Patricia Buono Email & Phone Number

Belmar, Nj, Us

New York City Metropolitan Area

Accountable for all aspects of employee health and safety. Designed and instituted an effective Return to Work program. Responsible for Short Term Disability, FMLA NJ Paid FMLA and OSHA recording keeping and annual reporting. Extensively worked with insurance brokers securing comprehensive cost effective coverage. Redesigned training prerequisites. Member of effective training team. Performed fiscal audits to identify proper management of funds entrusted by individuals supported.Assessed risk of potential candidates based on information gathered through background checks.

Successfully managed the Provider Services Department. Verified contract implementation and integrity of system information to assure accuracy. Met or exceed goals and timelines set for each specific project. Enlisted the resources of our internal Matrix partners and worked effectively with them to met these goals. Issue resolution with hospitals, IPA*s and large provider groups. Key player in negotiations and contracting of influential provider groups throughout the State. Assisted with recovery efforts when outside vendor was unsuccessful.

Maintained the integrity of the New Jersey Network by being a point person for providers to contact regarding all issues related to their participation with UnitedHealthcare. Worked on special projects including: Resolution of Escalated Claims and Department of Insurance complaint issues. Mastered the internal systems used in my position and trained staff on their use.

Excelled in a demanding high volume call center exclusively for premier customer. Consistently exceeded daily quality and cue goals. Position required extensive claims research. Learned and practiced techniques for dealing with difficult people and situations

Acted as a liaison between the Provider Network and the company. Developed working relationship with both physicians and their office staff in Ocean and Monmouth Counties. Managed territory of 200+ Physician offices that entailed new provider orientations and ongoing education, Initial and annual site visits for reaccreditation, and comprehensive HEDIS chart audits. Researched claims for rework and resolution. Accurate and timely completion of paperwork for provider data maintenance. Special projects included both clinical and non-clinical assignments. Coordinated large scale training seminars for provider network.

Assured that client were in compliance with Federal OSHA requirements. This required on-going contact with OSHA as well as an understanding of the OSHA laws. Hiring, training and supervision of staff Audiometric Technicians. Development of comprehensive training programs for our client companies. Developed all promotional literature and brochures. Direct sales and marketing efforts, group presentations and participation in state trade shows