Project Manager Revenue Cycle

Experience

UnitedHealthcare Remote

Network Program Consultant 05/2022 - 08/2023

Work with Provider Market Operations, Technology, and Internal Business Partners to support various initiatives and projects.Worked 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.Developed external provider education programs ensuring Field Advocates have appropriate collateral in hand at the time to assist providers and members.Created product level reporting to capture project initiatives.

UnitedHealthcare Louisiana

Senior Provider Advocate 10/2021 - 05/2022

Educate providers on common billing practice errors, reimbursement policies, self-service tools, and UnitedHealthcare service model.Assist and Support providers on unresolved disputes.Assist on collection of medical chart retrievals.Created and held monthly provider education meetings.

UnitedHealthcare Remote

Claims Project Manager 11/2014 - 10/2021

Managed incoming project request from Providers, Prism, Phycon, Navigator, and Provider Advocates.Worked to problem solve provider claims payment issues.Worked with ERO, ARO, PCRL, and Contract Managers to ensure provider information and contracts are correctly loaded for claims processing.Created reports to capture all incorrect claims for reconsideration.Communicated with Providers/Project Leads to discuss issues and outcomes. Our Lady of the Lake Regional Medical Center Baton Rouge, LA Revenue Management Contract Auditor 01/2001 - 10/2014 Audited Payor/Provider contracts for correct payments (Medicare, Medicaid,Commercial).Worked Medicaid 517 Reports to validate over/under payments on claims.Submitted appeals on incorrect payments and denials, following thru till correct payments were made.Assisted with updating hospital revenue cycle.Worked charge audits for Cancer Center. Skills

Customer service, Time management, Microsoft word, Project Management, SQL, Account Reconciliation, Process Improvement, Presentation Skills, Project Planning, Claims Processing, Data Mining, Data Analysis Skills, Denials, Appeals, Business Process Improvement, Customer Relationship Management, Contract Management, Data Analysis Skills, Excel, HIPAA, Inventory Control, Microsoft Powerpoint, Medical Collection, Network Administration, Root Cause Analysis, Revenue Cycle Management, Revenue Management, Salesforce, VLOOKUP, Facets Education

Anderson High School Austin, TX

05/1988

Stephanie Teasdale

225-***-**** *******@*****.*** Denham Springs, LA

Contact this candidate