Provider Resources, Inc.
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Provider Resources, Inc. Employees
Employee
Years
Job
Industry
Andrew Agostini, MBA Andrew Agostini, MBA's Provider Resources, Inc. Experience April 2014 - July 2014
Job Project Analyst (Senior Analyst) Store Operations at Family Dollar
Industry Retail
Experience
Family Dollar October 2014 - Present
Provider Resources, Inc. April 2014 - July 2014
Provider Resources, Inc. December 2013 - April 2014
Provider Resources, Inc. August 2011 - December 2013
Hefren-Tillotson January 2011 - May 2011
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Access, Microsoft Word, Research, Program Management, Project Management, Data Analysis, Leadership, Policy, Customer Service, Management, Training, Analysis, Team Building, Process Improvement, Public Speaking
Education
Pennsylvania State University-Erie Campus 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Pittsburgh 2007 — 2011
BA, Economics
Family Dollar October 2014 - Present
Provider Resources, Inc. April 2014 - July 2014
Provider Resources, Inc. December 2013 - April 2014
Provider Resources, Inc. August 2011 - December 2013
Hefren-Tillotson January 2011 - May 2011
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Access, Microsoft Word, Research, Program Management, Project Management, Data Analysis, Leadership, Policy, Customer Service, Management, Training, Analysis, Team Building, Process Improvement, Public Speaking
Education
Pennsylvania State University-Erie Campus 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Pittsburgh 2007 — 2011
BA, Economics
Tina Basile Tina Basile's Provider Resources, Inc. Experience October 2011 - Present
Job IT Support Manager at Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. October 2011 - Present
Formtech Enterprises, Inc. March 2002 - January 2009
Sterling Dula January 2000 - March 2002
The Plastek Group 1992 - 1999
Skills
Budgets
Education
Penn State University 1990 — 1994
Bachelor of Science (BS), Accounting
Provider Resources, Inc. October 2011 - Present
Formtech Enterprises, Inc. March 2002 - January 2009
Sterling Dula January 2000 - March 2002
The Plastek Group 1992 - 1999
Skills
Budgets
Education
Penn State University 1990 — 1994
Bachelor of Science (BS), Accounting
Stacey Skala Orr Stacey Skala Orr's Provider Resources, Inc. Experience January 2013 - April 2014
Job Vice President at Brookside Homes of America
Industry Health, Wellness and Fitness
Experience
Brookside Homes of America, Inc. April 2014 - Present
Stinky Yogi, LLC September 2012 - Present
yogaErie September 2010 - Present
Provider Resources, Inc. January 2013 - April 2014
Satya Yoga & Wellness September 2010 - June 2013
National Association of Social Workers, Oregon Chapter August 2006 - June 2010
Institute for Geriatric Social Work 2004 - 2006
Alzheimer's Association of Los Angeles 2001 - 2004
Skills
Program Development, Volunteer Management, Nonprofits, Community Outreach, Fundraising, Program Evaluation, Non-profit..., Board Development, Social Services, Community Organizing, Non-profits, Grant Writing, Policy
Education
University of California, Los Angeles 2000 — 2002
Master of Social Work (MSW)
The University of Kansas 1996 — 1999
B.A., Psychology
Brookside Homes of America, Inc. April 2014 - Present
Stinky Yogi, LLC September 2012 - Present
yogaErie September 2010 - Present
Provider Resources, Inc. January 2013 - April 2014
Satya Yoga & Wellness September 2010 - June 2013
National Association of Social Workers, Oregon Chapter August 2006 - June 2010
Institute for Geriatric Social Work 2004 - 2006
Alzheimer's Association of Los Angeles 2001 - 2004
Skills
Program Development, Volunteer Management, Nonprofits, Community Outreach, Fundraising, Program Evaluation, Non-profit..., Board Development, Social Services, Community Organizing, Non-profits, Grant Writing, Policy
Education
University of California, Los Angeles 2000 — 2002
Master of Social Work (MSW)
The University of Kansas 1996 — 1999
B.A., Psychology
Stacey Plizga Stacey Plizga's Provider Resources, Inc. Experience August 2011 - Present
Job Program Manager at Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. August 2011 - Present
Iroquois School District 2008 - 2011
Harborcreek School District 2006 - 2008
Better Baked Foods 2000 - 2003
Americans for the Competitive Enterprise System (ACES) January 1999 - June 2000
FMC Smith Meter 1996 - 1999
General Electric Motors 1993 - 1996
General Electric Motors 1990 - 1993
Skills
Research, Writing, Microsoft Office, PowerPoint, Moderating/Public..., Proposal Writing, Marketing Communications, Copywriting, Project Planning, Community Outreach, Marketing, Leadership, Data Analysis, Healthcare, Program Management
Education
University of Dayton 1986 — 1990
Bachelor of Science (BS), Marketing/Management
Edinboro University of Pennsylvania
Bachelor of Arts (BA), Elementary Education and Teaching, K-6
Pennsylvania State University-Erie Campus
Master of Business Administration (MBA)
Provider Resources, Inc. August 2011 - Present
Iroquois School District 2008 - 2011
Harborcreek School District 2006 - 2008
Better Baked Foods 2000 - 2003
Americans for the Competitive Enterprise System (ACES) January 1999 - June 2000
FMC Smith Meter 1996 - 1999
General Electric Motors 1993 - 1996
General Electric Motors 1990 - 1993
Skills
Research, Writing, Microsoft Office, PowerPoint, Moderating/Public..., Proposal Writing, Marketing Communications, Copywriting, Project Planning, Community Outreach, Marketing, Leadership, Data Analysis, Healthcare, Program Management
Education
University of Dayton 1986 — 1990
Bachelor of Science (BS), Marketing/Management
Edinboro University of Pennsylvania
Bachelor of Arts (BA), Elementary Education and Teaching, K-6
Pennsylvania State University-Erie Campus
Master of Business Administration (MBA)
Heather Yaple, AS, AIS, AIC, CAPM Heather Yaple, AS, AIS, AIC, CAPM's Provider Resources, Inc. Experience April 2014 - Present
Job Program Integrity Division Process Engineer and Project Coordinator Supervisor at Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. April 2014 - Present
Provider Resources, Inc. December 2010 - Present
Provider Resources, Inc. October 2013 - April 2014
Alliance Rehab 2008 - 2010
Saint Vincent Medical Group 2007 - 2008
Erie Insurance Group 2002 - 2007
Skills
Proficient in Microsoft..., Six Sigma, Customer Service, Healthcare, EHR, EMR, Healthcare Management, Practice Management, Budgets, Health Insurance, Team Building, Microsoft Office, Visio, Change Management, Interviews, Public Speaking, Medicare, •Certified Associate..., •Associate in Claims..., •Associate in Insurance..., •Completed 35 CAPM..., •Completed 40..., •Completed 3-day..., •Lean and Six Sigma..., •Leadership and..., •Coaching and Mentoring..., •Highly Effective..., •Time Management and..., •Completed Certified..., •Essentials of..., •Introduction to..., Policy, Access, Training
Education
Mercyhurst College 1997 — 1999
Associate of Science (AS), Medical Office Management/Administration
Provider Resources, Inc. April 2014 - Present
Provider Resources, Inc. December 2010 - Present
Provider Resources, Inc. October 2013 - April 2014
Alliance Rehab 2008 - 2010
Saint Vincent Medical Group 2007 - 2008
Erie Insurance Group 2002 - 2007
Skills
Proficient in Microsoft..., Six Sigma, Customer Service, Healthcare, EHR, EMR, Healthcare Management, Practice Management, Budgets, Health Insurance, Team Building, Microsoft Office, Visio, Change Management, Interviews, Public Speaking, Medicare, •Certified Associate..., •Associate in Claims..., •Associate in Insurance..., •Completed 35 CAPM..., •Completed 40..., •Completed 3-day..., •Lean and Six Sigma..., •Leadership and..., •Coaching and Mentoring..., •Highly Effective..., •Time Management and..., •Completed Certified..., •Essentials of..., •Introduction to..., Policy, Access, Training
Education
Mercyhurst College 1997 — 1999
Associate of Science (AS), Medical Office Management/Administration
Kathryn Fenstermacher, ASB, CMP Kathryn Fenstermacher, ASB, CMP's Provider Resources, Inc. Experience Office ManagerAnesthesiologists of Erie, Inc.January 2000 - April 2011
Job HR Specialist, Provider Resources, Inc.
