Johnathan Barrett Email & Phone Number

United States

As a Payment Integrity Account Manager, I oversee and manage a portfolio of client accounts, ensuring the delivery of comprehensive payment integrity services and solutions for fraud waste and abuse. I am skilled in developing and implementing strategies to identify, analyze, and correct payment inaccuracies, including overpayments, underpayments, and fraud. With extensive experience in conducting detailed claims reviews and audits, I ensure adherence to payer policies, benefit plans, and regulatory requirements. I collaborate with cross-functional teams, including clinical, legal, and IT departments, to design and execute effective payment integrity interventions. Acting as the primary point of contact for clients, I address inquiries, resolve issues, and provide actionable insights and recommendations. I monitor and report on key performance metrics, financial savings, and progress against program goals to clients and internal stakeholders. Additionally, I prepare and present detailed reports and presentations showcasing ROI and the impact of payment integrity efforts. Staying current on healthcare regulations, payment policies, and industry trends is a priority to ensure compliance and identify emerging risks and opportunities. I foster and maintain strong, long-term client relationships through proactive communication and exceptional service delivery, while also identifying opportunities for service enhancements and business growth, supporting sales and business development activities.

Indianapolis, Indiana, United States

In my most recent role, I administer complete functions associated with development of project requirements. I ensure prompt identification and resolution of potential issues. Lead all efforts to identify and implement best practices. Moreover, I develop and implement effective strategies, processes, and systems to support business needs. Establish strong professional relationships with business partners, Manage and maintain resources in accordance with business objectives.My achievements from this role have been:- Achieved significant reduction in costs by conducting comprehensive cost / benefit analysis.- Ensured successful management and delivery of projects through robust oversight of operating budget and utilization of process redesign knowledge.

Indianapolis, Indiana, United States

During this tenure, I Led and directed a high-level team of associates for consistent achievement of set objectives. Oversaw all functions associated with claims and benefits designs. Created and executed departmental policies and procedures to ensure smooth execution of routine operations. Furthermore, I delivered information to appropriate parties regarding dental programs, procedures, changes, and government-mandated disclosures. Provided effective guidance on various areas of company as a Subject Matter Expert. Served as focal point of contact for operational associates in terms of workflow and technical processes. Supported in conducting complex case research as well as resolving business issues.The values I have driven in this role include the following:- Improved performance and skill set of lower-level managers through effective governance, training, and coaching.- Received promotion from Manager I to Manager II by consistently meeting and exceeding performance expectations.

Atlanta, Georgia, United States

In this role, I oversaw completion of critical deliverables from multiple disciplines to ensure timely and accurate implementation of customer's benefits plans by overseeing. Developed and sustained strong relationships with existing / new accounts and internal departments, including sales support services, operations, sales, and underwriting. Delivered strategic support in creation and implementation of tools and best practices necessary to improve installations.My accomplishment for this role:- Achieved promotion from Operations Expert to Implementation Coordinator Lead by demonstrating outstanding contributions.

Indianapolis, Indiana, United States

During this tenure, I delivered exceptional contributions as primary point of contact for operation associates regarding workflow and technical-related procedures. Provided operational training to associates with focus on enhancing their skills and knowledge. Established a collaborative and teamwork environment for efficient execution of day-to-day operations. Moreover, I executed in-depth research and analysis to manage complex cases and find resolutions. Managed and maintained accurate and detailed records of service level, quality, accuracy, and productivity. Assessed and validated department policy and procedure manuals for accuracy and relevance.A small selection of the achievements from this role include:- Coordinated all activities associated with response and resolution of day-to-day technical queries from associates, while providing expert guidance.- Ensured smooth workflow and minimized disruptions through effective monitoring and oversight of inventory levels.- Promoted to the supervisory role by delivering outstanding contributions within job tenure.

Indianapolis, Indiana, United States

As Customer Care Hotline Representative, I ensured effective management of broker inquiries through telephone and written communication. Identified and resolved complex issues, providing accurate information and solutions. Functioned as a primary resource for sales and brokers, offering valuable assistance and support. Furthermore, I conducted research to address queries as well as interpreted policy provisions to provide most effective response, while updating the status to Account Manager on accounts.My key accomplishments for this role were:- Fostered performance of Hotline team in MO through effective leadership, training, and coaching.- Ensured prompt identification and resolution of operational challenges and customer service issues through robust analysis and assessment of data.

Indianapolis, Indiana, United States