Stephanie A. Teasdale

**** ****** **

Denham Springs, LA 70726

225-***-****

ady3m8@r.postjobfree.com

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