Gloria Hunter, Macl Email & Phone Number

Birmingham, Al, Us

Birmingham, Alabama, United States

Birmingham, Alabama, United States

United States

Flock- First Lady'S Of Christ The King (Facebook Page)

FLOCK Inc, (First Lady's of Christ the King) Is the gathering of Christian Women who want to do ministry within the communities we serve. Our desire is to provide support in areas of Parenting, Education classes and provide encouragement for young women at risk and more. If you are a a Christian woman we look forward to you joining us in this community mininstry that crosses all demoninations. We want to take the gospel to the people through this ministry of encouragement. Completed assignment with The Youth Project, Donielle Owens-Diggs Alternative program at Penn Hills High School administering Self Esteem Classes May 2013 (8 months)

Presentation Group

Presenter of Self Esteem work shops at Penn Hills High School. Currently a Volunteer Resource Group looking to support existing organizations with social programming.

Pittsburgh, Pennsylvania, United States

Work with Parents and Senior Leadership to resolve clinical and service related issues.Work with Senior Leadership to investigate complaints and Grievances.Manage a daily inventory and turnaround times.Manage Patient experiences and provide information.

Pittsburgh, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

Managed Telecommuter staff as well as in office staff responsible for claims processing Behavioral Health Insurance claims. Managed workflow and projects for process improvements and employee initiatives. Recruited and Interviewed staff.

Worked at Allegheny Health Network Revenue Cycle division. Responsible for the swift adjudication of claims. Work to expedite claims with providers and internal departments. Proficient with several processing systems to research protocols and processes to ensure financial returns are met weekly and monthly. Experience with EPIC and Meditech, Med-Asset and Sovera systems.

Greater Pittsburgh Area

Hired as a Claims Manager within a recovery unit. Position was eliminated two months after I arrived. As a result, currently working in Non Profit Flock Inc. Which is a women and girl mentoring group.

Greater Pittsburgh Area

Wexford Health provides healthcare for incarcerated State and Local Jailed inmates within Pennsylvania, Illinois, Florida, Maryland and West Virginia. I have the responsibility to serve as a Claims manager working with compassionate people who care about the "least of these"​ to provide medical healthcare. In this position I lead some experienced employees that have a wealth of knowledge and concern for working medical health claims.We work to "RAISE the Standard" our core value statement, to be Responsive and innovative, Adaptable and Efficient, Integrity driven with excellence, Superior Service, by Engaging our workforce motivated to achieve company goals. I thank each of those who work with me to shine bright in their position while working a community service mission of providing healthcare to those who need it.

Po Box 8804 Pittsburgh Pa 15221

Verisure Background Screener LLC, a new premier pre-employment background and tenant screening company designed to provide accurate and timely background histories for small to medium companies and non profit organizations. We provide investigations for industries such as Medical offices, hospitality, Home Health agencies, Insurance, Manufacturing and more. We package your request and provide support with managing adverse information. We want you to "Be Verisure of the facts" visit our website at www.verisurebackground.com

Greater Pittsburgh Area

An administrator of Appeals for the Wearable Cardiac Defibrillator, called the Life Vest. A one of a kind device used to help keep patients alive when they are in need of a transplant or Surgery. The vest provides electronic shock in the event of cardiac event before a permanent solution can be obtained. This vest saves and secure lives. We help people secure lifesaving equipment.

Greater Pittsburgh Area

As a supervisor I am responsible to recruit, train and supervise Claims processors and QIC claims clerks. I have developed an environment in which assignments are completed timely and efficiently. I developed processes and procedures that helped direct employee efficiencies and have coordinated job activities to support program requirements. Monthly the corporate goals are met.PROJECTSSuccessfully managed the implementation of the Teleform system that delivered case receipts via Fax machine. Facilitated and participated in a work group discussions to manage issues as they arose. Implemented process improvements for foreign claims, Outlier and MSP processes into procedures for departmental use. These improvments helped with claims timeliness as well as quality goals.Other Accomplishments include requesting a system program be generated to extrapolate the Chief Financial report data. A Large report had to be hand counted and it was determined that a systematic report could be compiled to generate the total amounts. This improvement increased the productivity of report accuracy and timeliness.3 projects I presented became the division's initiatives and they include comparing and updating of processing procedures or Reason Codes within the unit. This improvement reduced codes to the necessary codes increasing productivity.The reduction of override errors through the review of override usage reduced override errors and improved the quality rating with the division. Crossed trained staff to increase productivity on all lines of business, resulting in staff reducing Claims backlog. Additionally, I was responsible for identifying deficiencies or inefficiencies in documented policy procedures. One such example, I suggested the reduction of multiple Medicare Summary Notice prints which was implemented and resulted in the deletion of the document creating a cost savings.

I managed all lines of business within claims processing. Worked with Indemnity, Major Medical, HMO Medigap and Point Of Services product lines. Developed and trained staff to complete assignments timely and efficiently. Monitored outsource company Walsh Health Care inventory and Regence Blue Cross Blue Shield and administered financial reimbursements and quarterly reports monthly. Also supervised 12 Imaging Staff due to operational realignment. I was responsible for claims being sorted and Imaged and was accountable for monitoring outsourced claim completion. Currently work in Novitas (formally Highmark Medicare Services)

Trained newly hired employees on Indemnity Blue Cross Blue Shield, Point Of Service, HMO, Health Management Organization, claims processes. Developed training methods, tracked and monitored class success rates to help support company demands for skilled processors. Successfully trained over 20 classes both new hire and existing staff.Introduced training programs that enhanced employee performance and helped build a motivated workforce. Successfully trained staff that has been promoted to higher level positions within the corporation.

Master Of Arts (M.A.), Christian Leadership

Master's In Christian Leadership

Ba, Communications

Baptist Ordination, Theology

Activities and Societies: Associate Minister

Certificate Of License, Preaching Ministry