Project Coordinator Operations
Buckeye Health Plan
May 2015 - Nov 2018 (3 years 7 months)
• Designed a workflow solution adding 25 FTE positions decreasing the overall turn-around time (TAT) by 50% . Reduced the average time for contract completion from to 45 days.
• Successfully operationalized numerous process improvements including : reduced credentialing TAT from 90 days to 20 days, streamlined prospect to pay workflow from 12 steps to 4 steps, and increased directory accuracy by 30%, decreased claims denials by 10%, decreased claims projects and adjustments by 46% .
• Internal payment integrity department savings realized for the 2017/$1,112,395.37 and an estimated maximum of $2,224,792.73 for pre/post payment review of Hospital claims.
• Click to chat software implementation designed to create a pop-up window messag