Patrick A. Email & Phone Number

Tampa, Fl, Us

Tampa, Florida, United States

• Track Leader for largest track at HCL Tech• Direct point of contact for client issues• Monitor success of 7 Direct reports including Team Leads, SME’s, and Managers• Insure claims team meets SLA’s, KPI’s,PG’s, and quality metrics each month• Present metrics and updates to client 1-3 -mesmeetings per week.

Tampa, Florida, United States

• Participate in the development of Quality Assurance program for Claims • Oversee progress of Direct Reports: 21 including 2 Supervisors, 2 Quality Auditors, and 1 Team Lead• Analyze and create KPI Metrics in Claims Per Hour and Quality• Point of Contact for Vendor • Attend and present results at all clients Monthly Operational Reviews (MOR)

Tampa, Florida, United States

Manage vendor relationship ensuring all contractual obligations were achievedOversee team of 15 claims processors and 2 Quality AuditorsPartner with Client Team to ensure Client satisfactionAttend and Present metrics at monthly operations review with client

Tampa, Florida, United States

• Ensure Direct Reports: 6, and >120 Indirect Reports achieve monthly targets in claims processed and quality• Accountable to obtain monthly Metrics in Volume processed and Dollars• Oversight of 4 billion in billed dollars monthly• Chair Root Cause and Process Improvement Committee• Achieved 97% Employee Satisfaction on annual HR Survey

Tampa/St. Petersburg, Florida Area

•Ensure successful direction for Direct Reports: 4, and >500 Indirect reports• Create and Develop Claims Command Center. WFM for claimsEnsure Domestic and Global Sourcing partners achieved the contractual obligations monthly. Ensure KPI and SLA attainment for Claims Processing Northeast region• Accountable for the oversight of 5 million claims monthly• Responsible for Attainment of 40 monthly regulatory metrics; State and Federal• Implement claims processing strategies to increase speed to process. Ensure all claims were processed 97% in 20 days and 99% in 30 days.• Oversee BA's responsible to Deliver reporting that drives inventory management and claims processing• Create Cost Saving measures to prevent unnecessary interest. >1mm savings yearly• Test and Integrate New workflow system• Increase Employee Satisfaction from 75% to 89% on annual survey• Achieve yearly budget with 0% variance

Tampa, Florida, United States

Managed claims processing activities and operations for Connecticut, Nebraska, New Jersey, and New York markets.Successfully achieved Key Performance Indicators (KPIs) and Key Initiative Deliverables (KIDs.)Oversaw daily operations of 3 Supervisors and 29 staff positions.Managed Learning Environment focused on new hire training, quality improvement, and tips of the week.Consistently exceeded 90% satisfaction in yearly Agent Opinion Survey (AOS).

Tampa/St. Petersburg, Florida Area

Oversaw a team of 28 full time and temporary associates.Mentored and coached leadership staff to ensure company goals and objectives are achieved.Hosted monthly team meetings and one on one scorecard sessions. Compile daily, weekly and monthly metrics reports.

Saint Petersburg, Fl

New hire training for Claims Analyst and Claims Customer Service representatives.Coordinated efforts with other operating partners on all projects and planningDesigned and developed training modules, Standard Work Instructions (SWI), Business Decision Documents (BDD), and Knowledge Process Solutions (KPS).

Tampa,Fl

Training and managing new and existing employees in Healthcare customer service, claims processing, and professional skills development. Conduct needs analysis and gap analysis to locate holes in learning. Design and maintain training material utilizing info-mapping. Provide weekly trainee evaluations and working hand in hand with call center and claims management on process improvement.

Up-skill team of 8 trainers in facilitation skills, project development, and curriculum design. Held bi-weekly staff meetings, wrote monthly reviews, and facilitated new hire training classes.

Tampa/St. Petersburg, Florida Area

Train and manage incoming employees in all aspects of Medicare and Medicaid Claims Processing Train Member and Provider Services to handle inbound calls from Members and Providers. Administrative work including weekly trainee evaluations, developing training plans around quality metrics and assisting Instructional Designers on curriculum development Work with Claims management on process improvement.

Tampa/St. Petersburg, Florida Area

Train and develop new employees on claims payment procedures and customer service techniques. Assist in the design and start-up of Check Reconciliation System. Trained seasoned employees on Claims Adjustment Procedures. Process Claim Payments through UNET and COMET, Adjust Claims through UNET, and Applying TRACR Refund Checks