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Work Background
Tobii DynavoxDirector of Funding
Jun. 2021Pittsburgh, Pennsylvania, United StatesIn this role, I am responsible for the oversight of the Funding Department (Prior authorization and Intake). Built this team from 45 to 124 employees, holding a responsibility for 85% of the company revenue. My role focuses on defining the overall strategic direction of department, process/systems development, maintaining compliance with quality standards, and driving process and Improvements.
Tobii DynavoxProject Manager
Nov. 2019Stockholm, SwedenManage and lead project initiatives to advance the overall performance of my team & department. This includes: leading the planning proposal development, presentations, KPI development and reporting. I work across the organization in project initiatives aimed at improving organizational performance through people, process and tools.
Tobii DynavoxBusiness Analyst
May. 2018 - Nov. 2019Stockholm, SwedenThis position has really opened up my creative side. It has allowed me to focus more on lean and agile ways of working. I have a passion for collaboration and training as well. In this current role, I have had the opportunity to carry over that passion into creating a new internal audit process to help with performance improvement. Focusing on communication skills is key when delivering results to team members. Equally important, I deliver KPI results to CxO level managers. This current role allows me to focus on finding ways to deliver quality services and increase a positive customer journey. My other experiences include direct collaboration and mediation with developers on key initiatives to assist to create quality frameworks, Integration of visual reporting for KPI's, process improvement, training and support, and strategic planning.
Tobii DynavoxReimbursement Manager
Aug. 2016 - May. 2018Greater Pittsburgh AreaEveryone deserves a voice! We are the current leaders in AAC and Eye tracking, which makes it easy to stay so positive on a day to day basis. Because attitude is contagious, motivating my team is always a goal. And I strive to support them any way that I can. Within this position I also: • Collaborate with other Managers, Regional Directors, and Funding Consultants to support forecasting goals • Train employees; develop training schedules with focus on forecasting and pipelines. • Serve on cross functional team that conducts strategic planning, develops more efficient work flows, and creates more effective policies and procedures • Develop new systems and techniques to create a strong customer experience, while collaborating with developers and IT management. • Responsible for performance reviews, internal & external audits to advance team members, retains regulatory requirements, and meet monthly goals. • Implemented Root Cause Analysis project to minimize errors and reduce excessive costs. • Research and monitor trends with insurance companies, and negotiate with contracting departments. • Collaborate with Senior management, and regional sales team to monitor budget, forecasting goals and KPI's throughout the year. • Assist in developing new policies and procedures, training methods, and lean processes. Other knowledge: Salesforce Microsoft Great Plains Advanced MD (billing & claims) Order Management Integration System ICD-10 coding Medicare & Medicaid knowledge Prior Authorization Knowledge Customer Service Team building/ motivation
Robert Morris UniversityStudent Advisory Board Member
Jan. 2016 - Jan. 2017I was honored to be a part of the Health Service Administration Advisory Board of Directors at Robert Morris University from 2016-2017. This was a great opportunity for me to learn from my advisors and helping to make important changes within the department.
McKeesport Little TheaterBoard of Directors
Jan. 2014 - Jan. 2016I have been an actress, performing in shows around Pittsburgh. I was honored to serve on the Board of Directors at McKeesport Little Theater for two years. During this time, we chose main stage productions, volunteered, assisted with finding grants, discussing budgets, and moving to an online ticket server.
Tobii DynavoxSenior Funding Consultant
Jan. 2012 - Aug. 2016Pittsburgh• Following Medicare, PHI and HIPPA regulations to ensure all policies and procedures • Serving as a client advocate by communicating with clients and family members on funding requests. • Working with insurance providers, government agencies, and educational institutions to place orders. • Review prior authorization documents against third party payer criteria and representing client’s cases. • Writing legal documents, faxes and letters, while abiding policies and procedures. • Enter and complete orders in the order management database. • Weekly funding calls with sales representatives and updating system notes in a timely manner to ensure efficiency of SGD orders. • Maintain communication with SLPs on funding cases and instruct SLPs on document preparation and funding policies and regulations • Work with insurance providers, government agencies, and educational institutions to place new product, repair or rental orders • Track funding authorization cases ensuring requests are resolved to completion in a timely manner • Utilize on-line resources and maintain frequent communication with funding agencies to verify eligibility • Review prior authorization documents against third party payer criteria • Research previous orders and payment history/DSOs for any repair or new order requests • Enter and complete orders in the order management system database • Serve as a client advocate by communicating with clients and family members on funding requests and co-payment requirements, representing client’s case with third party insurance providers and troubleshooting any problems to resolution • Resolve third party denials and provide consultation to finalize difficult funding cases • Alert supervisor of potential third party payer challenges • Perform various other duties as assigned
United HealthcareClinical Coordinator
Nov. 2009 - Oct. 2011PittsburghIn this role, I connected directly with United Healthcare members to educate them on Preventative Health services. Following specific policies and goals, I provided customer service to members, providers, and co-workers. I also trained new employees, and helped to write policies ad procedures to help improve our efficiencies. This position involved the United Healthcare Medicaid sector of business, and was national.
UPMCPatient Information Coordinator - Patient Ambassador Certification
Jan. 2008 - Aug. 2009Pittsburgh, PAIn this role, I handled all requests and inquiries for patient information. It was important to maintain confidentiality of client's personal and medical information. I also communicated directly with doctors, while scheduling patient appointments, updating files, and billing information. During this specific role, I was able to implement new office guidelines and standards that were required after a merger. This included writing new policies and communicating with all patients
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