Casi Nestelroad - Sr Director Product Management and Operations, Nextech

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Work Background

Nextech SystemsSenior Director of Product Management & Operations

Apr. 2019 - Feb. 2024Tampa/St. Petersburg, Florida Area

MDLIVE, Inc.VP of Product Management

Mar. 2015 - Apr. 2019

MDLIVE, Inc.Sr. Product Manager

Mar. 2015 - Apr. 2017Sunrise, FL

Greenway HealthSenior Product Analyst

Jun. 2014 - Mar. 2015Tampa/St. Petersburg, Florida AreaServe as Senior Product Analyst for practice management software applications. Perform and document highly complex analysis of business goals, objectives, and needs of existing applications and customer base. Work closely with product design and development teams to ensure deliverables meet business needs. Identify opportunities for improvement and make constructive suggestions for change while continuously managing internal and external expectations.

Greenway HealthBusiness Analyst

Nov. 2011 - Jun. 2014Tampa/St. Petersburg, Florida AreaServed as a liaison between Product Management and Development teams. Gathered and documented business and functional requirements as well as developed wire frames, workflows, use case diagrams and flowcharts for effective documentation. Effectively managed and enforced sprint timelines and deliverables through the use of schedules and agile methodology. • Created user stories with clearly defined end-user requirements and acceptance criteria • Participated in agile scrum methodology, maintained and prioritized product backlog • Effectively communicated complex ideas in a clear, concise manner across functional and technical departments • Served as practice management subject matter expert (SME) for development, design, quality assurance test engineers, other product owners and sales

medappzAccount Manager

May. 2008 - Nov. 2011Wichita, Kansas AreaMedical billing account manager for 45+ physician group. Proven ability in software implementation, training, support, and trouble shooting. Known for accurately posting charges, payments and adjustments to patients’ accounts resulting in provider collection rates of 85% to 95%. Demonstrated knowledge of insurance rules and regulations for private, commercial, state and federal carriers. • Conducted on-line training sessions with end users to ensure successful implementation of practice management application at clinic site • Liaison between providers office and off-shore account management team • Reviewed and interpreted EDI reports to ensure successful claim submission and payment • Analyzed monthly financial reports to identify trends in charges, payments and collections • Worked closely with development and key stakeholders to enhance system functionality

Blue Cross of IdahoClaims Examiner

Jan. 2006 - May. 2008Meridian IdahoAssured timely and accurate review of medical claims and claims history in order to adjudicate and pay claims. Increased claim adjudication rate by 15% while maintaining low error rate. Proven ability in researching provider credentialing, network agreements and provider files to ensure provider data was accurately entered and maintained. Known for analytic approach to understanding member benefit structure and contracts as they applied to claims processing. • Processed medical and hospital claims in accordance with provider contracts and reimbursement guidelines • Working knowledge of ICD-9, HCPCS, CPT coding and medical terminology

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