Susan Moynihan work email
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Susan Moynihan personal email
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Susan Moynihan is a Annuity Contact Center Supervisor.
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Supervisor, Access CenterHartford Healthcare Medical Group Mar 2020 - May 2023 -
Quality & Training SupervisorHartford Healthcare 2019 - 2020 -
Assistant Manager, Customer Resolution & SelfpayConnecticut Children'S Medical Center Aug 2016 - Apr 2019East Hartford, Connecticut -
Supervisor, Customer Resolutions, Single Billing OfficeConnecticut Children'S Medical Center Nov 2014 - Aug 2016East Hartford, CtResponsible for resolving patient family complaints for hospital and professional services rendered.• Direct a process improvement plan resulting in increasing and sustaining exceptional call center metrics.• Created and developed custom work queues to direct internal and external grievances.• Communicate with patient families on all financial concerns.• Present patient family concerns to Risk, Compliance, Regulatory, QA, UM, Billing, General Council & Medical Directors.
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Supervisor, Call CenterDirectdme, An Aig Company May 2013 - Oct 2014Farmington, ConnecticutProvided day-to-day supervision to a team responsible for order entry and vendor procurement via telephone, email, and facsimile. • Surpassed team and departmental goals by coordinating daily work activities.• Gathered monthly data and created scorecards for distribution.• Resolved escalated customer service and finance inquiries. • Conducted performance appraisals, handled personnel issues, approved payroll.
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Supervisor, Customer Contact CenterHealth Net 2008 - Aug 2011Shelton, CtDirected the daily operations of a team of 28 Associates responsible for taking in-bound calls regarding Commercial, Medicare, and Medicaid plans.• Ensured individual, departmental and company goals were being achieved and/or exceeded.• Facilitated meetings to disseminate audit results, gathered trends, and issues of concern.• Resolved escalated call issues and personnel issues, as well as approved payroll.• Experienced in interviewing candidates as well as terminating Associates.• Participated on team in creating the ACE (Achieving & Celebrating Excellence) award program. -
Supervisor, Grievance Team And Executive Response Unit (Eru)Health Net 2006 - 2008Shelton, CtResolved all complaints made to Director or above including the President of Health Net of the Northeast. • Created first ERU case log and presented it quarterly to the Executive Management Team.• Ensured team responded accurately and timely to all grievances and complaints.
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Senior Grievance SpecialistHealth Net 2003 - 2006Shelton, CtDisposed of regulatory grievances filed by the CT and NY Departments of Insurance, Departments of Health, the CT, NY & NJ Attorney Generals, CT Health Advocate, formerly CT Ombudsman, the NJ Department of Banking and Insurance and the NJ Department of Managed Care.• Conducted second level hearings with complainant, Medical Director, and hearing panel.• Initiated weekly conference call with CT Ombudsman’s office advising case status.
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Grievance SpecialistHealth Net 2002 - 2003Shelton, CtResolved grievance cases submitted by members, providers, and facilities.• Resolved cases up to $2K, and ensure proper payment through claims on overturns.• Investigated and clearly documented dispute, research and resolution findings, including correct Health Net policy and second level alternatives.
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Vendor ManagerHealth Net 2001 - 2002Shelton, CtLiaison to outsourced radiology and behavioral health vendors.• Participated in presenting the radiology program to the CT State Medical Society-Independent Practice Association (CSMS-IPA).• Prepared for and was interviewed by the National Committee for Quality Assurance (NCQA) audit team which resulted in Health Net receiving NCQA’s highest accreditation status of “Excellent” in 2001.
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Grievance & Appeals CoordinatorHealth Net 2000 - 2001Shelton, CtReceived, logged, and assigned cases to Specialists.• Sorted correspondence to determine if case was non-medical or medical in nature. • Assigned cases to Specialists and sent acknowledgement letter to complainant.
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Claims SpecialistHealth Net 1996 - 2000Shelton, CtProcessed in and out-of-network claims submitted by providers, members, and/or facilities.• Analyzed claims to ensure completeness and requested necessary documentation if needed.• Processed data and medical edits on claims to a complete status with 98% accuracy.
Susan Moynihan Skills
Susan Moynihan Education Details
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Major: Communications, Minor: Psychology
Frequently Asked Questions about Susan Moynihan
What is Susan Moynihan's role at the current company?
Susan Moynihan's current role is Annuity Contact Center Supervisor.
What is Susan Moynihan's email address?
Susan Moynihan's email address is su****@****lth.org
What schools did Susan Moynihan attend?
Susan Moynihan attended Curry College.
What are some of Susan Moynihan's interests?
Susan Moynihan has interest in Football, Casinos, Exercise, Sweepstakes, Home Improvement, Reading, Gourmet Cooking, Sports, Watching Basketball, Golf.
What skills is Susan Moynihan known for?
Susan Moynihan has skills like Medicare, Call Centers, Insurance, Health Insurance, Managed Care, Customer Service, Medicaid, Microsoft Office, Lotus Notes, Vendor Management, Call Center, Grievances.
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