Sonya Thompson work email
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Sonya Thompson personal email
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.
Self-Employed
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Provider ManagementSelf-EmployedArlington, Tx, Us
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Provider Network Specialist ICentene Management Mar 2021 - Oct 2024Team 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.
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Claims Liaison I -Healthcare SupportContractor For Centene Aug 2020 - Mar 2021Serve 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.
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Claims ProcessorJacobson Insurance Apr 2020 - Jul 2020Processed claims for physicians, hospital, and specialty areas for Veterans Administration/TriWest with a high degree of accuracy and production established and guidelines.
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Client Service RepEmpyrean Benefits Sep 2019 - Feb 2020Identified 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.
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Claims Adjustment SpecialistUnitedhealth Group Apr 2016 - Mar 2019Slashed 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.
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Claims AdjusterOptum Behavioral Solutions Apr 2013 - Apr 2014
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Claims AdjusterOptum Behavioral Solutions Apr 2013 - Apr 2014
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Claims Customer ServiceOptum Behavioral Solutions Jan 2009 - Apr 2013
Sonya Thompson Education Details
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Snhu OnlineHealthcare 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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