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Work Background
REACH Kidney CareHealth Plan Partnerships Manager
Aug. 2022Nashville, Tennessee, United States
HighFive HealthcareVice President of Provider Reimbursement
Oct. 2021 - Jul. 2022Homewood, Alabama, United States
HighFive HealthcareBilling and Insurance Reimbursement Manager
Oct. 2021 - Nov. 2021Homewood, Alabama, United StatesHaley manages provider reimbursement, billing and credentialing for HighFive Healthcare.
Blue Cross and Blue Shield of AlabamaManager- Medical Procedure
Nov. 2018 - Oct. 2021Birmingham, Alabama
Blue Cross and Blue Shield of AlabamaProvider Network Consultant II
Sep. 2018 - Oct. 2018Birmingham, AlabamaWorking with providers/physicians to ensure a strong network for our members.
Blue Cross and Blue Shield of AlabamaProvider Network Consultant I
Jan. 2017 - Sep. 2018Birmingham, AlabamaEducating and targeting outreach to providers regarding corporate initiatives, to keep providers informed about BCBSAL products, services and programs. •Personalized office visits to help address any special needs or concerns •Improving provider experience through coordinated community events and meetings •Strengthening provider partnership with identified practices by offering additional resources •Offering consultative services for office staff regarding BCBSAL services and initiatives
Blue Cross Blue Shield of AlabamaClinical Health Specialist
Nov. 2013 - Jan. 2017Birmingham, Alabama Area• Provides service to members for any health and customer service related issue
• Provides medical support in health management area by screening referrals for Services based on established guidelines • Responsible for engaging and establishing a relationship with the member To resolve benefit issues
• Encourages members to take steps to improve their health
• Schedule healthcare screenings and physician appointments based upon needs Of the member • Work with self-funded groups an Individual Products, on and off the Healthcare Marketplace • Proficient in Microsoft Word, Access, Excel and Power Point for all job needs • Promotes Wellness • Member Advocate
Magnolia Creek Treatment Center for Eating DisordersStaff Nurse
Jan. 2008 - Nov. 2013Birmingham, Alabama Area• Daily Assessments and Triage of patients • Medication administration • Active member of treatment team to promote health among patients • Electronic Medical Record charting and template developer • Lead Staff member to assist in State Inspections and The Joint Commission • Laboratory director
ENT Associates of AlabamaTriage and Floor Nurse
Oct. 2005 - Apr. 2007Work directly with 10 physicians to provide in office procedures as well as basic routine appointments. Triage nurse for surgical practice and medication questions. Insurance approvals and medication refills. Electronic Medical Records, Sinus CT Scans and X-Rays. Allergy Testing and treatment. IVs, injections, post op surgical care.
Bennett Opthalmology GroupOffice Assistant
Jan. 2000 - Jul. 2005Front office assistant, while I was in nursing school. Scheduled Appointments, filed charts, called insurance companies for approvals, scheduled surgery.
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