Sonia Leonard Email & Phone Number

Memphis, TN

• Responsible for coordinating specialty care services for all Church Health and MEMPHIS Plan patients. Coordinated services include diagnostic testing, onsite subspecialty clinics, external subspecialty referrals, and.
• Responsible for reporting departmental strategic goals aligned with organizational goals.
• Developed and implemented a plan to recruit, orient and maintain relations with specialty care physicians. Serve as the liaison between Church Health and approximately 400 physicians that provide specialty care to.
• Manage daily operations and administrative support for a staff of 9 FTE and 2-4 interns. Focus on timely access to specialty care services, computerized provider order (CPOE) and exchange of electronic health.
• Created departmental training manual, orient and conduct departmental training of new hires and seasoned staff of all clinical lines.
• Manage donated pathways through hospital networks and charity care.

Manage daily operations to database administration, client billing and collections and application enrollment/termination process.Supervise all operational staff directly to meet operational goals.Facilitate the resolution of MEMPHIS Plan patient (employer and participant) complaints, provide problem resolution, respond to patient requests and questions.

Quality ImprovementProcess HCFA CMS-1500 and UB-04 claimsManage NextGen EHR/EPM database for patient / provider claimsProvider Claims ResolutionAnalyze and Process Provider Bill SettlementsDoctor / Hospital Assignments Process and Schedule Medical Referrals Review and Process Co-Pays from PCP's and PatientsProvider NetworkReview daily accounting postings

Memphis, TN

Memphis, TN