Sonya Thompson

Sonya Thompson Email and Phone Number

Provider Management @ Arlington, TX, US
Arlington, TX, US
Sonya Thompson's Location
Arlington, Texas, United States, United States
Sonya Thompson's Contact Details

Sonya Thompson work email

Sonya Thompson personal email

n/a
About Sonya Thompson

At Centene Management, my role as a Provider Network Specialist encompasses a robust spectrum of tasks that streamline operations and nurture provider relations. This position leverages my competencies in insurance claims and interdepartmental liaison to enhance service delivery and policy adherence. Our team prioritizes clear communication and educational outreach to fortify the health plan-provider relationship.With the integration of my skills in claims management and a strong dedication to operational excellence, the network has seen improvements in provider satisfaction and workflow efficiency. Collaborating with healthcare professionals, I facilitate a comprehensive understanding of policies and procedures, driving Centene's commitment to service quality and innovation within the healthcare administration field.

Sonya Thompson's Current Company Details
Self-employed

Self-Employed

Provider Management
Arlington, TX, US
Sonya Thompson Work Experience Details
  • Self-Employed
    Provider Management
    Self-Employed
    Arlington, Tx, Us
  • Centene Management
    Provider Network Specialist I
    Centene Management Mar 2021 - Oct 2024
    Team Lead. Manage network of Primary Care Providers and specialists for IPA. Educate providers on policies and procedures related to claims submission, portal usage, corrected claims, CAQH, etc. Liaison between the providers and the health plan. Perform other contracting duties as requested, including, but not limited to changes in pricing systems, submitting changes to provider related database information, and assisting with special projects.
  • Contractor For Centene
    Claims Liaison I -Healthcare Support
    Contractor For Centene Aug 2020 - Mar 2021
    Serve as primary contact for providers and act as a liaison between the providers and the health plan, Research claims issues on-site, where possible, and route to the appropriate party for resolution. Receive and effectively respond to external provider related issues. Initiate data entry of provider-related demographic information changes and oversee completion of change requests for the network. Investigate, resolve, and communicate provider claim issues and changes. Educate providers regarding policies and procedures related to claims submission, portal usage, corrected claims process and other projects assigned.
  • Jacobson Insurance
    Claims Processor
    Jacobson Insurance Apr 2020 - Jul 2020
    Processed claims for physicians, hospital, and specialty areas for Veterans Administration/TriWest with a high degree of accuracy and production established and guidelines.
  • Empyrean Benefits
    Client Service Rep
    Empyrean Benefits Sep 2019 - Feb 2020
    Identified and initiated resolutions to issues from High quality client and member case management. Resolved, researched escalated issues and took appropriate action to resolve them within established service agreements.
  • Unitedhealth Group
    Claims Adjustment Specialist
    Unitedhealth Group Apr 2016 - Mar 2019
    Slashed overpayments being issued to providers being paid multiple times with high degree of quality and accuracy. Adjudicated facility claims, physician and specialty area claim within the production and accuracy standards set. Planned/prioritized. Solved moderately complex individually, demonstrated awareness of impact of claims business processes.
  • Optum Behavioral Solutions
    Claims Adjuster
    Optum Behavioral Solutions Apr 2013 - Apr 2014
  • Optum Behavioral Solutions
    Claims Adjuster
    Optum Behavioral Solutions Apr 2013 - Apr 2014
  • Optum Behavioral Solutions
    Claims Customer Service
    Optum Behavioral Solutions Jan 2009 - Apr 2013

Sonya Thompson Education Details

  • Snhu Online
    Snhu Online
    Healthcare Administration

Frequently Asked Questions about Sonya Thompson

What company does Sonya Thompson work for?

Sonya Thompson works for Self-Employed

What is Sonya Thompson's role at the current company?

Sonya Thompson's current role is Provider Management.

What is Sonya Thompson's email address?

Sonya Thompson's email address is st****@****anh.com

What schools did Sonya Thompson attend?

Sonya Thompson attended Snhu Online.

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