Barbi Tempkin
Thousand Oaks, CA 91362
abg599@r.postjobfree.com
805-***-**** home
805-***-**** cell
Work Experience
Office Manager 2001 - Present
TEMPKIN INC.
. Manage all admistrative duties for commercial real estate appraisal
and consulting firm
. Developed and implemented filing system, accounts payable system and
bookkeeping system
. Developed specialized reporting formats for various clients
Provider Relations Supervisor 1994 - 2000
AETNA, INC.
. Successfully managed multiple physician groups and IPAs
. Conducted joint operations meetings, in-services and training sessions
on all new and existing Aetna products
. Spearheaded the development and preparation of written agendas and
meeting materials for joint operations meetings, staff meetings and
monthly meetings with Director of Provider Relations and Medical
Director
. Demonstrated understanding of IPA business needs and developed
internal systems to achieve resolution to issues yielding positive
results for providers and Aetna
. Provided solutions and troubleshooting for Regional Manager
. Conducted new provider office evaluations
. Managed completion of yearly HEDIS data collection
. Trained/educated new employees on all Aetna products and provider
relations systems
. Updated various policies and procedures to meet Accreditation
standards
. Participated in computer conversion, including simulation and testing
of new modules
. Communicated with Marketing Department regarding provider networks
(i.e. provide most updated provider listings, provide information on
pending provider contracts)
Credentialing/Contracting Coordinator 1991 - 1994
COMMUNITY MEDICAL GROUP
. Coordinated special projects for Administrator and Medical Director
. Supervised, performed and verified physician credentialing
. Updated various policies and procedures to meet Accreditation
standards
. Prepared various financial and eligibility reports for UMGA
. Updated all physician listings and HMO directories
. Contracted with referral providers
. Completed activity analysis reports for HMOs
. Liaison between medical group and HMOs
Claims Specialist/Referral Coordinator 1988 - 1991
COMMUNITY MEDICAL GROUP
. Submitted hospital claims to health plans and ensured all were
processed/paid in a timely manner, including submitting additional
information as requested by health plans
. Processed and adjudicated IPA responsibility claims (i.e. claims for
professional fees), including requesting additional information from
providers as needed
. Handled provider inquiries on claims payment and contract rates
. Specialist referral processing (i.e. verified patient benefits with
health plans, entered specialist referrals in computer system, mailed
referrals to patients)
Education
. Bachelor of Science, Health Administration 1994
California State University, Northridge, CA
Skills
. Excellent verbal and written communication skills
. Highly organized and efficient
. Motivated self-starter
. Flexible team player
References
. Available on request