Provide education and physical therapy to chiropractic patients.

Provide administrative support to three neuropsychologist, six assistants, and three EEG technicians. Duties include front desk reception, scheduling, registration, insurance verification, test precertification, charge entry, claim tracing, and appeal processing, letter writing, form & template development, faxing, filing, HIPAA regulation compliance, and purchasing. Key Results: Completion of EPIC Super User training Manage non-clinical processes for ambulatory/hospital outpatient departmentCoding of medical claims, claim submissions, and appeal of claim denials.

process of grievance and appeals with accountability for meeting the contract rights of those insured by Mercy Health Plans, Inc. Ensure regulatory compliance with: Department of Labor; Department of Insurance for Missouri, Arkansas, and Texas; Centers for Medicare and Medicaid Services; Corporate Policy; and applicable contract. Key Results:Meet/exceed compliance of regulation by various quality assurance organizations. Leverage product knowledge and premium service delivery to meet/beat timeframes on all product lines

Support Customer Contact Center team of 35 co-workers Key Results:Generate, analyze, and record statistical dataCreate and maintain spreadsheets: design statistical reports as requested by managementDevelopment of written correspondence, reports, and formsCreation of agendas and meeting minutesMaintain files and archive historical dataPresenter at New Member Orientations Manage projects Answer member calls and resolve member issuesMaintain current training on all insurance productsProvide administrative support to assure timeliness, accuracy and integrity while coordinating:Budget administration;Travel arrangements;Department calendar, appointments, meeting schedules; Resource documents; and Supplies and equipment

Answer 70 plus calls daily. Successful resolution of issue during first call ninety percent of the time. Key Results:Benefit knowledge on all lines of business including HMO, PPO, ASO, MCHCP, Federal, Medicare, and MedicaidGovernment plan (i.e. PremierPlus) Advise members on:Contract language and benefits utilizationClaim troubleshooting and resolutionAssist members with Complaint and Grievance rights Document all member interactions within operating system Process weekend and night voicemail messagesIdentify training issues and solutionsSupport manager, supervisors, and customer service representatives

In charge of opening/closing office and assisting physicians in all aspects of daily business operations generating $750,000 annually; provided front desk support, inventory control, promotions, customer service, claim processing, and personnel training. Key Results:Process $850,000 in health care claims annuallyProvide marketing, patient education, physical therapy, vitamin sales, supply purchasing, payroll, medical claim processing, patient accounts, and staff leadershipIncrease community presence of the practice by organizing Red Cross classes, blood drives, and educational seminars