Nora Archer Email & Phone Number

Maitland, Florida

PROGRAM COORDINATOR Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as educating member on care gaps and benefits Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services.  Screen members by priority for case management (CM) assessment.  Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. Coordinate services with community based organizations.  Attend marketing and outreach meetings as directed to represent the plan.  Produces and mails routine CM letters and program educational material. One of 3 selected by leadership to complete Rise & Shine Service Excellence Training for the Inbound team Other duties include(s) processing and adding virtual mail room to members profile in Trucareo Worked transitional care queue by assigning care managers to inpatient individualso Worked SOMATUS program by creating case & entering diagnosis for members in Trucareo Added providers & member NOP(Notification of Pregnancy) from FileNet to Trucareo Transitioned from Inbound to Outbound Team

Orlando, Florida Area

o Verify insurance eligibility for services provided and document complete information in systemo Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companieso Provide a streamline intake workflow process and reduce delays in patients treatmentso Proactively submitting re-authorization to the insurance company two-three weeks prior to the authorization expiration dateo Submit test claims to correct insurance pay plan for providing therapieso Document all pertinent communication with patient, physician and insurance companyo Handle inbound calls from physician offices, and/or insurance companieso Resolve claim rejections for eligibility, coverage, and other issueso Team event coordinator

Orlando, Fl

o Reach out to all new patients and introduce them to services and products via telephoneo Respond to incoming calls and answer any related questionso Maintain patient census and reach out to patients prior to them needing their medicationso Ascertain from the patient all of their supply needs and review medication inventoryo Offer any additional support or assistance, such as consultations with pharmacists and classeso Maintain statements and inform patients of co-pays and past due amountso Process payments in the form of credit card transactionso Schedule delivery of medication after all patient needs are addressedo Document all related communications with pharmacy personnel, patients, physicians, nursing agencies and other related individualso Provide technical support to physicians, nurses and patientso Assist and maintain all related pharmacy records(prescriptions logs, care plans, medication profiles, and any other related files) as determined by the pharmacisto Perform various related tasks as determined by management of the State Board of Pharmacy or Joint Commission

Winter Park, Fl

o Direct contact with insurance companies o Process claims and get reimburse through submitting claims electronically or by papero Verifying patients’ insurance coverageo Follow-up with insurance regarding unpaid claims within the standard billing cycle frameo Use coded data to produce and submit claims to insurance companieso Review all payments for preciseness and compliance with contract discounto Correcting and resubmitting claims to insuranceso Worked with Medicare, Medicaid, Medicaid HMOs, PPOs, POS Plans, HSAso Trained in CPT, HCPCS, ICD-9 and new ICD-10o Call insurance companies regarding any discrepancy in payments if necessaryo Conducts self in accordance with HIPAA employee manualo Maintains work operations by following policies and procedures; reporting compliance issueso Maintains quality results by following standardso Protects office/practice’s value by keeping collection information confidentialo Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations

Winter Park, Fl

o Responsible for developing and implementing the practice's mission and strategic visiono Recommended, developed, implemented improvements for the practiceo Supervised interns and administrative staff and developed policies and procedures o Establishes and secures approval and oversaw practice operating policies and procedureso Oversaw efforts for recruitment, development, and performance evaluation of employeeso Oversaw and managed payroll(intuit), billing and collection processo Ensured practice compliance with all regulatory agencies governing health care delivery and the rules of accrediting bodies; continually monitors operations, programs, physical properties; initiates appropriate changeso Encouraged community education by initiating participation in health fairs and events to promote awareness; responsible for managing the overall marketing activities of the practiceo Managed all practice managed care relationships, including monitoring of related reimbursement, negotiation with third party payers, over 10+ provider credential (insurance companies), and maintenance of contractso Resolved any medical-administrative problems and keeps lines of communication open with staff to ensure high employee morale and a professional, healthful clinic atmosphereo Conference Coordinator Assistant for International Alliance for Invitational Education (IAIE) World Conference October 2013 --Transportation and hotel accommodation with all types of vendors and hospitality organizations --Created and organized itineraries for event --Developed, maintained and strengthened partnerships with clients and board members --Meet strict deadlines and coordinated a wide range of services for meetings --Responded to numerous phone calls and emails --Handled meeting room bookings and utilizing the reservation system with hotel Convention Service Manager and Senior Sales Manager

Winter Park, Fl

o Repeatedly recognized for going above and beyond and completing tasks ahead of scheduleo Saved time and reduced workload for clinical director and manager through superior secretarial supporto Schedule appointments, managed patients charts, and recorded attendanceo Maintained calendars and managed staff databaseo Created PowerPoint’s, proposals, brochures, charts, website, and templateso Researched educational concepts and theorieso Updated facility listserv and profileo Managed clients online billing, online transaction, and verified 10+ insurance companies on a daily basiso Certified drug & alcohol screening and DNA collector; collect specimen for Quest, LabCorp and multiple companies for drug testing

Orlando, Florida Area

Offers organizations immediate value by leveraging academic coursework, Spanish fluency, cultural competency and four years of work experience.Contact me today! 407.489.9392 or NoraArcher@gmail.com

Gainesville, Florida Area

Supervised programming efforts and managed three committees for the university-based organization

Gainesville, Florida Area

Maintained assignment calendars and members’ test schedulesConceptualized, planned, coordinated and promoted all educational programsIncreased scholarship application rate by 10 % due to promotion of scholarships to partner schools and national online websites

Gainesville, Florida Area

Repeatedly recognized for completing tasks ahead of scheduleSaved time and reduced workload for department manager, director and 10 professors through superior secretarial supportKnown as go-to solution-finder for faculty and studentsScheduled faculty appointments, managed scholarship applications, and processed hundreds of student/teacher evaluationsUpdated department’s five listervsMaintained calendars, managed faculty database and authored related reportsFielded 20+ phone calls per day; collected and distributed mail, ran errands, copied materials, etc.Updated center website regularly through content management system

Gainesville, Florida Area

One of seven founding members who established the organization at the University of Florida to promote unity among Central American students, share the Central American culture with the Gainesville community, and increase cultural awareness and social adaptation

Gainesville, Florida Area

Recorded, filed, and maintained executive board meeting minutesManaged membership roster and recorded meeting attendanceCreated all correspondence for the organizationIncreased retention by 10% by promoting meetings and announcements to membership

Gainesville, Florida Area

Video recorded and photographed 30+ organizational eventsUpdated chapter resume, documenting activity details within two weeks of occurrenceCataloged photos into a chapter album to reflect the year’s events

Gainesville, Florida Area

Managed photo albums of organization events, and wrote event summaries as part of historical documentation

Bachelor Of Arts, Spanish

Activities and Societies: Lambda Theta Alpha, Hispanic Student Association, Central American Latin OrganizationFinanced education.

Medical Coder/Biller Certificate, Health/Healthcare Administration

Uf In Seville Study Abroad Program - Summer 2010

Activities and Societies: One of 30 scholars selected by a faculty panel; earned a scholarship to fund the opportunity. Took two college.

Minor, Women'S Studies

Course Sampling: Incarcerated Women Women in Poverty Women’s Autobiographies

Minor, African Studies

Course Sampling: Africa Economic Development African Language and Worldview