Patrick Biela Email & Phone Number

Boston, Massachusetts, United States

• establishes and maintains relationships among the state's pharmacy program for drug and related services.Organize provider training sessions that provide rules and regulations education.Work with other agencies and.
• Conduct annual provider training management for pharmacists and technicians
• Oversee call center services (resolving escalated tickets, providing training, and providing reporting
• Evaluates and responds to claims processing discrepancies
• Provide software vendor certification, pharmacy claim recovery, and new provider claim testing
• Provides implementation support to new pharmaciesIs a mediator between pharmacies and software vendors for claim/system adjudication

Boston, Massachusetts, United States

Examples of problems solved during tenure:1. took ownership of a borderline out of control process, Provider Service Center LTSS inbox, and significantly improved KPIs and communication frequency between MassHealth and providers.2. centralized, organized and standardized workflow for USPS and UPS correspondence3. reduced spending on workplace items by.

Boston, Massachusetts

Cambridge, Massachusetts

responsible for coordination of durable medical equipment including CPAP, biPAP and oxygenperforming patient outreach and consultation

Brighton, Massachusetts

In groups of 100-200, executed all Medicaid eligibility status checks via MMIS of Health Benefits and Department of Medicine patients prior to insurance renewalFollowed up on patient billing, enrollment status, registration and documentation requirements.Managed MassHealth correspondence for all health center patients covered under Medicaid

Greater Boston Area

• SY '16-'17SY '17-'18Assisted in implementation of each student’s individualized Educational Plan and behavior plan
• Performed data collection, performance tracking and revision of behavior plans
• Provided assistance with instruction for autistic students assigned to a self-contained or integrated mainstream class
• Supervised students during instructional and non-instructional classes

Boston, Massachusetts

Responsible for data coordination activities relating to enrollment and revalidation of LTSS providers. Responsible for managing and using clinical information to prepare official documents, database management, and provider research.

Boston, MA

Progressively relied on for management of clinical operations of an ambulatory outpatient department.Accounted for nearly 60 percent of total patient volume from 2012-2016 and nearly 15,000 total patients Performed, troubleshot and interpreted various lung function tests on patients of all demographics in a fast paced hospital clinical practice. Maintained.

Chicopee, Massachusetts

Responsible for all aspects of family owned business including customer service, cash handling, payment processing, inventory intake, assisted in marketing efforts. Assisted family in business succession and retirement plan after tenure ended.

Bachelor Of Science - Bs, Applied Exercise Science

Activities and Societies: Humanics in Action (2004-2007) Swim Team (2004-2007)This major emphasizes that physical activity is inextricably.

High School/Secondary Diplomas And Certificates

Activities and Societies: National Honor Society Swim Team (captain 2003) Epilepsy Awareness Month

Digital Marketing Strategy And Planning Specialization

Coursera specialization

Introduction To Business Specialization

Coursera Specialization

Investment Management Specialization

Coursera specialization

Introduction To Financial Accounting: The Accounting Cycle Specialization

Coursera specialization

Risk Management Specialization

Coursera specialization

Scrum Master Specialization

Coursera specialization

Agile For All

Kaizen Approach - Lean Methodology For Continuous Improvement