Industry Events Services
Experience
Provider Resources, Inc. Office ManagerAnesthesiologists of Erie, Inc.January 2000 - April 2011
Hamot Medical Center June 1984 - February 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, HTML, Event Planning, Healthcare, Data Analysis, Budgets, Hospitals, Access, Project Management, Strategic Planning, Training, Healthcare Reimbursement, Administration
Education
Erie Business Center-Erie
Associate's degree, Business Administration/Medical
Provider Resources, Inc. Office ManagerAnesthesiologists of Erie, Inc.January 2000 - April 2011
Hamot Medical Center June 1984 - February 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, HTML, Event Planning, Healthcare, Data Analysis, Budgets, Hospitals, Access, Project Management, Strategic Planning, Training, Healthcare Reimbursement, Administration
Education
Erie Business Center-Erie
Associate's degree, Business Administration/Medical
Linda Pinnell Linda Pinnell's Provider Resources, Inc. Experience January 2014 - Present
Job Data Project Coordinator at Provider Resources, Inc.
Industry Hospital & Health Care
Experience
Provider Resources, Inc. January 2014 - Present
Provider Resources, Inc. September 2012 - Present
Hospice Care Corporation February 2012 - August 2012
Staples Business Advantage February 2011 - January 2012
North Central WV OIC November 2009 - February 2011
West Virginia University Healthcare January 2002 - February 2011
Varsity Club July 2008 - December 2009
Skills
Customer Service, Healthcare, Administrative Work, Team Leadership, Cold Calling, PowerPoint, Hospitals, Team Building, Account Management, Strategic Planning, EMR, New Business Development, Sales Management, Healthcare Information..., HIPAA, Negotiation, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Satisfaction, Human Resources, Medicare
Education
Fairmont State University 2003 — 2009
BS, Exercise Physiology, Chemistry
Carver Career Center 2001 — 2002
Certification, Pharmacy Technician
Provider Resources, Inc. January 2014 - Present
Provider Resources, Inc. September 2012 - Present
Hospice Care Corporation February 2012 - August 2012
Staples Business Advantage February 2011 - January 2012
North Central WV OIC November 2009 - February 2011
West Virginia University Healthcare January 2002 - February 2011
Varsity Club July 2008 - December 2009
Skills
Customer Service, Healthcare, Administrative Work, Team Leadership, Cold Calling, PowerPoint, Hospitals, Team Building, Account Management, Strategic Planning, EMR, New Business Development, Sales Management, Healthcare Information..., HIPAA, Negotiation, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Satisfaction, Human Resources, Medicare
Education
Fairmont State University 2003 — 2009
BS, Exercise Physiology, Chemistry
Carver Career Center 2001 — 2002
Certification, Pharmacy Technician
Megan Rainbow Megan Rainbow's Provider Resources, Inc. Experience May 2012 - December 2013
Job Project Manager at VertMarkets
Industry Publishing
Experience
VertMarkets December 2013 - Present
Provider Resources, Inc. May 2012 - December 2013
Lake Erie College of Osteopathic Medicine October 2011 - May 2012
Columbia University in the City of New York October 2008 - August 2011
Skills
Research, Data Analysis, Microsoft Office, SPSS, Statistics, Teaching, PowerPoint, Microsoft Excel, Public Speaking, Editing, Microsoft Word, Grant Writing
Education
Pennsylvania State University-Erie Campus 2012 — 2015
Master of Business Administration (MBA)
Barnard College 2006 — 2010
Bachelor of Arts (BA), Neuroscience and Behavior
VertMarkets December 2013 - Present
Provider Resources, Inc. May 2012 - December 2013
Lake Erie College of Osteopathic Medicine October 2011 - May 2012
Columbia University in the City of New York October 2008 - August 2011
Skills
Research, Data Analysis, Microsoft Office, SPSS, Statistics, Teaching, PowerPoint, Microsoft Excel, Public Speaking, Editing, Microsoft Word, Grant Writing
Education
Pennsylvania State University-Erie Campus 2012 — 2015
Master of Business Administration (MBA)
Barnard College 2006 — 2010
Bachelor of Arts (BA), Neuroscience and Behavior
Linda Hair Linda Hair's Provider Resources, Inc. Experience August 2015 - Present
Job Training Specialist Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. August 2015 - Present
Provider Resources, Inc. March 2014 - Present
Pennsylvania Virtual Charter School March 2009 - March 2014
Women's Resource Center, Scranton, PA 2006 - 2009
Skills
E-Learning, Distance Learning, Educational Technology, Adult Education, Instructional Design, Instructional Technology, Staff Development, Employee Training, Training, Training Delivery, Enrollment Management, Admissions, Online Enrollment
Education
University of North Carolina at Charlotte 1990 — 1993
Bachelor of Arts (BA), Psychology
Provider Resources, Inc. August 2015 - Present
Provider Resources, Inc. March 2014 - Present
Pennsylvania Virtual Charter School March 2009 - March 2014
Women's Resource Center, Scranton, PA 2006 - 2009
Skills
E-Learning, Distance Learning, Educational Technology, Adult Education, Instructional Design, Instructional Technology, Staff Development, Employee Training, Training, Training Delivery, Enrollment Management, Admissions, Online Enrollment
Education
University of North Carolina at Charlotte 1990 — 1993
Bachelor of Arts (BA), Psychology
Pam Shickles's Provider Resources, Inc. Experience May 2014 - Present
Job Program Manager at Provider Resources, Inc.
