America's 1st Choice
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America's 1st Choice Employees
MedBridge Home Medical May 2014 - Present
America's 1st Choice February 2012 - May 2014
America's 1st Choice Health Plans September 2010 - January 2012
Palmetto GBA September 2008 - May 2010
Skills
Medicare, Provider Relations, Credentialing, HIPAA, Health Insurance, Insurance, Healthcare, Medical Billing, Hospitals, Claim, Medical Coding, Call Centers, Home Care, Physicians, Inpatient, Spreadsheets, Medical Terminology, Medical Records, EMR, CPT, Telephone Skills, ICD-9, Network Development, PowerPoint, Microsoft Word, Cpr Certified, HMO, Healthcare Industry, PPO, Medicare Prescription..., Claims Resolution, HEDIS, Durable Medical..., Incontinence Care
Education
Remington College-Columbia Campus 2011 — 2012
Certificate, Medical Billing and Coding
Lower Richland High School 2004 — 2007
Diploma
America's 1st Choice June 2011 - Present
Carolina Sunshine for Children 2010 - 2015
America's 1st Choice September 2010 - June 2011
Carolina Crescent Health Plan October 2006 - July 2010
United Health Care 2005 - 2006
Carolina Care Plan 2000 - 2004
Skills
Provider Relations, Network Development, Health Insurance, Healthcare, Contract Negotiation, Negotiation, Managed Care, Medicaid, Medicare, Medicaid Managed Care, Medicare Advantage, Credentialing, Healthcare Management, HEDIS, Provider Network..., Healthcare Consulting, Healthcare Industry, Physician Relations, HIPAA, Healthcare Information..., Leadership, Team Building, Strategic Planning, Management, Process Improvement
Education
University of Phoenix 2003 — 2006
BSM, Management
University of Phoenix 2003 — 2004
Associates, General Education
LifeHME June 2013 - Present
Recruiter Solutions International March 2013 - June 2013
America's 1st Choice October 2012 - March 2013
ADP June 2010 - June 2012
Darlington County Detention November 2009 - April 2010
Skills
Customer Service, Corrections, Office Administration, Data Entry, Call Centers, Claims Handling, Insurance, Escrow, Leadership, Training, Policy, Time Management, Microsoft Word, Outlook, Community Outreach, Administration, Nonprofits, Leadership Development
Education
Capella University 2013 — 2016
Master's degree, Health Administration
Capella University 2009 — 2012
Master's degree, Human Services, General
Limestone College 2007 — 2009
Bachelor's degree, Criminal Justice/Law Enforcement Administration
University of Nebraska–Lincoln March 2015 - Present
Self-Employed October 2014 - Present
University of South Carolina June 2013 - May 2014
America's 1st Choice September 2012 - June 2013
University of Central Florida August 2011 - May 2012
The Limited September 2010 - September 2011
University of Central Florida January 2011 - May 2011
Barnes & Noble College Booksellers at University of South Carolina December 2008 - January 2010
Markson Thoma Literary Agency May 2009 - August 2009
EdVenture Children's Museum May 2007 - November 2007
Skills
Editing, Books, Creative Writing, Publicity, HTML5, CSS, Drupal, WordPress, Web Content Management, Microsoft Office, Adobe Acrobat, FileMaker, Clerical Skills, Customer Service
Education
University of Central Florida 2010 — 2012
Master of Fine Arts (M.F.A.), Creative Writing, 4.0
University of South Carolina-Columbia 2006 — 2010
Bachelor of Arts (B.A.), English Language and Literature/Letters, 3.94
America's 1st Choice August 2012 - Present
Americas 1st Choice Health Plans November 2011 - Present
Americas 1st Choice Health Plans September 2010 - December 2011
WellCare July 2009 - November 2010
WellCare October 2008 - July 2009
Skills
Medicaid, Data Analysis, Cross-functional Team..., Managed Care, HIPAA, Health Insurance, Analysis, Healthcare, Healthcare Management, Health Policy, Management, Insurance, Medicare, Auditing, Pharmacy, HMO, Healthcare Industry, Medicare Part D, Provider Relations
Education
University of South Florida 2005 — 2009
BA, Gerontology
Aetna June 2015 - Present
Magellan Complete Care June 2014 - December 2014
Medical Services of America January 2012 - June 2014
America's 1st Choice September 2010 - January 2012
Carolina Crescent Health Plan, Inc January 2009 - May 2010
Carolina Crescent Health Plan, Inc April 2007 - December 2008
Coral Gate Medical Group/Outcome Based Delivery Systems May 2006 - March 2007
Humana Medical Plans January 1992 - April 2006
Skills
Durable Medical..., Provider Relations, Managed Care, Medicare, Credentialing, Medicaid, Network Development, HMO, Physicians, Health Insurance, Employee Benefits, Healthcare Industry, Healthcare, Healthcare Management, HIPAA, Healthcare Consulting, Healthcare Information..., Hospitals, Insurance, Physician Relations, EHR
Education
Flagler College 1983 — 1987
BA Recreational, Management
Freedom Health Inc & Optimum HealthCare Inc 2008 - Present
America's 1st Choice 2008 - Present
WellCare April 2006 - May 2008
Universal Healthcare May 2003 - April 2006
Education
Rollins College - Crummer Graduate School of Business 2001 — 2003
MBA, Finance & Accounting
Dimestone Consulting October 2002 - Present
Dimestone 2002 - Present
America's 1st Choice 2006 - 2011
WellCare December 1996 - October 2002
Well Care HMO, Inc. 1996 - 2002
Skills
Medicaid, Healthcare Management, HMO, Medicare, Health Policy, Insurance, Data Analysis, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Managed Care, Healthcare Information..., Physicians, HIPAA, Practice Management
Education
Miami Dade College
Tri-Counties ACC (CHS/UAM) April 2014 - Present
Tri-Counties ACC (CHS/UAM) July 2013 - March 2014
America's 1st Choice October 2010 - July 2013
Physician Services of South Carolina August 2010 - September 2010
Carolina Crescent Health Plan November 2007 - August 2010
Sullivan Private Label August 2005 - May 2007
Education
University of Cincinnati 1988 — 1992
BA, History
America's 1st Choice November 2009 - Present
SCTEDP June 2008 - December 2008
Skills
Excel, Microsoft Office
Education
Colorado Technical University-Online
Americas 1st Choice February 2014 - Present
Education
Beloit College 1992 — 1997
Political Science, Post Communist Economics