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

Contact this candidate