Industry Insurance
Experience
Provider Resources, Inc. May 2014 - Present
Humana June 2012 - May 2014
Humana September 2011 - June 2012
Humana June 2006 - September 2011
Sharps & Associates August 2004 - April 2006
Ward, Tyler & Scott February 2001 - August 2004
Clark County Prosecutor's Office August 1998 - February 2001
Blue Cross Blue Shield of Kentucky March 1986 - August 1995
Skills
Policy, Health Insurance, Medicare, Claim, Financial Risk, Contract Management, Insurance, Claims Management, Health Policy, Risk Management, Process Improvement, Brokers, Liability, Property & Casualty..., HIPAA, Medicaid, Training, Management, Managed Care, Healthcare
Education
Indiana University Robert H. McKinney School of Law 1995 — 1998
J.D., Law
Indiana University-Southeast 1989 — 1994
BS, Business Management
Provider Resources, Inc. May 2014 - Present
Humana June 2012 - May 2014
Humana September 2011 - June 2012
Humana June 2006 - September 2011
Sharps & Associates August 2004 - April 2006
Ward, Tyler & Scott February 2001 - August 2004
Clark County Prosecutor's Office August 1998 - February 2001
Blue Cross Blue Shield of Kentucky March 1986 - August 1995
Skills
Policy, Health Insurance, Medicare, Claim, Financial Risk, Contract Management, Insurance, Claims Management, Health Policy, Risk Management, Process Improvement, Brokers, Liability, Property & Casualty..., HIPAA, Medicaid, Training, Management, Managed Care, Healthcare
Education
Indiana University Robert H. McKinney School of Law 1995 — 1998
J.D., Law
Indiana University-Southeast 1989 — 1994
BS, Business Management
Miki Patel Miki Patel's Provider Resources, Inc. Experience July 2013 - Present
Job Application Developer at Provider Resources, Inc.
Industry Computer Software
Experience
Provider Resources, Inc. July 2013 - Present
TMI Solutions, Inc. March 2013 - July 2013
Roswell Park Cancer Institute October 2010 - December 2011
Erie County April 2010 - September 2010
Management Department at SUNY at Buffalo, NY May 2009 - March 2010
Skills
SQL, C#, Microsoft SQL Server, JavaScript, ASP.NET, OOP, Access, .NET, Integration, HTML, Databases, JSP, Testing, VBScript, SDLC, Programming
Education
State University of New York College at Buffalo 2007 — 2010
BS, Computer Science
Provider Resources, Inc. July 2013 - Present
TMI Solutions, Inc. March 2013 - July 2013
Roswell Park Cancer Institute October 2010 - December 2011
Erie County April 2010 - September 2010
Management Department at SUNY at Buffalo, NY May 2009 - March 2010
Skills
SQL, C#, Microsoft SQL Server, JavaScript, ASP.NET, OOP, Access, .NET, Integration, HTML, Databases, JSP, Testing, VBScript, SDLC, Programming
Education
State University of New York College at Buffalo 2007 — 2010
BS, Computer Science
Richard Baer Richard Baer's Provider Resources, Inc. Experience December 2009 - June 2011
Job Richard K. Baer, MD Physician Consultant
Industry Government Administration
Experience
Richard K. Baer, MD June 2014 - Present
Price Waterhouse Coopers Healthcare Advisory December 2014 - September 2015
Performant Recovery, Inc. July 2011 - June 2014
PricewaterhouseCoopers, Advisory, ICD-10 Transition May 2010 - June 2011
Emerson Consultants, Inc. January 2010 - June 2011
Meade & Roach, LLP December 2009 - June 2011
Provider Resources, Inc. December 2009 - June 2011
National Government Services February 2009 - December 2009
National Government Services, Inc. August 1998 - February 2009
AdminaStar Federal, Inc November 2001 - February 2002
Skills
Expert Witness, Medical Review, Medicare, Hospitals, Policy, Data Analysis, Physicians, Healthcare, Healthcare Management, Healthcare Information..., Managed Care, HIPAA, Medicaid, Clinical Research, Strategic Planning, Psychotherapy, Medicine, Mental Health, Inpatient, Clinical Trials, Medical Coding, Healthcare Consulting, EHR, EMR, Home Care
Education
Indiana University - Kelley School of Business 2007 — 2008
Certificate, Business
Northwestern University 2003 — 2006
MA, Creative Writing
Institute for Psychoanalysis, Chicago, Illinois 1983 — 1998
Psychoanalysis
University of Illinois College of Medicine 1974 — 1978
MD, Medicine
University of Illinois at Urbana-Champaign 1970 — 1974
BA, Major - English Literature, Minors, Rhetoric & Chemistry
Richard K. Baer, MD June 2014 - Present
Price Waterhouse Coopers Healthcare Advisory December 2014 - September 2015
Performant Recovery, Inc. July 2011 - June 2014
PricewaterhouseCoopers, Advisory, ICD-10 Transition May 2010 - June 2011
Emerson Consultants, Inc. January 2010 - June 2011
Meade & Roach, LLP December 2009 - June 2011
Provider Resources, Inc. December 2009 - June 2011
National Government Services February 2009 - December 2009
National Government Services, Inc. August 1998 - February 2009
AdminaStar Federal, Inc November 2001 - February 2002
Skills
Expert Witness, Medical Review, Medicare, Hospitals, Policy, Data Analysis, Physicians, Healthcare, Healthcare Management, Healthcare Information..., Managed Care, HIPAA, Medicaid, Clinical Research, Strategic Planning, Psychotherapy, Medicine, Mental Health, Inpatient, Clinical Trials, Medical Coding, Healthcare Consulting, EHR, EMR, Home Care
Education
Indiana University - Kelley School of Business 2007 — 2008
Certificate, Business
Northwestern University 2003 — 2006
MA, Creative Writing
Institute for Psychoanalysis, Chicago, Illinois 1983 — 1998
Psychoanalysis
University of Illinois College of Medicine 1974 — 1978
MD, Medicine
University of Illinois at Urbana-Champaign 1970 — 1974
BA, Major - English Literature, Minors, Rhetoric & Chemistry
Albert Markowski Albert Markowski's Provider Resources, Inc. Experience 2013 - Present
Job Program Manager at Provider Resources, Inc.
