Tom Fagan Email & Phone Number

-Maintain integrity of provider data including network affiliations, Out-of-Area Network Partners, provider demographics, and updating fee schedule assignment for participating facilities-Maintain integrity of member eligibility and demographics manually, as well as review and load electronic membership data received from various clients-Work with the Contracting Department to identify and resolve issues with contracted groups, as well as database implementation-Use sound judgment… Show more -Maintain integrity of provider data including network affiliations, Out-of-Area Network Partners, provider demographics, and updating fee schedule assignment for participating facilities-Maintain integrity of member eligibility and demographics manually, as well as review and load electronic membership data received from various clients-Work with the Contracting Department to identify and resolve issues with contracted groups, as well as database implementation-Use sound judgment to resolve electronic claim submission, review incoming claim files, pinpoint electronic formatting errors, perform root cause analysis and report findings-Identify provider issues at network level; develop methods to prevent the issues from reoccurring and recommend corrective action-Collaborate with Account Supervisors to identify client data issues, inform clients of inaccurate data submissions, and recommend preventative actions-Work with other analysts to develop improvements, modifications, and enhancements in claims resolution-Create workflows, generate and distribute provider and member claim reports, and prepare report summaries for management-Adhere to HIPAA guidelines and regulations through daily job functions Show less

* Created and pursued sales of new clients to help increase overall profitability of the company* Use superb people skills for exceptional service by traveling to customers’ homes to ensure maximum satisfaction and retention of customers* Demonstrated excellent time management, collaborative problem solving, and public speaking skills to provide new Marketing opportunities for a small business* Provided detailed analysis for future ordering, storage, and shipping of supplies and… Show more * Created and pursued sales of new clients to help increase overall profitability of the company* Use superb people skills for exceptional service by traveling to customers’ homes to ensure maximum satisfaction and retention of customers* Demonstrated excellent time management, collaborative problem solving, and public speaking skills to provide new Marketing opportunities for a small business* Provided detailed analysis for future ordering, storage, and shipping of supplies and parts, which led to a significant decrease in expenses and overall increase in profit* Organized and stored components of the warehouse and loading area in order to help lower risk and injury* Used a keen attention to detail to establish a more efficient way to transfer products between different store locations* Created schedules based upon pool and spa maintenance, retail hours, and customer availability using charts and tables in Microsoft Excel to ensure accurate organization* Hired and trained new employees based on the regulations of the industry* Responsible for cash and credit transactions, deposits, withdraw, and budgeting from the company account* Responsible for the supervision of all projects before and after completion. Show less