Support several Project Managers from the identification of a project to it's execution and ultimate close.Examples of activities include but are not limited to creating Service Requests, request Purchase Orders for cranes and or labor, Order parts, and support the Plan of the Day with teams in the field.Support problem solving issues alongside the Project Managers to ensure that teams in the field are able to execute safely, with quality, and as efficiently as possible.Support project execution fromEngineering Disposition through Return to Service and to job closure including invoicing, quality reporting, and debriefing.

Reviews and ensures the accuracy of all claim information using Citrix applications. Responsible for the timely and accurate adjudication and audit of claims that are suspended to other departments. Quality Assurance of all claims. Suspends, investigates and resolves claims issues by coordinating with appropriate departments.

Coordinator of the operations team, reported directly to the company’s Vice President/ Chief Operations Officer; ensured day to day company operations ran smoothly; assisted in meeting monthly utilization and realization metrics; acted as a liaison between the sales, delivery and operation departments; participated in weekly resource efficiency analysis and weekly team meetings; acted as the primary contact for all project-related inquiries; scheduled projects; while balancing client scheduling demands and engineer availability; maintained up to date CRM records (SalesForce); created detailed project outlines including project goals, milestones and timelines for the delivery team and adjusting the scheduling as needed.

Dedication to following HIPAA LAWS. Training and follow-up assistance to new hires. Assisting other departments with their call overflow. Providing guidance in a group setting to answer questions multiple departments may have. Providing navigational guidance in research, problem resolution and request for follow-up on a variety of provider issues. Coordinating break times and lunches for 18 staff members. Monitoring reports to ensure the phone stats are where they need to be so the department’s monthly goals can be met. De-escalating inter office disputes. Responsible for all supervisor calls And responding to company correspondence via faxes, written and electronic communications, customer service and provider services line manager work queues. Assistant to the provider services line Manager with any additional tasks that need immediate attention. Updating and remodeling of all training manuals. Providing support to internal departments by providing research, problem resolution and follow- up on a variety of provider issues that may arise. Responsible for answering high volume of telephone inquiries. This includes demonstrating clear and concise communication regarding provider maintenance,, provider recruitment, education pertaining to network policies, credentialing paperwork and complaints. Promoting and training providers in the use of web-based services.Maintained systems and processes for the timely and accurate resolution of all medical necessity and administrative appeal denials, including the tracking of information as well as sending adverse determination letters to providers and members. Ensured compliance with all relevant regulations, accrediting standards, policies and procedures.