Mary D. Costanzo, AS, BSHCS, MBA, DM
Doctor of Management
Leadership & Organizational Management
**** ** **™ COURT, DEERFIELD BEACH, FL 33442
CELLULAR: 954-***-****
EMAIL: adragl@r.postjobfree.com
adragl@r.postjobfree.com
adragl@r.postjobfree.com
Summary
Healthcare Services Professional who effectively resolves complex claims, demographic and contracting issues in a high volume, fast paced environment, improving customer satisfaction and fostering continued business. Demonstrated ability for creating a harmonious work environment that inspired a team spirit and increased productivity.
Online Adjunct Certified Advanced Facilitator for higher learning education, teaching, evaluating, and grading pre-graduates and graduate students seeking multiple degrees in the School of Business, Healthcare, Management, HPI courses, and General Education.
Life & Health 218 Independent Insurance Agent catering to the Senior Market Medicare, Life, Annuities, Critical Illness, and AD&D plans, #219 Variable Annuities Independent Agent Notary Public, State of Florida (active)
Accomplishments
Advanced Certified Online Adjunct Instructor for higher learning education; preparing pre-graduate and graduate students with knowledge and skills, to enhance and improve academic skills and future careers
Marketing hurricane claim losses (temporary position)
Directed the successful cleanup of projects for hospitals, hospital-based groups, and participating providers
Expedited HEDIS regulatory requirement status with participating providers that ensured regulatory compliance
Negotiated Settlement Agreements of claim issues and ensured timely and accurate provider payments for corrected claims
Arranged one-time Letters of Agreement for individual members and non-participating physicians that ensured timely and accurate reimbursement for submitted claims
Maintained an accurate current listing of all providers within the American Chiropractic Network
Handled the accurate processing of demographic and licensing changes, and physician terminations and additions, for the largest volume customer accounts in South Florida
Energy consultants B2B - Contracted energy rates for commercial businesses located in deregulated states for lower electric/gas rates
Professional Experience
Total Insurance Brokers; Together Health, Bfty - 06/2020 -12/2021
Independent Insurance Agent, Medicare Advantage Plans, Medicare Supplement Dental, and Visions Programs. Assisted in training for non-licensed employees to obtain the State Insurance #215 License.
USA Medicare Services, Fort Lauderdale, FL - 08/2018 – 4/2019
Life, Health, Variable Annuity Agent, Independent Insurance Agent, #218 & #219 licenses. Medicare Supplements and Dental Programs.
AmeriLife, West Palm Beach, FL - 08/2016 – 8/2018
Independent Insurance Agent, #218 & #219 licenses. Medicare Advantage, Medicare Supplements, Medicare Presentation Assistant (Restaurant meetings for 65 and over, prepare rooms and setting up appointments.
Sykes - Intuit Turbo Tax - 1/2019-4/2019
Customer Service Representative – tax preparation for customers 1040 income tax returns and resolving issues for customers
Bankers Life & Casualty Insurance Company 2014-2015
Life & Health #218 Agent
Independent Sales Agent Life, Medicare Supplements, Critical
Illness, Retirement, Annuities
Grantham Military University 2010--2017
Part Time Adjunct Online Instructor School of Business Teach, evaluate graduate courses, and grade graduate students seeking multiple degrees in the School of Business, Management, HPI courses
University of Phoenix, Phoenix, Az., 2006 - 2014
Western International University, Phoenix, Az.
Axia Online, University of Phoenix, Phoenix. Az.
Advanced Certified Facilitator
Part Time Adjunct Online Instructor Associates Program.
Adjunct Online instructor, Graduate courses MBA, Bachelor of Science Healthcare Services, Associates Programs for Business Management, Healthcare Service Courses, General Education, and Distance Learning.
Teach, evaluate, and grade students seeking Graduate degrees, Bachelor degrees, and Associates degrees online.
United Power Consultants, Inc, Pompano Beach, FL. 2011-2013
Office Manager
Energy consultants B2B
Contracting energy rates for commercial businesses
in deregulated states for lower electric/gas rates
Administrative responsibilities with employees
Maintaining relationships with customers
Applying leadership and organizational management skills
Marvin Advertising 2005-2006
Management Telemarketing Personnel
Managed the telemarketing department in a business-to-business organization (out-going calls). Managed and was responsible for strategic planning and organizational leadership. Managed and was responsible for new project management programs; and graphic arts.