Industry Professional Training & Coaching
Experience
Provider Resources, Inc. 2013 - Present
CVS Caremark Corporation 2003 - 2013
Fairchild Semiconductor 1997 - 2003
Indalex Aluminum Solutions 1991 - 1997
CertainTeed Corporation 1989 - 1991
Praxair 1986 - 1989
Skills
Large Scale System..., Strategic Development..., Process and..., Project Management, Work Instruction..., Performance Consulting, Blended Learning ..., Interpersonal Skills..., Needs Assessment &..., Managing Virtual and..., Process Improvement, Training, Cross-functional Team..., Manufacturing, Program Management, Integration, Management, Leadership, Engineering, Root Cause Analysis, Strategic Planning, Coaching, Quality Assurance, Customer Satisfaction, Business Process, Six Sigma, Software Documentation, Team Leadership, Continuous Improvement, Time Management, Troubleshooting, Budgets, Change Management, Project Planning, Operations Management, Team Building, Analysis, Leadership Development, Performance Management, Organizational..., Supervisory Skills, Employee Training
Education
University of Scranton
Master of Business Administration (M.B.A.), Operations Management, 3.76
Bloomsburg University of Pennsylvania
Master of Science - Instructional Design Technology, 3.93
SUNY Binghamton
Bachelor of Technology - Electrical Engineering Technology, 3.5
Provider Resources, Inc. 2013 - Present
CVS Caremark Corporation 2003 - 2013
Fairchild Semiconductor 1997 - 2003
Indalex Aluminum Solutions 1991 - 1997
CertainTeed Corporation 1989 - 1991
Praxair 1986 - 1989
Skills
Large Scale System..., Strategic Development..., Process and..., Project Management, Work Instruction..., Performance Consulting, Blended Learning ..., Interpersonal Skills..., Needs Assessment &..., Managing Virtual and..., Process Improvement, Training, Cross-functional Team..., Manufacturing, Program Management, Integration, Management, Leadership, Engineering, Root Cause Analysis, Strategic Planning, Coaching, Quality Assurance, Customer Satisfaction, Business Process, Six Sigma, Software Documentation, Team Leadership, Continuous Improvement, Time Management, Troubleshooting, Budgets, Change Management, Project Planning, Operations Management, Team Building, Analysis, Leadership Development, Performance Management, Organizational..., Supervisory Skills, Employee Training
Education
University of Scranton
Master of Business Administration (M.B.A.), Operations Management, 3.76
Bloomsburg University of Pennsylvania
Master of Science - Instructional Design Technology, 3.93
SUNY Binghamton
Bachelor of Technology - Electrical Engineering Technology, 3.5
Marlee Ryan's Provider Resources, Inc. Experience April 2009 - May 2011
Job Medical Appeals and Policy at Blue Cross and Blue Shield of Louisiana
Industry Insurance
Experience
Blue Cross and Blue Shield of Louisiana September 2014 - Present
Healthcare Management Solutions, LLC October 2012 - August 2014
Blue Cross Blue Shield of Louisiana February 2012 - May 2012
Provider Resources, Inc. April 2009 - May 2011
Blue Cross Blue Shield of Louisiana August 2001 - April 2009
Gulf South Health Plans June 1999 - April 2001
Advantage Health Plans 1997 - 1999
Skills
Registered Nurse, Certified Professional..., Managed Care, URAC, Quality Management, Appeals, Proposal Writing, Project Management, Medicare, Medicaid, Fraud and Abuse, Medical Coding, Pay For Performance, Meaningful Use, Affordable Care Act, Claim Analysis, Claim Edits, Reimbursement, Medical Policy, Reimbursement Policy, Federal Regulations, HEDIS, CAHPS, Delegation Oversight, Compliance Audits, Strategic Planning, Utilization Review, Quality Auditing, Pharmacy Benefit..., EHR, Healthcare Industry, Policy, Healthcare, Disease Management, Management, Hospitals, Insurance, Healthcare Management, Provider Relations, Health Insurance, Health Policy, Analysis, HIPAA, Case Management, Clinical Research, Healthcare Consulting, Healthcare Information..., EMR, Software Documentation, Utilization Management
Education
Louisiana State University
BSN
Registered Nurse
Louisiana
Certified Professional Coder (CPC)
Blue Cross and Blue Shield of Louisiana September 2014 - Present
Healthcare Management Solutions, LLC October 2012 - August 2014
Blue Cross Blue Shield of Louisiana February 2012 - May 2012
Provider Resources, Inc. April 2009 - May 2011
Blue Cross Blue Shield of Louisiana August 2001 - April 2009
Gulf South Health Plans June 1999 - April 2001
Advantage Health Plans 1997 - 1999
Skills
Registered Nurse, Certified Professional..., Managed Care, URAC, Quality Management, Appeals, Proposal Writing, Project Management, Medicare, Medicaid, Fraud and Abuse, Medical Coding, Pay For Performance, Meaningful Use, Affordable Care Act, Claim Analysis, Claim Edits, Reimbursement, Medical Policy, Reimbursement Policy, Federal Regulations, HEDIS, CAHPS, Delegation Oversight, Compliance Audits, Strategic Planning, Utilization Review, Quality Auditing, Pharmacy Benefit..., EHR, Healthcare Industry, Policy, Healthcare, Disease Management, Management, Hospitals, Insurance, Healthcare Management, Provider Relations, Health Insurance, Health Policy, Analysis, HIPAA, Case Management, Clinical Research, Healthcare Consulting, Healthcare Information..., EMR, Software Documentation, Utilization Management
Education
Louisiana State University
BSN
Registered Nurse
Louisiana
Certified Professional Coder (CPC)
Catherine Du Toit, CPC, CGIC's Provider Resources, Inc. Experience June 2015 - Present
Job Senior Coding Specialist
Industry Hospital & Health Care
Experience
Provider Resources, Inc. June 2015 - Present
GPDDC, New York, NY June 2008 - Present
Clean Claims Coding Consultant January 2008 - Present
University of Pennsylvania December 2013 - April 2015
DDDTC June 2009 - December 2013
Independence Blue Cross March 2008 - November 2013
Manhattan Endoscopy Center December 2011 - March 2012
Physicians Endoscopy April 2006 - November 2007
Liebert-Hiross S.p.A. Italia March 1998 - December 2000
Skills
