Donna A. Email & Phone Number

Little Falls, New York, United States

Analyze and maintain EDI enrollment records to coincide with the Vendor.Review Facets upgrades and enhancements for Enrollment.

Mvp Healthcare

Create, research and maintain all reports for the Claims Operation Department for metrics, develops and maintains databases, creates claim reports related to work assignments for Operations for reprocessing, responsible for timely investigation and resolution of report review inquiries from internal customers, performs system testing for upgrades and patchs.

Schenectady, Ny

•Supervise a staff of 4 to meet department objectives and to ensure that all billing and enrollment issues are resolved timely.•Review and implement quality reviews processes and develop new initiatives to continue process improvement.•Reviewed existing policies and updated as needed.•Assist Manager, Billing as required meeting department objectives.•Hire and train new employees in their specific job duties.•Assign priorities and manage workflow of staff to ensure tasks are… Show more •Supervise a staff of 4 to meet department objectives and to ensure that all billing and enrollment issues are resolved timely.•Review and implement quality reviews processes and develop new initiatives to continue process improvement.•Reviewed existing policies and updated as needed.•Assist Manager, Billing as required meeting department objectives.•Hire and train new employees in their specific job duties.•Assign priorities and manage workflow of staff to ensure tasks are being completed timely•Work independently on projects and adapt to changing work priorities.•Suggest and support department needs to improve overall performance.•Responsible for meeting compliance rules for Government programs•Worked closely with the Associate Director and VP of Medicaid and Safety net Products to ensure NYS audits were passed successfully.•Responsible for maintaining id cards, packets and marketing materials with NYS guidelines.•Create ad-hoc report requests daily and Analyze reports for accuracy and distribution to management Show less

Supervise a staff of 15 – 75 staff members to meet department objectives and to ensure that all billing and enrollment issues are resolved timely.Review and implement quality reviews processes and develop new initiatives to continue process improvement.Reviewed existing policies and updated as needed.Assist Manager, Billing as required meeting department objectives.Hire and train new employees in their specific job duties.Assign priorities and manage workflow of staff to… Show more Supervise a staff of 15 – 75 staff members to meet department objectives and to ensure that all billing and enrollment issues are resolved timely.Review and implement quality reviews processes and develop new initiatives to continue process improvement.Reviewed existing policies and updated as needed.Assist Manager, Billing as required meeting department objectives.Hire and train new employees in their specific job duties.Assign priorities and manage workflow of staff to ensure tasks are being completed timelyWork independently on projects and adapt to changing work priorities.Suggest and support department needs to improve overall performance.Create ad-hoc report requests daily and Analyze reports for accuracy and distribution to management Show less