Stacy Cerwin Email & Phone Number

Waukegan, Illinois

• Manage service contracts for 500 plus customers in the North Division.• Support renewal process from initial contact through Purchase Order resolution and invoicing for Omnicell customers and Pandora customers.• Process new deals and Time & Material purchase orders.• Analyze and maintain customer data for ongoing service renewal process (via Siebel)• Track progress and status of service renewals • Cooperate with team members outside the department to ensure contract accuracy• Update resident systems with newly acquired data • Update account contacts with new information about service and/or products.

• Provide expertise claims support by reviewing, researching and investigating all types of claims as well as recovery.• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.• Consult financial services departments of major medical providers on how to better facilitate claims payments.• Audit and adjust credit balance reports to retrieve overpayments made by nationally recognized insurance companies.• Reclaim millions of dollars in credit balances on all types of medical claims which requires a thorough understanding of the claims process, medical terminology, pricing and hospital administrative structure.

Greater San Diego Area

• Act as a liaison for Care Management and individual provider's, relay clinical information from and to Care Managers when appropriate, while effectively problem solving to follow through on difficult calls.• Ability to work with Care Managers to complete follow up actions on single case agreements and understanding how to submit accommodations for out of network providers.• Expertise in finding urgent/emergent appointments for our members when in crisis.• Assist in administratively authorizing online treatment progress reports for continuing treatment for members.

Hartford, Connecticut Area

• Drafts contract documents from base forms within established departmental metric standards or negotiated timeframes.• Work in partnership with Product and Legal to ensure plan compliance with regulatory and product guidelines, negotiating the resolution of issues through direct customer contact and Account Management involvement.• Involved in shaping the new Business Set-Up Project Process that will improve United Healthcare's capability to acquire and retain customer relationships.• Manage an applicable book of business depending on grade level that meets and exceeds customer expectations of timeliness, quality and service.