Care North AmericaAccount Coordinator/Auditor, 1996– 1997Responsibilities included: Patient account reviews and Medicare compliance reviews at audit billing centers located in Ontario, CA and Lenexa, KSJefferson Pilot Insurance CompanyInsurance Specialist, 1991– 1996Responsibilities included: Regional Provider database verification & loading, customer (both member and group) inquiry for benefits, pre-determinations, group verifications, large payment reviews and quality compliance.