Sina Eam Email & Phone Number

Woburn, Massachusetts, United States

• Review and authorize Sales Orders from “Waiting Approval” status to “Open” status
• Create Job Orders in ERP system
• Review material specification requirements and verify supplier purchase orders match customer requirements
• Perform “Job Order Release” function, print and create job order packet for the shop floor
• Perform Certification Review and ensure full documentation and compliance to customer and BC specifications
• Identify expedited job orders and communicate appropriately to shop floor as required

Hudson, New Hampshire, United States

• Lead the team to meet and exceed quality standards
• Successfully diagnose and resolve order issues, resulting in minimal disruption to production
• Analyze SAP (Systems, Applications, and Products) order data and change as needed for accurate, on-time delivery
• Communicate order issues with customer service in a timely manner, leading to optimal customer experience
• Work in concert with department leads in all stages of pre-press, on-press, and post-press SAP activities, ensuring their order processing issues are being addressed
• Clearly and effectively communicate with IT issues that need to be fixed, improved, and/or implemented

Boston, Massachusetts, United States

• Act as a liaison for MassHealth providers and MassHealth SMEs for COVID-19 related inquiries
• Provide feedback prior to the release of COVID-19 published materials
• Lead provider outreach for Phase II of MassHealth’s Technical Refresh Project
• Maintain and monitor Atrixware’s (LMS) user activity and update educational materials as necessary
• Host training as requested by EOHHS regarding the MMIS eligibility functionality
• Conduct monthly outreach to assigned Provider Associations and MassHealth Program Managers. Discussion includes topics that impact the constituency of the Provider Associations or programs

• Administer payer website access for Patient Financial Services (PFS) PB (Professional Billing) staff
• Implement interdepartmental request forms for EFT/ERA enrollments and website access requests
• Advise and assist with revenue operations as they relate to Epic build decisions, in-depth analysis of denials, complex appeals, audits, credits, cash, coding, workflows, data collection, report details, claims and.
• Analyze, track, and trend daily, weekly, and monthly denials by payer using denial reporting tools to report and provide recommendations to the Revenue Cycle Leadership
• Run ad hoc reports as needed by Revenue Cycle Leadership and Finance
• Develop, trend, and report monthly and annual statistical reporting dashboard to coincide with departmental and organizational KPIs (Key Performance Indicator)

Greater Boston Area

• Conduct training sessions and seminars in locations throughout the Commonwealth of Massachusetts to communicate policies and procedures changes such as the Ordering Referring, and Prescribing Requirements, and the.
• Form and utilize interdepartmental communication workflows, protocols and relationships to coordinate within the MassHealth Customer Service Team
• Develop Program Highlights for staff and Job Aids to be utilized by both staff and provider community
• Plan, develop and implement an account management strategy for assigned MassHealth Programs
• Follow up on issues raised at any training session, including contacting Provider Associations with updated information, and updating future training protocols and materials
• Facilitate meetings between EOHHS and the provider community to discuss high-level concerns regarding policies and procedures

Greater Boston Area

• Responsible for completing outreach calls to providers to educate and train office staff regarding various MassHealth applications
• Conduct research and resolution for the Provider Enrollment and Credentialing Department resolving provider applications issues
• Facilitate the scheduling and set-up of training webinars for MassHealth providers’ topics including ICD–10 implementation, specialty applications, and revalidation
• Successfully manage several work queues involving provider enrollment, credentialing, revalidation, and provider related customer service escalations
• Act as a liaison for the Provider Enrollment and Credentialing Department and MassHealth providers to research and resolve billing inquiries
• Provide research support to the Senior Provider Relations Specialists as needed for various initiatives

Greater Boston Area

• Function as the front-line contact for all members and providers by responding to a high-volume of incoming calls.
• Research resolutions for all clients using MAXIMUS’s internal systems and the Massachusetts Health and Human Services Website.
• Provide quality customer service while abiding to all HIPAA rules and regulations.
• Educate members on eligibility requirements and options for MCO enrollments.
• Investigate claims to refer providers to appropriate billing guides for claims processing.
• Send out applications when appropriate to members and providers after performing a pre-screening eligibility check.

Salem, MA

• Supervise cashiers and baggers
• Coordinate employee shifts to ensure efficient operation
• Demonstrate customer service skills with every client interaction
• Delegate various front-end tasks for closers to guarantee smooth functionality for morning cashiers and baggers
• Resolve money disputes, technology malfunctions, and employees’ errors in an effort to mitigate stressful situations
• Dedicate time during shifts to assist in training new employees for their hired positions

Health Claims Certificate, Medical Coding And Billing

High School