Medical Coding, Medicare, Revenue Cycle, HIPAA, Physicians, Healthcare, Medical Billing, Healthcare Information..., Healthcare Management, CPT, Medicaid, Wound Care, ICD-9, EHR, Healthcare Consulting, Health Information..., EMR, Hospitals, Critical Care, Medical Records, Healthcare Reimbursement, Medical Terminology, Time Management, Managed Care, Medical Compliance, Health Insurance, Meditech, Physician Relations, Process Improvement, ICD-10, Provider Relations, GI coding, Health Policy, Revenue Cycle Management, Healthcare Industry
Education
Computer Career Institue of Johns Hopkins University 2004 — 2005
Medical Billing & Coding
University of Stellenbosch, South Africa 1978 — 1979
B.MUS
Provider Resources, Inc. June 2015 - Present
GPDDC, New York, NY June 2008 - Present
Clean Claims Coding Consultant January 2008 - Present
University of Pennsylvania December 2013 - April 2015
DDDTC June 2009 - December 2013
Independence Blue Cross March 2008 - November 2013
Manhattan Endoscopy Center December 2011 - March 2012
Physicians Endoscopy April 2006 - November 2007
Liebert-Hiross S.p.A. Italia March 1998 - December 2000
Skills
Medical Coding, Medicare, Revenue Cycle, HIPAA, Physicians, Healthcare, Medical Billing, Healthcare Information..., Healthcare Management, CPT, Medicaid, Wound Care, ICD-9, EHR, Healthcare Consulting, Health Information..., EMR, Hospitals, Critical Care, Medical Records, Healthcare Reimbursement, Medical Terminology, Time Management, Managed Care, Medical Compliance, Health Insurance, Meditech, Physician Relations, Process Improvement, ICD-10, Provider Relations, GI coding, Health Policy, Revenue Cycle Management, Healthcare Industry
Education
Computer Career Institue of Johns Hopkins University 2004 — 2005
Medical Billing & Coding
University of Stellenbosch, South Africa 1978 — 1979
B.MUS
Michelle Ducharme Michelle Ducharme's Provider Resources, Inc. Experience October 2003 - February 2005
Job Pro Account Sales Associate at The Home Depot
Industry Retail
Experience
The Home Depot February 2005 - Present
Provider Resources, Inc. October 2003 - February 2005
GMAC-RFC March 1998 - July 2000
Skills
Benefits Administration, Customer Relations, PeopleSoft
Education
University of Minnesota - Carlson School of Management 1997 — 2000
Coursework completed, Human Resources & Industrial Relations
State University of New York at Buffalo 1993 — 1997
BA, Psychology
The Home Depot February 2005 - Present
Provider Resources, Inc. October 2003 - February 2005
GMAC-RFC March 1998 - July 2000
Skills
Benefits Administration, Customer Relations, PeopleSoft
Education
University of Minnesota - Carlson School of Management 1997 — 2000
Coursework completed, Human Resources & Industrial Relations
State University of New York at Buffalo 1993 — 1997
BA, Psychology
Laura Lynn Griffin Laura Lynn Griffin's Provider Resources, Inc. Experience October 2013 - Present
Job Healthcare Analyst at Provider Resources, Inc.
Industry Hospital & Health Care
Experience
Provider Resources, Inc. October 2013 - Present
Aetna August 2012 - October 2013
Coventry Health Care August 2012 - October 2013
Provider Resources Inc. March 2011 - April 2012
Baptist Hospital East January 2010 - February 2011
National Government Services January 2001 - December 2009
Skills
Medicare, Medical Coding, EHR, Nursing, Program Management, Healthcare, HIPAA, Healthcare Information..., Healthcare Management, Managed Care, Medical Review, Hospitals, Data Analysis, Policy, Case Managment, Utilization Management, EMR, Case Management, Physicians
Education
Ellis University 2007 — 2009
MBA, Healthcare Administration
The Southern Baptist Theological Seminary 1989 — 1992
Master of Divinity (M.Div.), Pastoral Care and Counseling
University of Tennessee-Knoxville 1980 — 1988
BS, Child and Family Studies
Baptist Memorial Hospital School of Nursing 1982 — 1986
AD, Nursing
Provider Resources, Inc. October 2013 - Present
Aetna August 2012 - October 2013
Coventry Health Care August 2012 - October 2013
Provider Resources Inc. March 2011 - April 2012
Baptist Hospital East January 2010 - February 2011
National Government Services January 2001 - December 2009
Skills
Medicare, Medical Coding, EHR, Nursing, Program Management, Healthcare, HIPAA, Healthcare Information..., Healthcare Management, Managed Care, Medical Review, Hospitals, Data Analysis, Policy, Case Managment, Utilization Management, EMR, Case Management, Physicians
Education
Ellis University 2007 — 2009
MBA, Healthcare Administration
The Southern Baptist Theological Seminary 1989 — 1992
Master of Divinity (M.Div.), Pastoral Care and Counseling
University of Tennessee-Knoxville 1980 — 1988
BS, Child and Family Studies
Baptist Memorial Hospital School of Nursing 1982 — 1986
AD, Nursing
Jackie Hartz Jackie Hartz's Provider Resources, Inc. Experience August 2010 - Present
Job Creative Solutions Manager
Industry Media Production
Experience
Provider Resources, Inc. August 2010 - Present
Dairy Queen September 2003 - June 2011
Laker TV August 2010 - May 2011
Laker TV August 2008 - May 2011
Laker TV September 2007 - May 2011
WJET-TV May 2010 - August 2010
Skills
Photoshop, Photography, Camera Operator, Final Cut Pro, Cinematography, Camera Operating, Organizational..., Graphic Design, Video Production, Film Production, Premiere, Media Production, Television, Lighting, Post Production, Video Editing
Education
New York Film Academy 2011 — 2012
Cinematography
Mercyhurst College 2007 — 2011
Bachelor of Arts, Communication/ Production
Provider Resources, Inc. August 2010 - Present
Dairy Queen September 2003 - June 2011
Laker TV August 2010 - May 2011
Laker TV August 2008 - May 2011
Laker TV September 2007 - May 2011
WJET-TV May 2010 - August 2010
Skills
Photoshop, Photography, Camera Operator, Final Cut Pro, Cinematography, Camera Operating, Organizational..., Graphic Design, Video Production, Film Production, Premiere, Media Production, Television, Lighting, Post Production, Video Editing
Education
New York Film Academy 2011 — 2012
Cinematography
Mercyhurst College 2007 — 2011
Bachelor of Arts, Communication/ Production
BEVERLY DAILY BEVERLY DAILY's Provider Resources, Inc. Experience November 2013 - Present
Job Training Specialist at Provider Resources Inc.
