Kara Goff Email & Phone Number

Linthicum Heights, MD, US

Provides executive administrative support to the SVP of North American Sales.Supports Sales department activities include organizing and prioritizing large volumes of meetings, coordinating partner training and events, assisting with sales team members with presentation materials or client support as neededActs as a project manager for special projects.

The Project Management (PM) Specialist is responsible for the Vendor Oversight project and providing administrative support to the Project Management office The Vendor Oversight project consists of communicating with business owners to locate existing contracts, review for completeness and analyze for all of the project requirements. Each contract is.

Client liaison overseeing the program management agreement, quota sale reinsurance treaty and sales agreement between Olympian Health Partners, Windsor Health Group and Fresenius Health Partners, a PPO Plan offered with Part D benefits. Provide change management for all aspects of plan implementation including development of reporting, creating file.

Held full responsibility for all post payment transactions. Managed annual portfolio of $12 million in refunds and oversaw 25-30 direct reports. Managed and monitored the workflow of claims processing to ensure the accurate and timely processing of claims per CMS/Medicare and internal business requirements. Created and maintained department policies and.

Classify, log, track, research, resolve, and respond to appeals and grievances according to CMS, Compliance and internal Sterling guidelines. Supplemented department training for staff and provided support to the AG unit with processing of Timely Filing Appeal decisions. Provided direct support to the CMS Plan Sponsor in resolving high profile issues..

Maintained refund check balances, surplus checks with letters, and surplus void batches according to CMS guidelines and regulations. Created & updated all current task documentation related to workflow for posting refunds, surplus letter batches, and surplus void batches. Business point of contact for AIM Healthcare Services recovery contract. Utilization.