Mindy Herrera Email and Phone Number
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Mindy Herrera personal email
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As an experienced and dedicated professional in the field of health insurance, I bring a wealth of knowledge and expertise to my role as a Team Lead. With a passion for improving healthcare access and ensuring financial protection for individuals and families, I am committed to leading a team towards achieving excellence in all aspects of health insurance operations.With a solid foundation in health insurance policies, regulations, and industry trends, I possess a comprehensive understanding of the complexities involved in managing insurance processes. Throughout my career, I have successfully navigated the ever-evolving landscape of the healthcare industry, staying up-to-date with the latest advancements, legislation, and compliance requirements.
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Administrative Services Team LeadSedgwick Government Solutions Aug 2023 - PresentUnited States
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Team LeadOscar Health Jan 2017 - Aug 2023Consistently achieved 100% compliance by auditing, identifying trends, knowledge gaps and issues.Improved training processes and material, reducing case errors and avoiding regulatory penalties.Created and maintained Standard Operating Procedures (SOP).Made improvements to workflows reducing member’s calls and case escalations.Managed a team of 28 processors, specialists and experts, conducted review sessions, one on one meetings, establish team objectives and provide feedback. Responsible for hiring, training and coaching new processors, Completed quarterly QA audits, weekly regulatory and turnaround time weekly reports. -
Clinical Review ExpertOscar Health 2019 - 2021Resolved case escalations by coordinating with other departments.Analyzed and correct authorizations defects.Assisted Medical Doctors, Nurses, and Social Workers on authorization reviews.Reviewed turnaround time review reports.
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Clinical Review ProcessorOscar Health 2018 - 2019Built authorizations requests casesInteracted with external providers to review authorization requests. Convey member’s cases with physicians experts.Released authorization determinations with external providers.
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Concierge ExpertOscar Health 2017 - 2018Provided team with new workflows, policies, daily best practices .Tracked quality scores, coaching sessions, and progress reports.De-escalate members complaints.Collaborate with other departments to provide feedback on trending issues.Train new employees on medical policy benefits, claims, how to operate systems .Support team with complex cases.
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Customer ServiceAnthem Blue Cross And Blue Shield 2014 - 2016Explained to members the benefits of their policy.Awarded 5 times for providing best quality of service.Located doctors and hospitals within Anthems network for members, to ensure members to the best coverage. Assisted with the processing of medical claims, and advise members how they are processed. -
Customer ServiceJcpenney 2013 - 2014Worked on multiple programs with logistics.Problem solving customers issues when orders have not received order or received the incorrect merchandise.Train new employees on proper customer service. -
Salon ManagerSaturday’S Hair Salon 2003 - 2011Hire, Train, and Recruit new stylists.Completed weekly schedules, supply orders, daily banking needs.Performed monthly inventory.
Frequently Asked Questions about Mindy Herrera
What company does Mindy Herrera work for?
Mindy Herrera works for Sedgwick Government Solutions
What is Mindy Herrera's role at the current company?
Mindy Herrera's current role is Document Management Team Lead.
What is Mindy Herrera's email address?
Mindy Herrera's email address is mi****@****kel.com
What is Mindy Herrera's direct phone number?
Mindy Herrera's direct phone number is +64 9-273*****
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