Industry Education Management
Experience
Provider Resources, Inc. November 2013 - Present
Frontier Communications March 1991 - November 2012
Skills
Supply Chain Management, Negotiation, Inventory Management, Account Management, Team Leadership, Telephony, Project Management, Fiber Optics, IP, Management, Strategic Planning, Project Planning, Procurement, Strategic Sourcing, Telecommunications, Vendor Management, Supply Management, Contract Negotiation, Training, Program Management, Team Building, Customer Service, Coaching, New Business Development, Process Improvement, Direct Sales, Wireless, Product Management, Leadership
Education
Misericordia University 2004 — 2006
Master of Business Administration (MBA), Organizational Leadership
Misericordia University 1994 — 1998
Master's degree, Business Administration, Management and Operations
Provider Resources, Inc. November 2013 - Present
Frontier Communications March 1991 - November 2012
Skills
Supply Chain Management, Negotiation, Inventory Management, Account Management, Team Leadership, Telephony, Project Management, Fiber Optics, IP, Management, Strategic Planning, Project Planning, Procurement, Strategic Sourcing, Telecommunications, Vendor Management, Supply Management, Contract Negotiation, Training, Program Management, Team Building, Customer Service, Coaching, New Business Development, Process Improvement, Direct Sales, Wireless, Product Management, Leadership
Education
Misericordia University 2004 — 2006
Master of Business Administration (MBA), Organizational Leadership
Misericordia University 1994 — 1998
Master's degree, Business Administration, Management and Operations
William McBee's Provider Resources, Inc. Experience October 2005 - Present
Job Vice President, Chief Compliance Officer at Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. October 2005 - Present
Office of Inspector General - Investigations - U.S. 1986 - 2003
State of Tennessee/Tennessee Bureau of Investigations 1979 - 1986
State of Tennessee/Special Investigations Unit/DOR 1974 - 1979
Skills
Compliance Operations, Risk Management, Policy, Investigation Management, Healthcare Fraud, Federal Rules of..., Interviewing &..., Medicaid, Medicare, Enforcement, Fraud, Private Investigations, Certified Fraud Examiner, Managed Care, Healthcare, Criminal Investigations, HIPAA, Investigation, Contract Management, Compliance, Health Care Fraud, Government, Criminal Law, Internal Investigations, Homeland Security, Criminal Justice, Evidence
Education
University of Tennessee 1971 — 1974
B.S., Business Administration, Accounting Major
University of Virginia
University of Louisville 1966 — 1968
Provider Resources, Inc. October 2005 - Present
Office of Inspector General - Investigations - U.S. 1986 - 2003
State of Tennessee/Tennessee Bureau of Investigations 1979 - 1986
State of Tennessee/Special Investigations Unit/DOR 1974 - 1979
Skills
Compliance Operations, Risk Management, Policy, Investigation Management, Healthcare Fraud, Federal Rules of..., Interviewing &..., Medicaid, Medicare, Enforcement, Fraud, Private Investigations, Certified Fraud Examiner, Managed Care, Healthcare, Criminal Investigations, HIPAA, Investigation, Contract Management, Compliance, Health Care Fraud, Government, Criminal Law, Internal Investigations, Homeland Security, Criminal Justice, Evidence
Education
University of Tennessee 1971 — 1974
B.S., Business Administration, Accounting Major
University of Virginia
University of Louisville 1966 — 1968
Anna Stella MS, RD, LDN Anna Stella MS, RD, LDN's Provider Resources, Inc. Experience June 2010 - June 2011
Job Administrative Coordinator at SetPoint Health
Industry Health, Wellness and Fitness
Experience
SetPoint Health May 2015 - Present
Beth Israel Deaconess-Milton August 2013 - April 2015
Faulkner Hospital June 2010 - June 2014
Simmons College September 2012 - May 2013
Simmons College September 2011 - May 2012
Simmons College September 2011 - May 2012
Provider Resources, Inc. June 2010 - June 2011
YMCA January 2011 - May 2011
Tutors for All January 2009 - May 2011
Skills
Nutrition, Dietetics, Public Speaking, Wellness, Public Health, Healthcare, Research, Health Promotion, Nutrition Education, Health Education
Education
Simmons College 2011 — 2012
Master of Science (MS), Nutrition and Health Promotion
Simmons College 2007 — 2011
Bachelor of Science (BS), Nutrition and Dietetics, magna cum laude
SetPoint Health May 2015 - Present
Beth Israel Deaconess-Milton August 2013 - April 2015
Faulkner Hospital June 2010 - June 2014
Simmons College September 2012 - May 2013
Simmons College September 2011 - May 2012
Simmons College September 2011 - May 2012
Provider Resources, Inc. June 2010 - June 2011
YMCA January 2011 - May 2011
Tutors for All January 2009 - May 2011
Skills
Nutrition, Dietetics, Public Speaking, Wellness, Public Health, Healthcare, Research, Health Promotion, Nutrition Education, Health Education
Education
Simmons College 2011 — 2012
Master of Science (MS), Nutrition and Health Promotion
Simmons College 2007 — 2011
Bachelor of Science (BS), Nutrition and Dietetics, magna cum laude
Dan Van Der Werken Dan Van Der Werken's Provider Resources, Inc. Experience April 2014 - Present
Job Application Development Lead at Provider Resources, Inc.
