Sherodon Jackson, Mmh

Sherodon Jackson, Mmh Email and Phone Number

Provider Relations Manager @ Primary Partners, LLC
Sherodon Jackson, Mmh's Location
Kissimmee, Florida, United States, United States
Sherodon Jackson, Mmh's Contact Details

Sherodon Jackson, Mmh work email

Sherodon Jackson, Mmh personal email

n/a
About Sherodon Jackson, Mmh

I have over 15 years experience in the Healthcare industry in a variety of positions. Currently, I work as a Provider Relations Manager serve as primary contact for provider relations and assist practices in transforming their practices to improve quality and generate share savings,contributing to the increase in revenue by 50%, and develop policies and procedures around population health management.Previously, I was a Provider Relations Representative at Wellcare/ Centene where I reduced costs by 50% by implementing programs such as Hedis Measures to improve performance of poorly performing providers.Suggested and implemented methods to improve accuracy of logs by 40%, and achieved 92% provider enrollment in salesforce; 12% above goals.Throughout my career as a Provider Relations Representative, I have been driven by my passion to serve my clients, find answers and resolutions to the most pressing issues. Having a wealth of knowledge and practices as a Provider Relations Representative, and Medical biller I continually look for opportunity to maximize my problem solving and analytical thinking skills.My Technical competencies include the follow: Microsoft Office | EV5 | Sales Force | IDX | EPIC | SMS | MCKESSON | FACETS | NAVINET | APPIAN | JIVA OMNIPRO| EAGLE | ADP Enterprise | PROMISE | NAVINET | STREAMLINE | RX-Home⃒XCELYS

Sherodon Jackson, Mmh's Current Company Details
Primary Partners, LLC

Primary Partners, Llc

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Provider Relations Manager
Sherodon Jackson, Mmh Work Experience Details
  • Primary Partners, Llc
    Provider Relations Manager
    Primary Partners, Llc Feb 2021 - Present
    Central Florida And Surrounding Areas, Florida, Us
  • Cigna/Accredo Health Group
    Eligibility Representative
    Cigna/Accredo Health Group Sep 2020 - Feb 2021
    Bloomfield, Ct, Us
    Responsible for processing prior authorizations for specialty drugs, conducting medication research, and facilitating resolution of drug coverage issues.• Research issues on benefits coverage with pharmacist and doctor’s office to ensure that all dispensed medication would be paid without any delay, contributing to the increase in sales by 50%.
  • Wellcare Health Plans
    Provider Relations Specialist
    Wellcare Health Plans Aug 2019 - Sep 2020
    Tampa, Florida, Us
    Functioned as a liaison between plan and participating providers by responding to their needs and inquiries, and educating providers and their office staff.• Achieved 92% provider enrollment in salesforce; 12% above goals.• Reduced costs by 50% by implementing programs for poorly performing providers• Suggested and implemented methods to improve accuracy of logs by 40%.
  • Amerihealth Caritas
    Account Executive Assistant/Provider Network
    Amerihealth Caritas Jul 2017 - Aug 2019
    Philadelphia, Pa, Us
    Functioned as a proactive practice account leader nurturing and maintaining positive working relationships between plan and its contracted providers.• Negotiated rates for services with participating and non-participating providers decreasing provider costs by 50% while following special pricing procedures.• Resolved complex provider billing issues by detecting and correcting billing errors decreasing AR from 5000 outstanding claims to 1000.
  • Mount Sinai Health System
    Payment Specialist/Medical Billing
    Mount Sinai Health System Feb 2013 - Jul 2017
    New York, Ny, Us
    Team leader; reconciled electronic lockbox transactions and ensured compliance with the department financial standards by providing annual department budget information. Monitored expenditures identifying variances and implementing corrective actions.• Reviewed insurance explanation of benefits in a timely fashion and posted accurate payments from lockbox to IDX billing system which increased revenue from $400K to 1M monthly.• Suggested and implemented methods to improve accuracy of logs by 30%.
  • Ahrc New York City
    Executive Assistant Human Resources
    Ahrc New York City Sep 2009 - Feb 2013
    New York, N.Y., Us
    Provided confidential, and administrative support to the director of HR and administrative services, and established significant knowledge of district-wide and human resources related policies, procedures, and practices.• Collaborated with district finance department on issues related to payroll, benefits, employee leave and department budget.• Processed new hire paperwork, verified I-9 documentation, assisted with on boarding training, and ensured accuracy of payroll with a track record of no errors.

Sherodon Jackson, Mmh Education Details

  • University Of Phoenix
    University Of Phoenix
    Management And Human Resources
  • City University Of New York- Medgar Evers College
    City University Of New York- Medgar Evers College
    General

Frequently Asked Questions about Sherodon Jackson, Mmh

What company does Sherodon Jackson, Mmh work for?

Sherodon Jackson, Mmh works for Primary Partners, Llc

What is Sherodon Jackson, Mmh's role at the current company?

Sherodon Jackson, Mmh's current role is Provider Relations Manager.

What is Sherodon Jackson, Mmh's email address?

Sherodon Jackson, Mmh's email address is mm****@****ers.org

What schools did Sherodon Jackson, Mmh attend?

Sherodon Jackson, Mmh attended University Of Phoenix, City University Of New York- Medgar Evers College.

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