United Health Group, Sunrise, FL 2003-2005
Managed hospital-based physicians, risk management, skilled nursing facility and ancillary provider accounts. Responsible for tasks and successful processing of contract negotiation by loading contracts and addendums in the Provider Network Department data system. Maintained and focused on the resolution of complex provider relation issues, including the implementation of best practice successful team lead programs for the ORS claims adjustments program in the managed care plan. process improvements, and customer service satisfaction. Administration of several successful team lead programs for the ORS claims adjustments program in the managed care plan.
Sanford Brown Institute, Lauderdale Lakes, FL 2004 – 2005
Instructor Medical Assistant and Ultra Sound Programs
Instructor, part time, taught Anatomy and Physiology courses.
Uniprise (United Health Care Segment), Sunrise, FL 2001-2003
Customer Service Support
Handled all marketing plan information for participating providers and members. Achieved first call resolution and call monitoring skills. Successfully applied coaching skills in assisting team members with product and service information.
Mike Pearl, MD, Coral Springs, FL 1993-2001
Registered Medical Assistant
Provided general office assistance and handled accounting functions for a prominent internist.
Educated patients on the use of medication and the importance of exercise, proper nutrition. Assisted in minor surgery, and administered blood draws.
Multiple Sclerosis Foundation, Ft Lauderdale, FL 1991-1993
Program Services Representative (Part time)
Handled incoming calls for the definition and prognosis of multiple sclerosis disease. Provided
information to multiple sclerosis members regarding proper nutrition, exercise programs, and durable medical equipment. In addition, provided callers with information and results from the clinical trial studies for Multiple Sclerosis patients.
Independent #218 Health and Life Agent, State of Florida 1981 - Perpetual
Contracted with 3600 employee local hospital account for auto and homeowners' insurance in South Florida. Represented Blue Cross/Blue Shield Major Medical and Managed Care Plans in South Florida, and wrote mass marketing reimbursement employer/employee enrollment accounts throughout the U.S.
Education
DM, Doctor of Management, Leadership and Organizational Management Degree
University of Phoenix (UP), Phoenix, AZ; Dissertation published in ProQuest Library, UMI
Dissertations Publishing, 2014, 3707398; Perceptions of administrators on stewardship and
empowerment for telemarketing organizations in Southeastern United States
M.B.A., Global Technology Management, American InterContinental University (AIU), Weston, FL
B.S., Health Care Services (BSHCS), University of Phoenix (UP), Plantation, FL
A.S, Medical Assisting, Keiser College, Fort Lauderdale, FL
Publications
Dissertation Published in ProQuest Library, 2014, 3707398
Edited and wrote a thirty (30) page paper entitled "Gangs" University of Phoenix COM/215
Professional Development
218 Health & Life Insurance Agent License, State of Florida
240 Health Insurance Agent License, State of Florida
219 Variable Annuity Agent License, State of Florida
Notary Public State of Florida (Active License)
Certified School Board of Broward County Substitute Teacher
Pre-nursing courses, OSHA, HIV, AIDS, Violence, CPR
United Health Group training courses (internal applications)
Accredited Claims Adjuster (ACA) Certificate of Completion Pre-Licensing
Qualification T320 Apprentice Public Adjuster All Lines
University of Phoenix Certified Advanced Facilitator
Special Matters Expert (SME) Grantham University
Memberships
The Academy of Management, Birmingham, AL., Volunteer Reviewer for author manuscript publications
Alumni Association Network (AN); Vice President, Marketing & Research
National Association of Professional Women
Business & Professional Women
Woman 2 Woman Business Group (W2WB)
University of Phoenix (UP) Alumni Association (mentoring students)
American InterContinental University Alumni Association
The Glass Hammer Women's Network
Cambridge Who's Who
USA Honor Society
The International Woman's Leadership Association
LinkedIn Membership
Skills
Microsoft office: Word, Excel, PowerPoint, Microsoft Outlook, Microsoft SharePoint,
Proficiency in CRM, Outlook Express, Lotus Notes, Adobe, Angel, and Blackboard