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Project Coordinator Medical Manager

Location:
Charlotte, NC, 28241
Posted:
November 27, 2022

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* * * * *

Jonda Miller

Charlotte, NC *****

704-***-**** adtqa8@r.postjobfree.com

PROFESSIONAL EXPERIENCE

HEARST CORPORATION – HTV

COTINUITY SPECIALIST (2022 – PRESENT)

Receive all traffic instructions (original and revisions) from station clients

Interpret commercial copy and agency instructions

Search all station orders for applicable instructions received

Coordinate commercial house number assignment and commercial disposition with Content Distribution Specialists

Build instruction/rotation sets for assignment in Wide Orbit and assign instruction sets to applicable orders

Work with Content Distribution Specialists on coordination of all received materials

Review and issue commercial copy log changes as necessary

Review "Missing Instruction" report and communicate to agency and station personnel regarding missing commercial instructions and material

Communicate to agency and station personnel regarding commercial acceptance

Coordinate with Station Specialist movement or preemption of spots for missing material

Maintain electronic files of all commercial copy instructions PARALLON

ACCOUNTS RECEIVABLE TEAM LEAD (2019 – 2022)

Liaison between Accounts Receivables Representative and Management

Review Appeals (follow up) for quality and accuracy

Access online payer systems to research and resolve accounts

SME (Subject Matter Expert) for newly hired representatives after training

Precertification (authorization) denial (for services not yet rendered)

Precertification (authorization) not obtained – services denied

Approved Claim reimbursement denial (including mutually exclusive, incidental, or bundling denials, and modifier reimbursements)

Experimental or investigational procedure denials

Handle and De-escalate calls with disgruntled clients

Analyze and audit documents for proficiency

Process benefit denials & Inpatient facility denials

Process denials related to timely filing, incomplete claim submissions, and contract and fee schedule disputes NOVANT

ACCOUNTS RECEIVABLE (2008 – 2019)

Carefully analyze past due accounts in an effort to secure reasonable payment arrangements

Build professional relationships with clients, building trust, which assists in resolving unpaid accounts

Perform manual adjustments as needed and work with the Compliance Department to resolve account issues

Point of contact for all client related correspondences

Provide weekly and monthly reports regarding high-level bad debt accounts to include the status and long-term payment goals

Maintain professional competency, according to department policies and procedures

Understand Acknowledgements, Recoupments, Take Backs, PLB segments

Accurately resolve difficult accounts that could deny in the Aging time frame of 121+days, track and trend denials, appeals, and take backs

Make recommendations in an effort to prevent escalations of denials and preventable denials

Efficiently post payments via the internal billing system in a timely manner 2 P a g e

INTEGRAMED AMERICA REACH

PROJECT COORDINATOR II – PART TIME (2013 – 2019)

Updated information in the client database on the daily bases

Provided weekly project trackers to the project management teams

Managed day-to-day operational aspects of all assigned projects to ensure successful implementation

Established project management processes and methodologies to ensure assigned projects are delivered on time, within budget and meet high quality standards and Leadership expectations using the appropriate tools.

Met with internal customers to provide status updates and reports and gather project-related feedback

Tracks costs and performance metrics required to ensure project goals and objectives are met AMERICREDIT

RECOVERY ANALYST (2001 – 2008)

Assist in conducting business impact analysis with definition of critical time-sensitive functions and identification of minimum required resources for business recovery

A high concentration in building relationships with clients to strategically secure suitable payment arrangements

Build professional relationships with Recovery Agencies in an effort to close the month with satisfactory financials or recovery of collateral

Collection of monies owed on large balanced delinquent automotive accounts

Support platform Risk Data Leaders with portfolio analysis and project management to provide insights to Senior Managers

Create and provide status reports to management regarding advanced services projects that are coordinated in multiple tools

XEROX COOPERATION

PROJECT COORDINATOR I (1997 – 2001)

Supported the Project Manager in gathering equipment, resources and information to implement upcoming projects

Maintained budgets and work schedules, organized shareholder meetings ensured all deadlines for projects were met

Created Risk register to evaluate potential problems and present possible solutions to the PM

Manage project-related paperwork by ensuring all necessary materials are current, properly filed and stored

Direct project correspondences by preparing and reviewing project proposals, memos, meeting minutes and emails

Communicate with clients to identify and define project requirements, scope and objectives

Adhere to budget by monitoring expenses and implementing cost-saving measures SKILLS & ABILITIES

MANAGEMENT

Team Lead; Instrumental in training and collaborating with recovery teams. Assisted management teams with standardizing quality models and audit process. Successful deviations from the previous quality model resulted in reduction of negative quality scores by 10% within 1 year. This success also lead to a better experience for our clients. CORE COMPETENCIES

Project Coordination ~ Analysis ~ Change Management ~ Needs Assessment ~ Key Performance Indicators ~ Leadership ~ Negotiation ~ Conflict Resolution ~ Relationship Building ~ Problem Solving ~ Time Management ~ Risk Management TOOLS & TALENTS

Wide Orbit Traffic System

Medical Manager

Epic- Misys

Citrix Database

SAP

Microsoft Suites (Word, Excel, Project)

Salesforce.com

Time Management

Account Reconciliation

NICE Monitoring



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