Industry Computer Software
Experience
Provider Resources, Inc. April 2014 - Present
Ayco August 2009 - April 2014
Mildred Elley April 2009 - December 2009
Newkirk February 2007 - February 2009
Amici, LLC October 2004 - February 2006
Microsoft January 1993 - March 2004
United States Air Force September 1983 - September 1992
Skills
C#, .NET, ASP.NET, Microsoft SQL Server, jQuery, HTML, PHP, ETL, Web Applications, NUnit, Databases, Unit Testing, Testing, Windows, Stored Procedures, ASP, XML, T-SQL, SSIS
Education
U.S. Air Force Institute of Technology 1987 — 1988
Master's degree, Electrical and Electronics Engineering
Virginia Tech 1980 — 1984
Bachelor's degree, Electrical and Electronics Engineering
Provider Resources, Inc. April 2014 - Present
Ayco August 2009 - April 2014
Mildred Elley April 2009 - December 2009
Newkirk February 2007 - February 2009
Amici, LLC October 2004 - February 2006
Microsoft January 1993 - March 2004
United States Air Force September 1983 - September 1992
Skills
C#, .NET, ASP.NET, Microsoft SQL Server, jQuery, HTML, PHP, ETL, Web Applications, NUnit, Databases, Unit Testing, Testing, Windows, Stored Procedures, ASP, XML, T-SQL, SSIS
Education
U.S. Air Force Institute of Technology 1987 — 1988
Master's degree, Electrical and Electronics Engineering
Virginia Tech 1980 — 1984
Bachelor's degree, Electrical and Electronics Engineering
Diana Adameck's Provider Resources, Inc. Experience November 2013 - Present
Job Technical Representative Team Lead at Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. November 2013 - Present
Jameson Publishing, Healthcare Technology Online December 2008 - May 2013
Skills
Advertising, Online Advertising, Social Media Marketing, Social Media, Marketing Communications, Marketing Strategy, Email Marketing, Integrated Marketing, Marketing, Business Development, Lead Generation, Newsletters, Press Releases, Online Marketing, Direct Marketing, Product Marketing, B2B, Digital Marketing
Education
Edinboro University of Pennsylvania 1996 — 2000
BFA/AMA, Graphic Design
Provider Resources, Inc. November 2013 - Present
Jameson Publishing, Healthcare Technology Online December 2008 - May 2013
Skills
Advertising, Online Advertising, Social Media Marketing, Social Media, Marketing Communications, Marketing Strategy, Email Marketing, Integrated Marketing, Marketing, Business Development, Lead Generation, Newsletters, Press Releases, Online Marketing, Direct Marketing, Product Marketing, B2B, Digital Marketing
Education
Edinboro University of Pennsylvania 1996 — 2000
BFA/AMA, Graphic Design
Lisa D'souza, ASQ-CMQ/OE Lisa D'souza, ASQ-CMQ/OE's Provider Resources, Inc. Experience June 2010 - April 2012
Job Education Consultant/Owner at Tutor Doctor
Industry Education Management
Experience
Provider Resources, Inc. June 2010 - April 2012
Catalyst Rx June 2005 - April 2010
Legal & General America 2001 - 2005
AOL, Ltd. (f/k/a CCGI) 1999 - 2002
Skills
Process Improvement, New Technology..., Healthcare, Quality Assurance, Customer Service, Supervisory Skills, Operations Management, Problem Solving, Strategic Planning, Budgeting, Customer Relations, Program Management, Change Management, Excel, Compliance, Team Building, Visio, Business Strategy, Microsoft Office, Contract Negotiation, Access, Mentoring, Business Process..., Performance Management, RFP, Documentation, Team Leadership, Word, PowerPoint, Process Development, HIPAA, Data Analysis, Software Documentation, Account Management, Budgets, Coaching, Risk Management, Training, Recruiting, Call Centers, Human Resources, Customer Satisfaction, Employee Benefits, Analysis, Leadership, Insurance, Business Analysis, Leadership Development, Interviews, Staff Development
Education
University of Maryland University College 2004 — 2006
Bachelors of Science, Business Administration
University of Maryland University College
Provider Resources, Inc. June 2010 - April 2012
Catalyst Rx June 2005 - April 2010
Legal & General America 2001 - 2005
AOL, Ltd. (f/k/a CCGI) 1999 - 2002
Skills
Process Improvement, New Technology..., Healthcare, Quality Assurance, Customer Service, Supervisory Skills, Operations Management, Problem Solving, Strategic Planning, Budgeting, Customer Relations, Program Management, Change Management, Excel, Compliance, Team Building, Visio, Business Strategy, Microsoft Office, Contract Negotiation, Access, Mentoring, Business Process..., Performance Management, RFP, Documentation, Team Leadership, Word, PowerPoint, Process Development, HIPAA, Data Analysis, Software Documentation, Account Management, Budgets, Coaching, Risk Management, Training, Recruiting, Call Centers, Human Resources, Customer Satisfaction, Employee Benefits, Analysis, Leadership, Insurance, Business Analysis, Leadership Development, Interviews, Staff Development
Education
University of Maryland University College 2004 — 2006
Bachelors of Science, Business Administration
University of Maryland University College
Tom Klagholz's Provider Resources, Inc. Experience October 2013 - Present
Job Director, Education & Outreach at Provider Resources, Inc.
Industry Media Production
Experience
Provider Resources, Inc. October 2013 - Present
Klagholz & Associates 1984 - October 2013
Information Experts, Inc May 2010 - June 2013
Maslow Media Group, Inc. September 2007 - October 2008
AcceleraRomar October 2005 - October 2006
TeamPeople at BMW Group University Studios May 2004 - October 2005
Inova Health System 1987 - 1988
Klagholz Associates 1984 - 1987
Gallaudet University 1975 - 1984
High School/Junior High School 1971 - 1975
Skills
Project Management, Facilities Management, Video, Multimedia, Instructional Design, E-Learning, Television, Distance Learning, Video Production, Broadcast, Training, Sound, Program Management, Leadership, Strategy
Education
The Catholic University of America 1972 — 1974
M.A., Educational Technology
Seton Hall University 1967 — 1971
B.S, English Education
Provider Resources, Inc. October 2013 - Present
Klagholz & Associates 1984 - October 2013
Information Experts, Inc May 2010 - June 2013
Maslow Media Group, Inc. September 2007 - October 2008
AcceleraRomar October 2005 - October 2006
TeamPeople at BMW Group University Studios May 2004 - October 2005
Inova Health System 1987 - 1988
Klagholz Associates 1984 - 1987
Gallaudet University 1975 - 1984
High School/Junior High School 1971 - 1975
Skills
Project Management, Facilities Management, Video, Multimedia, Instructional Design, E-Learning, Television, Distance Learning, Video Production, Broadcast, Training, Sound, Program Management, Leadership, Strategy
Education
The Catholic University of America 1972 — 1974
M.A., Educational Technology
Seton Hall University 1967 — 1971
B.S, English Education
David Horgan, Ph.D.'s Provider Resources, Inc. Experience March 2015 - Present
Job Instructional Designer at Provider Resources, Inc.
