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Customer Service Incident Management

Location:
Hermitage, TN, 37076
Salary:
70,000
Posted:
September 01, 2023

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Resume:

Michael L. Ledbetter

615-***-**** **** Buckner Lane Spring Hill, TN 37174 adzeqi@r.postjobfree.com

Key Strengths

Management experience; both in office and remote supervision

Excellent organizational, communication and time management skills with eye for detail

Strong computer skills (Office 365) and creativity

Experienced in Root Cause Analysis to determine improvement in systems; problem solving

Committee Chair experience; provided guidance to management to improve systems regarding office communication, safety, and policy

Committed to a sound work ethic and progress toward company vision

Education

Previously certified to sell Life and Health insurance

CCA- Medical Coding/Billing, TechSkills, Nashville, TN

B.A. - Psychology, Harding University, Searcy, AR

Professional Profile

Chart Operations Coding Supervisor Optum

June ‘17 – Present 7150 Moores Lane

Brentwood, TN 37027

Duties: Accountable for production metrics and daily activities of business support for 40-50 certified medical coders, including monthly 1:1 meetings and more frequently if needed. Manage and approve daily coder production, overtime, leave and weekly timesheets. Coordinate all new supervisor training and scheduling. Set priorities and guide strategies for the team and ensure task completion. Identify and/or provide opportunities for additional training to support process and report improvements. Provide operational analysis which is utilized in decision making and make recommendations based on the analysis for reporting results. Present, explain, and/or interpret reports and data to customers. Track metrics using various programs to ensure the success of my team as compared to like teams. Coordinate work activities with other supervisors to ensure that the projected number of charts is submitted each week to meet production values. Share and promote best practices with applicable internal business partners to ensure optimal reporting tools and processes are utilized. Complete a Values Based Competencies review on each subordinate monthly.

Regional Incident Management Coordinator State of Tennessee

August ‘15 – June ‘17 275 Stewarts Ferry Pike

Nashville, TN 37214

Duties: Assured the safety, protection and well-being of persons supported within the middle Tennessee region receiving HCBS supports by providing technical assistance to contracted providers prior to and following QA Surveys, Regional Quality Management Committee review, Statewide QMC review, or upon request. Improved comprehension of Protection from Harm system for agency management and their staff. Provided in depth training to newly hired Incident Management Coordinators when appointed to contracted providers. Completed individual profiles on persons who met the Vulnerable Persons criteria appointed by DIDD Central Office for LTSS services. Improved systems and processes for contracted providers by completing and presenting agency profiles to providers who displayed a need for review based on data collected, as well as to the and Abuse Neglect Prevention Committee for review and follow-up. Improved the lives of persons supported by creating and presenting individual profiles of Vulnerable Persons to the DIDD Clinical Team for discussion of improvement. Assisted providers by pulling quarterly and annual data upon request and prior to QA surveys for help with their annual trending. Acted as a liaison between Agency management or Incident Management Coordinators and DIDD. Assisted in improving training materials. Presented relevant information at the Regional Quarterly Protection from Harm meetings. Attended DIDD Quarterly Protection from Harm meetings to review and improve systems. Acted as a liaison between DIDD Central office and DIDD Regional Office.

Compliance officer State of Tennessee

August ‘12 – August ‘15 275 Stewarts Ferry Pike

Nashville, TN 37214

Duties: Compiled information/ statistics to create Data Management Reports for 120 contracted companies within the HCBS waiver for quarterly distribution. Chaired Preliminary Death Review meetings and completed reports. Provided trending and analysis of information submitted by contracted provider agencies on Death Reporting, Complaints, Incidents, Investigations, etc. for presentation to management. As the HIPAA Compliance Officer; occurrences of HIPAA infractions were decreased by completing and reviewing quarterly and periodic reviews. Information regarding class action lawsuit members was tracked and reported to management to ensure continued statewide compliance; information sent to the Quality Review Panel. Managed a team to review the new HCBS final rules settings as outlined by CMS for all contracted providers. Designed a database for tracking compliance across Middle Tennessee regarding plans of care, follow-up and timeliness.

Title VI Coordinator: Conducted initial training and Train the Trainer classes for Title VI of the 1964 Civil Rights Act. Investigated all Title VI complaints to ensure proper resolution. Completed Title VI annual surveys, which included information from all 130 contracted agencies.

Previously held positions

Director of Operations Volunteers of America

Operations Specialist State of Tennessee

Program Coordinator Sunrise Communities

Training

Respectful workplace for managers

Proactive On-boarding

Principles of GREAT customer service

Planning and priority setting

Performance coaching/ management

Quality decision making

Root Cause Analysis – Solutions to problems within companies

Sensitivity and Ethics

First Aid, CPR, AED Certified, HIV

Nonviolent Crisis Intervention - Mandt and CPI

Suicide Prevention

Facilitative Communication

Behavior Modification

Sexual Harassment Prevention

All Microsoft Office programs



Contact this candidate