BACKGROUND SUMMARY Results-oriented • high-energy • hands-on professional • with a successful record of accomplishme... • Tools and Development Production and...
TriWest Healthcare Alliance since May 2003
PQC Supervisor
TriWest Healthcare Alliance May 2003 - Oct 2011
BSR Supervisor
Skills:
Utilization Management Hipaa Tricare Provider Relations Icd 9 Healthcare Cpt Healthcare Industry Healthcare Information Technology Managed Care Healthcare Management Medical Terminology Medicare Medicaid Healthcare Consulting Disease Management Process Improvement Physician Relations Emr Medical Records Medical Compliance Network Development Icd 10 Hcpcs Hospitals Medicaid Managed Care Jcaho Hedis Software Documentation Data Entry Prior Authorization Medical Coding Data Analysis Medical Billing Patient Safety Nursing 10 Key Health Information Management Revenue Cycle Pegasystems Prpc Behavioral Health Case Managment Visio Ehr Credentialing Medicare/Medicaid Reimbursement Utilization Review Clinical Research Acls Ppo
2011 to 2000 Production Quality Center SupervisorTriWest Healthcare Alliance Phoenix, AZ 2006 to 2011 Beneficiary Service Representative SupervisorTriWest Healthcare Alliance Phoenix, AZ 2004 to 2006 Beneficiary Service Representative Team LeadTriWest Healthcare Alliance Phoenix, AZ 2003 to 2004 Customer Service Representative
Education:
Washington High School Phoenix, AZ Diploma
Skills:
BACKGROUND SUMMARY Results-oriented, high-energy, hands-on professional, with a successful record of accomplishments in the health care industry that have included: Training and Development New Employee Orientation Training, Tools and Development Production and Quality Assurance Support Staff Supervision and Mentoring Problem Solving Process Improvement Collaboration Technical Experience: - MS Office - People soft - SQL - Medical Management Systems Additional Training: Emotional Intelligence Crucial Conversations Situational II Leadership Leadership Certification Program Predictive Index Certified TriWest Path to Leadership Excellence Course Managing Conflict Generations in the Workplace The Practice of Great Managers and Leader