Web Wite Services Management

Management Analyst: Developed analytical methodology, performed quality assurance and systematic reviews, systems and process monitors, data gathering, validation, and data retrieval.

Medical Care Cost Recovery Program Manager: Third Party, Tort, and Workman's Compensation claims processing for the Medical Center and two Outpatient clinics, supervised staff of 14. Negotiated with and maintained relations with Health Insurance providers. Collected and closed out a five year backlog of receivables. Established standardized database and documented the process for the collection and management of insurance information. Developed templates to track and automate patient correspondence responses. Set up a remote access network to transmit electronic claims, verify group, and plan coverage, process payments, and assure timely processing of claims with BC/BS of MA.

Data Processing Coordinator: Assessed the hardware, software, and training needs, acquiring educational material, reference manuals, hardware and software updates. Authored training, user manuals and multimedia presentations for PC skills, MS Windows and Office, claims processing, utilization review, collections and medical insurance practices as well as patient informational brochures and newsletters.