Leanne Brown Email & Phone Number

Center City, Minnesota, Us

Minnesota, Us

Us

Us

Us

Evaluate/Analyze Current Contract and Market PerformanceDevelop/Negotiate/Support Terms of Agreement with ProvidersManage Provider RelationshipsDevelop/Implement/Execute/Support Market Strategies

Bay Shore, Ny, Us

International Student Placement

Bloomington, Minnesota, Us

 Conducts site visits to contracted primary care physicians and specialty providers to assess needs,resolve provider issues, and provide on-site credentialing services Coordinates with providers and reimbursement departments to reduce capitation rates and any claimsrelated issues Investigates and reports provider non-compliance; provide immediate feedback to provider and updateHealthSmart leadership team Reviews provider contract termination requests and provides proactive outreach maintain activecontract status-- -core part of the Provider Relations team.

Bloomington, Minnesota, Us

Managed new provider enrollment process for government and TPP participants Analyzed provider contracts to ensure proper compliance standards met Led the orientation process for newly enrolled government and TPP healthcare providers Coordinated with the Provider Relations, Recruiting, and Reimbursement departments to ensureproviders were enrolled in the proper payer system— Credentialed providers and maintained physician personnel files for tracking data for annual updates Utilized SyMed OneApp database conduct routine audits on provider data accuracy

Bloomington, Minnesota, Us

 Maintained network data of provider directors, Consumer Choice System, HealthPartners CustomerService System and Claims, and Claims Served as an internal expert consultant on HealthPartners product line, clinical admin groups, deliverynetworks, CPN system, and provider data Reviewed provider alerts and analyzed audit data to provide feedback to managers about complianceissues Collaborated with team to develop policies and standards to improve departmental workflow Utilize DEC Claims system to obtain and verify HPFIN information

Bloomington, Minnesota, Us

Bloomington, Minnesota, Us

Responsible for sorting and distributing ID cards to issuing clerks on a daily basis. Responsible for coordinating all issuing and reissuing, on a daily basis, by providing one-on-one work direction to issuing clerks and temporary help when needed. Analyze material needs based on historical usage and planned distributions to anticipate future needs and determine appropriate inventory levels. Maintain system to record and track inventory and distribution of all membership materials after they have been printed. Develop appropriate manual systems in lieu of on-line system. Evaluate inventory status and open orders. Take action to meet requirements for inventory and coordinate with Contracts and Marketing when appropriate. Provide updated materials to benefit managers upon group renewals. Serve as inventory & distribution liaison for other departments needing membership materials. Interact daily with Marketing, Materials Management, Contracts and other departments in selection, distribution and inventory of membership materials. Perform other related duties as assigned by supervisor.

Bloomington, Minnesota, Us

1. Customer ServiceCare for each person as he/she would like to be cared for by:• Putting the patient first at every opportunity• Listening to understand each patient• Showing concern for each patient• Acting individually and with others to meet each patient’s needs2. Check-in and Co-pay Administrationa. Check in patients in an accurate and professional mannerb. Identify and accurately collect co-pays or appropriate feesc. Use computer-based system to verify patient information d. Understand and communicate benefit changes to members, or refer to appropriate resourcee. Communicate wait times in a diplomatic mannerf. Direct patients to the appropriate care areag. Prepare reconciliation reporth. Provide patients with appropriate forms, questionnaires, etc.3. Computerized Appointment Scheduling for appointmentsa. Schedule appointments in an accurate and timely manner according to Advanced Access principlesb. Maintain knowledge of appointment scheduling practices c. Maintain knowledge of appointment scheduling policies and procedures4. Registration and Verificationa. Complete the registration process, including reviewing the registration information for completeness and accuracy and obtain further information, if necessaryb. Verify insurance eligibility, if necessaryc. Register patients in an accurate, efficient, and timely mannerd. Identify appropriate account type, e.g., Workers compensation, Motor Vehicle Accidents, etc.5. Specialty Appointment Coordination • Provide patient with information required to schedule specialty appointments6. Facilitate timely and accurate flow of communication within the clinica. Answer telephone and respond appropriately to the callerb. Take and relay messages requiring follow-up to appropriate individuals7. Maintain open communication with Appointment Center to ensure patient and provider needs are met

Us

•Assist customers within the Precinct’s Standard Operating Platform (SOP)•Provide initial contact with clients and check in products for service•Perform basic testing to determine product needs and service solutions•Facilitate in-store sales, upgrades, installations and service

Master Of Arts - Ma, Addiction Counseling

Bachelor’S Degree, Healthcare Administration