Tim Houde Email & Phone Number

Hartford, CT, US

Remote

• Wrote Standard Operating Procedure for the Call Center and the Credentialing team
• Trained the India team on credentialing process, and implemented Credentialing platform
• Currently working on expanding the call center SOP’s and eventually expanding the team and scaling across all Qualifacts platforms. (Insync, Carelogic and Credible)

Remote

• Wrote a comprehensive 90-page Learning and Development manual regarding EDI eligibility claims submission and trained team members on proper procedure, documentation, and best practice workflows
• Trained and onboarded more than 40+ clients on Credible domain best practices, and correct eligibility claims submission
• Configured, audited and submitted Medicaid claims monthly for 25+ consumers

Hartford, Connecticut Area

• Implemented HIPAA compliant medical invoicing for more than 1+ million consumers within the Care Centrix network.
• Reviewed and maintained accurate Fee Schedule data for all major commercial and government insurers and distributed to 100+ staff on a monthly, quarterly, and yearly basis.
• Created, trained, and implemented proper medical debt collections across the entire patient services team.
• Analyzed consumer data over a two-year period and created a 45-point quality and assurance criteria that was adopted and used by 100+ staff to increase medical debt collection by 87 percent compared to a similar data.
• Ulysses Coaching Mentor
• Reviewed and coached all 100+ staff on a weekly, and monthly basis regarding correct legal invoicing procedures, medical debt collection, adjustments, and claim denials and rejections.

• Took 40+ calls daily from providers and patients and was a subject matter expert for the team
• Was ranked as the top customer service representative among 100+ representatives two straight years
• Audited and tracked calls coming into the Patient Services team on a weekly, monthly and yearly basis

Lexington, Massachusetts, United States

Multiple retail positions, multiple companies, security installation, sales, management, mentoring, customer service.