Boston Medical Center Health Net Plan
Address: 529 Main St #500, Boston, MA 02129 Hours: Closed ⋅ Opens 8AM Mon SaturdayClosedSundayClosedMonday8AM–6PMTuesday8AM–6PMWednesday8AM–6PMThursday8AM–6PMFriday8AM–6PMSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (617) 748-6000: : : : Website: : : Place name: Category: Website: http://www.bmchp.org/ Category: Insurance agency Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question Q: Why doesn't the member service phone number on the back of the card work. Everytime I have called it I end up on hold. The longest I could take was 90 minutes plus so I hung up. I have been calling this for 3 weeks not a single live conversation. A: Call their main number in BostonSee all questions (33)
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Boston Medical Center Health Net Plan Employees
Boston Medical Center Health Net Plan August 2009 - Present
Blue Cross Blue Shield of Massachusetts January 2004 - July 2008
Skills
Medicaid, HIPAA, Health Insurance, Provider Relations, Managed Care, Claim, Medical Billing, Physician Relations, Claims Resolution, Health Policy, Healthcare Industry, Credentialing, Healthcare, Medicare, Utilization Management, Healthcare Information...
Education
Bunker Hill Community College 1990 — 1992
Criminal Justice
Bethesda Health January 2015 - Present
St. Stanislaus School August 2012 - June 2014
Baers Den Bakery & Deli September 2009 - August 2012
Boston Medical Center Health Net Plan July 2008 - August 2009
Cooley Dickinson Practice Associates, Northampton, MA August 2001 - August 2002
Pioneer Women's Health Greenfield, MA May 1998 - October 2000
Kaiser Permanente Health Plan May 1988 - December 1994
Skills
Customer Service, Account Management, Accounts Payable, Payroll, Teaching, Customer Retention, Physician Relations, Client Liaison, Medical Coding, Provider Credentialing, HIPPA Compliance, Medical Terminology, Windows XP & 7, Microsoft Office 7,..., Marketing, Problem Solving, Project Planning, Process Improvement
Education
College of Our Lady of the Elms 1997 — 1998
Bachelor of Science (B.S.), Health Science Management, Magna Cum Laude
Greenfield Community College 1994 — 1996
Associate's degree, Math and Science
Fallon Health March 2015 - Present
Accountable Care Associates 2011 - January 2015
Kindred Parkview Hospital 2009 - 2011
Boston Medical Center Health Net Plan 2006 - 2009
Baystate Health Medical Center 1980 - 2006
Horace A. Moses Scout Reservation Boy Scout Camp 1992 - 1998
Skills
Healthcare, Research, Microsoft Excel, Teaching, Microsoft Word, English, Nursing, Utilization Management, Customer Service, Healthcare Management, Microsoft Office, Home Care, Windows, Hospitals, Medicaid, Disease Management, Outlook, PowerPoint, Managed Care, Acute Care, Elder Care, Medicare, Case Management, Healthcare Information..., Inpatient
Education
Anna Maria College- Parish Nursing
Cochise College
Women in Management
Springfield Technical Community College
RN
Value Care Alliance July 2015 - Present
Pinnacle Health System April 2013 - July 2015
Boston Medical Center Health Net Plan July 2012 - April 2013
Jeanne M OBrien Consulting October 2010 - April 2013
Caritas Christi Network Services October 2007 - September 2010
Caritas Christi Health Care Systems 2007 - September 2010
New England Quality Care Alliance 2005 - 2007
Primary Care, LLC 1996 - 2005
Skills
Hospitals, Healthcare Information..., Managed Care, Healthcare, Network Development, Healthcare Industry, Healthcare Management, Provider Relations, Meditech, Medicare, EMR, Revenue Cycle, Operations Management, HIPAA, Physicians, Medicaid, Health Insurance, Healthcare Consulting, Microsoft Office, Process Improvement
Education
Lesley University 1998 — 2000
MS, Business
TransUnion 2014 - Present
AmerisourceBergen 2013 - 2014
United Health Group Inc 2009 - 2011
Wellcare Inc 2007 - 2008
Humana Inc 2005 - 2006
Boston Medical Center Health Net Plan 2004 - 2005
United Health Group Inc 2002 - 2004
Aetna, Inc 2001 - 2002
Tufts Health Plan, Secure Horizons 1997 - 2000
Skills
Medicare, Healthcare, Hospitals, Access, Provider Relations, Employee Benefits, Physicians, Recruiting, Credentialing, Policy, Home Care, Customer Service, Software Documentation, Managed Care, Healthcare Management, Team Building
