Project Manager Lead
Resume:
Stephanie A. Teasdale
Denham Springs, LA 70726
*******@*****.***
OBJECTIVE:
A highly motivated and goal-oriented individual with a proven ability to learn quickly, create, implement, and maintain procedures both old and new in any environment. In addition to a strong commitment and desire to succeed in every assigned task, can work independently or as a team player and have a unique ability to communicate effectively on all levels. Eager to learn new systems to get the issue/job resolved.
EXPERIENCE:
United Healthcare Community & State
2014 – Present
Network Program Consultant
oWork with Provider Market Operations, Technology, and Internal Business Partners to support various initiatives and projects
oWorked in a cross-matrixed environment working at both the local level as well as across the enterprise w/various Program Managers, Technical and IT teams
oDevelop external provider education programs ensuring Field Advocates have appropriate collateral in hand at the time to assist providers and members
oCreate product level reporting to capture project initiatives
Sr. Provider Advocate
oEducate providers on common billing practice errors
oEducate providers on reimbursement policies
oEducate providers on self-service tools
oAssist on collection of medical chart retrievals
oEducate providers on service model
oAssist and Support providers on unresolved disputes
Claims Project Manager
oCommunicate with provider/project lead
oWork to problem solve provider claims payment issues
oManage incoming project request from Provider, Prism, Phycon, Navigator, Provider Advocate, etc
oWork with ERO, ARO, PCRL, and Contract Managers to ensure provider information and contracts are loaded correctly for claims processing.
oCSP Facets
Our Lady of the Lake Regional Medical Center
2001 – 2014
Managed Care Contract Auditor
oAudit payor/provider contracts/payments (Medicare/Medicaid/Commercial)
oWork Medicaid 517 Reports to recoup revenue for Employer
oReport Findings of audits to management via database/spreadsheets and report to administration
References: Available Upon Requests
Applicant is a United States citizen and able to work.
Contact this candidate