• Plans, lead and coordinates projects to ensure that goals and objectives of those projects are accomplished within prescribed time frames.• Interact with Account Managers, Health Plan Executives, Compliance, Technology and internal suppliers to meet the objectives of the provider network. • Develop adequacy reports to identify and monitoring network behavior and implementing strategic actions to identify network opportunities and improvements.• Research, analysis and development providers database to accomplish markets requirements.• Coordinate communication between network development and executives. • Lead specialist personnel to execute goals in time manner.

• Increased reimbursement a 90% on Commercial Insurances for Columbia, MD Branch in the first 6 month and minimizing denials, appeals and collections efforts.• Design an accurate workflow between Branch/Pharmacy/Billing establishing a better communication maximizing time billing.• Trainer/Team Leader, training the new staff, serving as resource in areas such as Billing, Collection and Medicare, improving performance in all departments. • Analyze, Investigate, Review all claims assuring full reimbursement accordingly by the insurance compliance and regulation contracted.

Medical Billing/Coding, A/R, Audits, Insurance Contract/Renewal, MCA Compliance ApprovalDesign Office System Workflow and Customize Specific Protocols on EHR to assure the most accurate diagnosis/treatment service for the patient.Improve Reimbursement on A/R Cycle: Medical billing, coding, post payments, COB, appeals, self pay arrangements and audits.

Certified Implementation Consultant / TrainerCoordination, implementation, and training of software application and system design.Validation, maintenance, and troubleshoot of the program’s performance and accuracy.Effectively design and deliver implementation plans for medical practices.Perform system upgrades, enhancements, and customizationsAnalyze database to ensure compatibility and provide appropriate feedback on end-user workflows.Served as Aprima Medical Software expert and provide recommendations for short-term and long-term plans.