Education
Brandeis University 1990 — 1994
Bachelor of Arts Degree, Sociology and African-American Studies
Harvard University Extension School
Health/Health Care Administration/Management
Partners HealthCare February 2011 - Present
Connolly, LLC September 2012 - December 2013
Partners HealthCare December 2009 - February 2011
Boston Medical Center Health Net Plan April 2006 - August 2009
Blue Cross Blue Shield June 2005 - April 2006
Provider Service Network June 2003 - June 2005
Provider Service Network February 2001 - June 2003
Tufts Health Plans 1991 - 2001
Skills
Access, Analysis, Data Analysis, Healthcare, Training, Managed Care, Revenue Cycle, Management, Auditing, Policy, Finance, Insurance, Hospitals, Medical Coding, Healthcare Management, HIPAA, Medicare, Medicaid
Education
University of Massachusetts, Amherst 1987 — 1991
BA, Legal Studies
BOSTON MEDICAL CENTER HEALTH NET PLAN February 2010 - Present
EVALUATION SYSTEMS PEARSON May 2009 - February 2010
American Student Assistance June 2002 - February 2009
DAVOX CORPORATION January 2001 - January 2002
3COM CORPORATION January 2000 - January 2001
COMPAQ COMPUTER CORPORATION January 1997 - January 2000
AMERICAN SUPERCONDUCTOR CORPORATION January 1994 - January 1997
FEDERAL HOME LOAN BANK January 1992 - January 1994
Digital Equipment Corporation January 1982 - January 1992
Skills
SDLC
Education
Clark University 2004 — 2007
Master Science, Information Technology
Worcester State University 1993 — 2003
Bachelor Science, Computer Science
Atlantic Union College 1987 — 1993
Bachelor Science, Business Administration
Quinsigamond Community College 1981 — 1983
Associate, Computer Maintenance Technology
Zumba Fitness with CJ & Co., LLC November 2014 - Present
Beth Israel Deaconess Medical Center May 2013 - Present
Boston Medical Center Health Net Plan April 2008 - December 2009
Cataldo Ambulance Services INC March 2005 - October 2007
Tufts-New England Medical Center August 1998 - August 2004
Skills
Healthcare, Medical Coding, Auditing, Healthcare Management, Medicaid, Supervisory Experience, Team Management, Customer Service, HIPAA, Interviews, Microsoft Office, PowerPoint, Quality Assurance, Visio, Medical Billing, Medical Records, Software Documentation, Training, Data Entry, Internal Audit, Knowledge Management, Networking, Office Management, Office Administration, Creative Writing, Windows, Youth Ministry, Youth Development, Management, Health Policy, Windows XP, Medicare, Managed Care, EMR, Provider Relations, Process Improvement, Hospitals, Administration, Employee Benefits, Healthcare Industry, Utilization Management, Healthcare Information..., Compliance, Biller, Bilingual, XP, ICD-9-CM, CPT, Computers
Education
Fisher College
Fisher College
Associates, Health Information Technology
Fisher College
Bachelor of Science Degree, Business Management
Rescued Church September 2013 - September 2014
Northeastern University August 2013 - November 2013
MIT May 2013 - August 2013
Boys Town May 2011 - March 2013
Harrington Bank July 2010 - May 2011
MIT July 2008 - February 2010
Boston Medical Center Health Net Plan April 2008 - July 2008
Marsh-Dawson Insurance Agency September 2007 - December 2007
Gourmet Services September 2003 - January 2004
FleetBoston Bank June 2002 - September 2002
Skills
Retail Banking, Customer Service, Customer Retention, Customer Satisfaction, Bank Secrecy Act, Outlook, Sales, Budgets, Finance, Training, CRM, Leadership, Accounting, Public Speaking
Education
Northeastern University 2008 — 2011
Bachelor of Science (B.S.), Business Management
Boston Latin Academy 1997 — 2003
High School
Boston Medical Center Health Net Plan July 2010 - Present
Boston Medical Center Health Net Plan July 2003 - Present
BMC HealthNet Plan January 2006 - January 2012
Provider Relations March 2008 - July 2010
Skills
Business Analysis, Medical Billing, SDLC, Revenue Cycle, ICD-9, Data Entry, Microsoft Excel, Cognos, Project Management, Microsoft Office, Customer Service, SharePoint, Crystal Reports, Healthcare Industry, EHR, HIPAA, Auditing, Healthcare Information...
Education
Laboure College 2008 — 2010
CCS-P, Health Care
UMass Boston 1991 — 1993
Management in Human Services