Heather Carlos

Heather Carlos Email and Phone Number

Director of Operations, Centene Corporation - Superior Health Plan @ Superior HealthPlan
austin, texas, united states
Heather Carlos's Location
Elgin, Texas, United States, United States
Heather Carlos's Contact Details

Heather Carlos work email

Heather Carlos personal email

n/a
About Heather Carlos

Experienced Claims Manager with a demonstrated history of working in the hospital & health care industry. Skilled in Healthcare Consulting, Medicaid, Healthcare Industry, U.S. Health Insurance Portability and Accountability Act (HIPAA), and Healthcare Information Technology (HIT). Strong information technology professional graduated from Elgin High School. Yellow belt certified and working on my Lean Belt certification

Heather Carlos's Current Company Details
Superior HealthPlan

Superior Healthplan

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Director of Operations, Centene Corporation - Superior Health Plan
austin, texas, united states
Employees:
742
Heather Carlos Work Experience Details
  • Superior Healthplan
    Director Of Operations
    Superior Healthplan May 2020 - Present
    Oversee Configuration, Vendor Edits, High dollar Pricing, Pricing Pends, Training and Process Improvement team, Operational Auditors.
  • Centene Corporation
    Senior Manager, Operations
    Centene Corporation Sep 2019 - Present
    Oversee the Process Improvement and Training Team in Claims Support. Work with other internal departments to create and improve shared processes.Collaborate with internal departments on training and education opportunities.
  • Centene Corporation
    Manager, Claims Support
    Centene Corporation Apr 2016 - Sep 2019
  • Centene Corporation
    Supervisor Claims System And Integrity
    Centene Corporation Apr 2014 - Apr 2016
    Austin, Texas Area
    Supervise a staff of 13 employees. Ensure their knowledge of creating and submitting claims projects to corporate claims for processing is accurate and of quality. Establish relationships with other departments leadership. Assign projects to liaisons for research and submission. Develop new work processes in order to streamline current job functions.
  • Centene Corporation
    Claims Research Specialist
    Centene Corporation Oct 2013 - Apr 2014
    Austin, Texas Area
    Oversee the outstanding negative balance accounts.Report progress to Director of CSI and VP,Config & Claims Supp Srvcs. handle back up for PendsPayclass verifications to ensure providers are loaded correctly per their contract agreement
  • Centene Corporation
    Provider Relations Specialist
    Centene Corporation Jul 2009 - Oct 2013
    Provided customer services to Providers regarding claims issues, Provider demographic information and education. Worked to resolve the providers issues in an efficient and friendly manner.
  • Centene Corporation
    Provider Data & Analytics
    Centene Corporation Dec 2008 - Jul 2009
    Austin, Texas Area
    Loaded providers demographic and contract information into companies claim support system Amisys.
  • Centene Corporation
    Administrative Assistant Ii
    Centene Corporation Jul 2008 - Dec 2008
    Austin, Texas Area
    Admin for Credentialing Managerreporting for CQIC filing
  • University Federal Credit Union
    Records Mgmt Rep Ii
    University Federal Credit Union 1999 - Jul 2008
    processed Non Sufficient Funds, scanned member documents (deposits, withdrawals, transfers, signature cards, etc.) Collected outstanding balances. Researched members issues. Provided customer service to internal departments in the company.
  • Little Tots Daycare
    Child Care Provider
    Little Tots Daycare 1997 - 1999
    provided safe and caring child care to children ages 2-10. Closed the child care facility each night. handled child care payments.

Heather Carlos Skills

Managed Care Hipaa Healthcare Healthcare Information Technology Medicare Healthcare Consulting Medicaid Healthcare Management Revenue Cycle Physicians Hospitals Emr Provider Relations Healthcare Industry Credentialing

Heather Carlos Education Details

  • Elgin High School
    Elgin High School
    High School Diploma

Frequently Asked Questions about Heather Carlos

What company does Heather Carlos work for?

Heather Carlos works for Superior Healthplan

What is Heather Carlos's role at the current company?

Heather Carlos's current role is Director of Operations, Centene Corporation - Superior Health Plan.

What is Heather Carlos's email address?

Heather Carlos's email address is hc****@****ene.com

What schools did Heather Carlos attend?

Heather Carlos attended Elgin High School.

What are some of Heather Carlos's interests?

Heather Carlos has interest in Health.

What skills is Heather Carlos known for?

Heather Carlos has skills like Managed Care, Hipaa, Healthcare, Healthcare Information Technology, Medicare, Healthcare Consulting, Medicaid, Healthcare Management, Revenue Cycle, Physicians, Hospitals, Emr.

Who are Heather Carlos's colleagues?

Heather Carlos's colleagues are Laura Hines, Rebecca Escarsega, Alberto Amador Alvarez, Tricia Torres, Kaleisha B. Beatty, Tiffany Mokuiki, Jeanine Chatman.

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