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Sales Customer Service

Location:
Portland, OR, 97201
Posted:
June 13, 2013

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Resume:

Cristina M. Lang, CPC

***** ******** **** ( Charlotte, NC 28277 ( H: 704-***-**** ( C: 704-

***-**** ( ********@*******.***

Business Development Specialist

Self-motivated, enthusiastic and quality focused business development

professional with extensive sales and account management experience.

Currently responsible for increasing in-network claims penetration and

network revenue through effective contracting and management of contracted

providers within proprietary networks. Interface with a variety of

decision makers including CFO, CEO, Director of Managed Care and Practice

Administrators. Detail-oriented with ability to multi-task and efficiently

function in high volume area. Dedicated to maintaining a high degree of

accuracy while focused on ethical and professional industry standards.

Professional Experience

Network Developer, 2012-current, CorVel Corporation

o Manage and market a 20,000+ healthcare provider network which services

the worker's compensation arena

o Initiate, follow-up, negotiate and/or renegotiate contracts with

providers including hospitals, ambulatory surgery centers and

physician/group practices

o Evaluate financial goals with regards to network penetration, PPO savings

and medical cost improvements

o Monitor fee schedule rules and regulations relating to the ability to

channel patients, reimbursement schedules, PPO reduction limitations, etc

o Maintain accuracy of network with provider adds, terms, mergers and

acquisitions; act as liaison to credentialing services

o Research network problems and initiate resolution that promotes strong

customer and provider services

o Participate in educational seminars and client presentations to promote

utilization of PPO Network

Coding Analyst, 2009-2011, CorVel Corporation

o Provide medical record audits for Worker's Compensation claims to ensure

all services provided are accurately reflected on all related documents;

identify and adjust reductions that are determined to include

inappropriate, unrelated or undocumented charges within state specific

worker's compensation laws, rules and regulations

o Perform reviews for E&M, HO, HI and ASC facilities; familiar with multi-

state jurisdictions including NC, SC, GA, FL and MS worker's compensation

guidelines

o Verify surgical implants with corresponding intra-operative records and

manufacturer invoices

o Participate in national Professional Review Task Force for consult on

complex medical cases

o Selected to partake in QA pilot program

o Attended the AMA sponsored CPT and RBRVS 2012 Annual Symposium

Regional Sales Manager, 2006-2008, Peacock Alley

o Managed 100+ accounts in the Southeast, responsible for $1.2MM territory

and opened 19 new accounts

o Presented seasonal merchandise and grew product categories by 12%

o Provided superior customer service to all merchants and maintained solid

working relationships with all personnel

o Administered Co-op dollars effectively, negotiated product returns and

submitted seasonal forecasts

o Worked industry trade shows and attended new store openings and special

events within territory

Regional Sales Manager, 2001-2006, The Royal Doulton Company

o Led the sales and marketing plans in the Southeast, a $4.5MM region,

including Macy's, Belk, Replacements, Steinmart and Walt Disney Parks &

Resorts; achieved growth of +16% in 2005

o Initiated the development and implementation of new business with Bed,

Bath & Beyond

o Led the recommendation, and executed to the door level, the successful

launch of a new Holiday pattern

o Monitored business to provide accurate forecasting of product, negotiated

product advertising dollars

o Supervised three Field Sales Assistants to execute in-store visual brands

Account Manager, 1995-2000, Levi Strauss & Co.

o Responsible for 17 store JC Penney territory managing $5.7MM for the

Levi's brand, including order management and account service for the

Men's, Women's and Kid's businesses.

o Analyzed sales, inventory levels and profitability performance

o Developed seasonal assortments and door level plans

o Partnered with accounts to develop visual budgets and managed all

allocations

Healthcare Certification

Medical Coding, The University of North Carolina at Charlotte, 2009

Education

State University of New York, College at Oswego

B.A., Communications

Professional Development

The ABC's of Auditing Advanced Surgical Chart

Auditing

Leadership Training How To Perform A Successful

Chart Audit Competitive Selling Skills Conflict Resolution &

Mediation



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