Post Job Free

Resume

Sign in

Program Coordinator Managed Care

Location:
Waxhaw, NC
Posted:
March 29, 2024

Contact this candidate

Resume:

An innovation-driven manager with **+ years of experience in managing projects and offices with diverse business needs.

A skilled communicator with ability to establish and manage business relationships across many levels.

A process-oriented analyst with working knowledge in several educational and healthcare business tools.

AREAS OF EXPERTISE

Recruitment Relationship Management Data Manager Program Coordinator Project Management Medical Auditing Claims Specialist Team Development and Training Database Management Clinical Authorizations Public Relations Online Media

CAREER HIGHLIGHTS

Planned and executed UCPS recruitment drive in educational fairs across North and South Carolina.

Successfully implemented roll-out of PowerSchool, the student information system for NC.

Led Managed Care overseeing claims and denials, process implementation training and medical auditing for a leading children’s hospital.

Managed verifications for insurance eligibility and daily clinical authorizations for Levine Children’s hospital.

Recognized for quality of work and qualified for the “KEIP - Key Employee Incentive Program” (KEIP) which is reserved only for employees who make a significant contribution to the organization’s goals.

PROFESSIONAL EXPERIENCE

Union County Public Schools (UCPS), NC 2016 to Present

District Recruiter

Manage relationships with Universities across the US to facilitate teacher placements.

Coordinate and manage Instructional Assistant participation in the NextStop-TeachUCPS program.

Facilitate a pathway for individuals to become teachers within UCPS.

Represent UCPS at local and out-of-state fairs and festivals to promote the organization.

Oversee and manage UCPS’s Career social media accounts to enhance online presence and engagement.

Data Manager/Registrar, Weddington Elementary School (2020-2023)

Managed student data to enable individualized student instruction.

Helped educators customize learning programs for individual students, coordinated with parents to stay engaged and encouraged students to collaborate and connect.

Facilitated in the roll-out of PowerSchool, the Student Information System for NC, which is the first major deliverable in the Home Base project.

After School Program Coordinator, Sandy Ridge Elementary School (2018-2020)

Planned and organized all daily after school activities as well as created days-off programs.

Trained and managed staff and maintained space in compliance with district and state guidelines. Implemented process changes as needed.

Implemented the fee structure for the programs and balanced the books.

Group Leader, After School Care, Sandy Ridge Elementary School (2016-2018)

Led learning and recreational activities designed for children to enhance their skills, in compliance with district and state protocols.

LEVINE CHILDREN HOSPITAL, Charlotte, NC

Manager – Care Coordinator 2010 to 2016

Managed Daily Clinical Procedures authorizations process and scheduled patients based on provider availability.

Reconciled regular medical audits for the specialty center claims and denials processes.

Updated the necessary patient records and related insurance paperwork.

Assisted with onboarding of new team members.

Managed Other recognitions received from Physicians and Management:

oDeep understanding of the IDX and Payer Link process and ICD, CPT and drug codes

oSecuring denied amounts from insurance companies.

oFor hard work and training new team members.

GLASTONBURY SCHOOL SYSTEM, Glastonbury, CT

Special Education Teacher’s Assistant 2007 to 2009

Conducted speech therapy, occupational therapy, and physical therapy for special needs students.

QUINTET STRATEGIES, LLC, Glastonbury, CT / Charlotte, NC

Office Manager 2001 to 2007

General administration and management of a 15-person office.

Reviewed and managed vendor and real-estate contracts, federal, state, and local filings.

Managed accounts payable and coordinated company’s tax filings utilizing QuickBooks Pro.

Managed payroll and benefit administration, including Employee Retirement (401-K), vacation, tuition reimbursement, and health & medical benefits.

Established HR and Administration procedures and guidelines, including new employee orientation.

ADDITIONAL EXPERIENCE

Freelance Fashion Designer Administrator VNA. Hartford CT Information Specialist, Office of Tourism, Govt of India, NY

EDUCATION

Bachelor of Arts in Political Science • Osmania University, India

Certificate Program in Medical Office Administration

Certification Program in Fashion Design, Fashion Institute of Technology, NY – July 1990

SPECIFIC SKILLS

Proficient in Microsoft Office Excel and Word.

Intuit QuickBooks Pro for bookkeeping.

IDX and Payer Link Applications

Girija (Gi) Iyer

BUSINESS MANAGER

phone: 860-***-**** email: ad4nl6@r.postjobfree.com



Contact this candidate