Paul Robertson work email
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Experienced with healthcare compliance, HIPAA regulations, and department of Managed Health Care federal guidelines, Product Integration, training staff 60+ staff on new Procedures. As part of responsibility for both Genentech and Kaiser Paramente, he was responsible for maintaining and improving statistical percentages for compliance. By creating a clear channel of communication between all northern California call center representatives and Kaiser Members or monitoring trends of 13 Genentech product over all US Territories, he developed a consistent due diligent work ethic. He helped improve work flow processes of receiving and distributing patient information in a time sensitive environment for case management appeals. He created drafting forecast results for the next quarter was detrimental to department goals. His objective is to be member friendly while adhering to company guidelines and regulations. In addition to the aforementioned, Paul has also assumed lead on various employee workshops, trained 60+ staff on Specific product intergeneration and work flow management meetings. Goals: To be part of a team thats maintain a high level of productivity with positive results.Specialties: Innovative, MS Office, Mac literate, Muti-tasker, Team player.
Democracy Resourves
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ManagerDemocracy Resourves Jan 2012 - PresentOakland1/12 to Present Manager• Develop a process to validate signatures to ensure they fall within the required parameters.• Train 15-25 employees monthly on validity process.• Analyze process establishing documented evidence through appropriate testing that the specified process meets all release requirements for functionality.• Forecast progression and completion dates base on data collection. • Create and implement Fraud and Protection Unit. • Develop and train employees on Fraud detection process.• Maintain and enhance work staff, into units which produces validity rates of 2 million signatures in a 6 month time frame. • Create workflow process which adapt to company needs and demands. Forecast timeframes for special projects. • Tracked fraudulent offices and circulators, as well as reported data for supervisor.
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Foundation SpecialistGenentech Jan 2009 - Mar 2011Consistently, maintained contact with doctors, patients and pharmaceutical vendors to review case status eligibility. A member of the reimbursement foundation team over 60 in staff verifying 13 products delivery and status over all US territories. Report to the director of Access Solution Reimbursement the Fifth Largest Non- Profit in the US. *Active Member of training Team with concentration on specific products Xeloda, Avastin, Herceptin, Tarceva. -
Special Services/ Claim Examiner/ Appeals CoordinatorKaiser Permanente Aug 2001 - Mar 2008Process a consistent distribution stream per the required regulation in accordance to the timeline. Problem solves appeals and grievances received from incoming distribution. Distribute appeals and grievances retrieved from US mail, fax, private Kaiser Permanente systems, and Call Centers in the Northern California Region. Maintain grievance tracking, using excel spread sheet daily. Assign member appeal to specialist for processing in timely manner.
Paul Robertson Skills
Paul Robertson Education Details
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Human Development -
Human Development
Frequently Asked Questions about Paul Robertson
What company does Paul Robertson work for?
Paul Robertson works for Democracy Resourves
What is Paul Robertson's role at the current company?
Paul Robertson's current role is Manager at Democracy Resources.
What is Paul Robertson's email address?
Paul Robertson's email address is pr****@****aol.com
What schools did Paul Robertson attend?
Paul Robertson attended Howard University, Howard University.
What are some of Paul Robertson's interests?
Paul Robertson has interest in Women's Basketball, Public Policy, Marketing, Healthcare, Basketball, Insurance, Cancer.
What skills is Paul Robertson known for?
Paul Robertson has skills like Managed Care, Public Speaking, Access, Healthcare Reimbursement, Medicare/medicaid Reimbursement, Google+, Salesforce.com, Healthcare, Training, Google Docs, Medical Case Management, Forecasting.
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