Boston Medical Center Health Net Plan

Description

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

Employee
Years
Job
Industry
Maurice Turnbull Maurice Turnbull Boston, Massachusetts Details
Maurice Turnbull's Boston Medical Center Health Net Plan Experience August 2009 - Present
Job Provider Relations Consultant at Boston Medical Center Health Net Plan
Industry Insurance
Experience
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

Carol Baer Carol Baer West Palm Beach, Florida Area Details
Carol Baer's Boston Medical Center Health Net Plan Experience July 2008 - August 2009
Job Volunteer ; Educational Resources at Bethesda Health
Industry Consumer Services
Experience
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

Anne Rideout RN CCM Anne Rideout RN CCM Springfield, Massachusetts Area Details
Anne Rideout RN CCM's Boston Medical Center Health Net Plan Experience 2006 - 2009
Job RN Utilization Management at Fallon Health
Industry Hospital & Health Care
Experience
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

Jeanne M OBrien Jeanne M OBrien Derby, Connecticut Details
Jeanne M OBrien's Boston Medical Center Health Net Plan Experience July 2012 - April 2013
Job Chief Executive Officer at Value Care Alliance
Industry Hospital & Health Care
Experience
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

Elizabeth Serulneck Elizabeth Serulneck Charlotte, North Carolina Area Details
Elizabeth Serulneck's Boston Medical Center Health Net Plan Experience 2004 - 2005
Job Research Analyst, Healthcare Solutions at Transunion
Industry Hospital & Health Care
Experience
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

Jennifer L. Edwards, CPC, CPC-H Jennifer L. Edwards, CPC, CPC-H Greater Boston Area Details
Jennifer L. Edwards, CPC, CPC-H's Boston Medical Center Health Net Plan Experience April 2006 - August 2009
Job Revenue Integrity Manager, Partners Healthcare.
Industry Insurance
Experience
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

Serg Barre Serg Barre Greater Boston Area Details
Serg Barre's Boston Medical Center Health Net Plan Experience February 2010 - Present
Job Quality Assurance Analyst III at BOSTON MEDICAL CENTER HEALTH NET PLAN
Industry Computer Software
Experience
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

Marisol Ortiz Marisol Ortiz Greater Boston Area Details
Marisol Ortiz's Boston Medical Center Health Net Plan Experience April 2008 - December 2009
Job Zumba Instructor at Zumba Fitness with CJ & Co., LLC
Industry Hospital & Health Care
Experience
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

Sharon Grant Sharon Grant Boston, Massachusetts Details
Sharon Grant's Boston Medical Center Health Net Plan Experience April 2008 - July 2008
Job Financial Assistant and Entrepreneur
Industry Accounting
Experience
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

Denise Stenmon, CCS-P Denise Stenmon, CCS-P Boston, Massachusetts Details
Denise Stenmon, CCS-P's Boston Medical Center Health Net Plan Experience July 2010 - Present
Job Supervisor, Provider Audit Department
Industry Hospital & Health Care
Experience
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