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Network Power<100 people
Roles
🧨50%
Consulting
💸25%
Marketing
✨25%
Business Owner
Geos
🇺🇸25%
United States
Work Background
Beacon Health OptionsAccount Manager
Oct. 2019 - Aug. 2022Albany, New York, United States• Developed and maintained a relationship with the Children’s Medicaid Providers and Foster Care 29-I program. • Initiated Single case agreements (SCAs) requests by taking data from inquiry requests, resolving issues, and responding to questions regarding the request. • Followed up protocols to conduct the proper provider/member checks, gathered the appropriate provider documentation, coordinated with the clinical team to authorize the treatment, assisted with provider data entry and rate loading.
• Oversaw the administration and tracking of all assigned SCAs and coordinated with other teams as needed to facilitate completion of requests. • Performed complete investigations and conducted the necessary follow through on all inquiries regarding SCA requests. This includes inquiries related to initial requests, exception requests and follow up requests. • Researched and accurately responded to inquiries regarding the status of SCAs.
Beacon Health OptionsProvider Relations Representative
Oct. 2019 - Jun. 2022Albany, New York Metropolitan Area
Anthem, Inc.Provider Relations Specialist
Oct. 2019 - Jun. 2022Albany, New York Metropolitan Area · Remote
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