Industry E-Learning
Experience
Provider Resources, Inc. March 2015 - Present
Wake Technical Community College July 2014 - March 2015
nSight, Inc. November 2014 - February 2015
Realistic Computing Inc. March 2014 - June 2014
University of Maine January 2014 - May 2014
North Carolina State University August 2013 - December 2013
IBM May 2013 - November 2013
North Carolina Department of Health and Human Services August 2011 - March 2012
North Carolina State University April 2011 - August 2011
Campbell Alliance March 2011 - March 2011
Skills
Dreamweaver, Instructional Design, Camtasia, Captivate, E-learning, Instructor-led Training, Instructional Technology, Moodle, Lectora, Adult Education, Distance Learning, Blended Learning, Learning Management, Technical Training, Web-based Training, WebEx, SnagIt, Online Training, Technical Writing, E-learning Development, SharePoint, PowerPoint, Adobe Creative Suite, Editing, Needs Analysis, Visio, Microsoft Office, Writing, Higher Education, Software Training, Public Speaking, Leadership Development, Organizational..., Content Management, HTML, Documentation, Training Delivery, Research, Multimedia, Graphic Design, Photoshop, Fireworks, Qualitative Research, Quantitative Research, Case Studies, E-Learning, Content Development, Training, Hands-on Training, Software Documentation
Education
North Carolina State University 2012 — 2014
Masters of Science, Technical and Scientific Communication, 3.734
University of Alabama 2007 — 2010
Ph.D, Instructional Technology, 3.92
University of Massachusetts Boston 2005 — 2007
Masters of Education, Instructional Design, 3.98
University of the Virgin Islands 2004 — 2005
Educational Technology, 3.66
Salem State University 1997 — 2004
Bachelors, Liberal Studies and Multimedia
Provider Resources, Inc. March 2015 - Present
Wake Technical Community College July 2014 - March 2015
nSight, Inc. November 2014 - February 2015
Realistic Computing Inc. March 2014 - June 2014
University of Maine January 2014 - May 2014
North Carolina State University August 2013 - December 2013
IBM May 2013 - November 2013
North Carolina Department of Health and Human Services August 2011 - March 2012
North Carolina State University April 2011 - August 2011
Campbell Alliance March 2011 - March 2011
Skills
Dreamweaver, Instructional Design, Camtasia, Captivate, E-learning, Instructor-led Training, Instructional Technology, Moodle, Lectora, Adult Education, Distance Learning, Blended Learning, Learning Management, Technical Training, Web-based Training, WebEx, SnagIt, Online Training, Technical Writing, E-learning Development, SharePoint, PowerPoint, Adobe Creative Suite, Editing, Needs Analysis, Visio, Microsoft Office, Writing, Higher Education, Software Training, Public Speaking, Leadership Development, Organizational..., Content Management, HTML, Documentation, Training Delivery, Research, Multimedia, Graphic Design, Photoshop, Fireworks, Qualitative Research, Quantitative Research, Case Studies, E-Learning, Content Development, Training, Hands-on Training, Software Documentation
Education
North Carolina State University 2012 — 2014
Masters of Science, Technical and Scientific Communication, 3.734
University of Alabama 2007 — 2010
Ph.D, Instructional Technology, 3.92
University of Massachusetts Boston 2005 — 2007
Masters of Education, Instructional Design, 3.98
University of the Virgin Islands 2004 — 2005
Educational Technology, 3.66
Salem State University 1997 — 2004
Bachelors, Liberal Studies and Multimedia
Stacey Singer's Provider Resources, Inc. Experience June 2013 - Present
Job Medical Coding Specialist at Provider Resources, Inc.
Industry Government Relations
Experience
Provider Resources, Inc. June 2013 - Present
Provider Resources, Inc. May 2008 - June 2013
Provider Resources, Inc. 2008 - 2013
Provider Resources, Inc 2008 - 2010
Hamot Medical Center January 2005 - May 2008
Tri-State Business Institute 2000 - 2005
Tri-State Business Institute 2000 - 2005
Tri-State Business Institute 2000 - 2005
Skills
Proposal Writing, Proposal Management, RFP, Program Management, Technical Writing, Editing, Requirements Analysis, Government, Writing, Healthcare, Contract Management, Knowledge Management, Team Building, Research, Compliance, Policy, Project Management, Data Analysis, Strategic Planning, Access, Analysis
Education
Jack Welch Management Institute 2014 — 2017
Master of Business Administration (M.B.A.)
Gannon University 1998 — 2000
Master's of Science, Health Services Administration
Gannon University 1983 — 1987
BS, Biology
Provider Resources, Inc. June 2013 - Present
Provider Resources, Inc. May 2008 - June 2013
Provider Resources, Inc. 2008 - 2013
Provider Resources, Inc 2008 - 2010
Hamot Medical Center January 2005 - May 2008
Tri-State Business Institute 2000 - 2005
Tri-State Business Institute 2000 - 2005
Tri-State Business Institute 2000 - 2005
Skills
Proposal Writing, Proposal Management, RFP, Program Management, Technical Writing, Editing, Requirements Analysis, Government, Writing, Healthcare, Contract Management, Knowledge Management, Team Building, Research, Compliance, Policy, Project Management, Data Analysis, Strategic Planning, Access, Analysis
Education
Jack Welch Management Institute 2014 — 2017
Master of Business Administration (M.B.A.)
Gannon University 1998 — 2000
Master's of Science, Health Services Administration
Gannon University 1983 — 1987
BS, Biology
Rebecca Schlager's Provider Resources, Inc. Experience January 2013 - October 2013
Job Senior Associate in Structured Settlement Underwriting at New York Life Insurance Company
Industry Insurance
Experience
New York Life Insurance Company March 2014 - Present
Protocols, LLC October 2013 - January 2014
Protocols, LLC 2014 - 2014
Provider Resources, Inc. January 2013 - October 2013
RLS Underwriting February 2012 - January 2013
Symetra 2002 - February 2012
Symetra Financial 2002 - 2012
PacifiCare Health Systems 2000 - 2002
Skills
Insurance, Healthcare, Structured Settlement..., Medicare/Medicaid..., Health Insurance, Medicare, HIPAA, Employee Benefits, Clinical Research, Nursing, Leadership, Underwriting, Medicine, Hospitals, Process Improvement, Managed Care, Fixed Annuities, Strategic Planning, Life Insurance, Liability, Claim, Disability Insurance
Education
MSA Training program 2012 — 2012
MSCC Certification, Medicare Set aside allocation work
Seattle University 1990 — 1999
BABA/BSN, Business Mngt./Nursing
New York Life Insurance Company March 2014 - Present
Protocols, LLC October 2013 - January 2014
Protocols, LLC 2014 - 2014
Provider Resources, Inc. January 2013 - October 2013
RLS Underwriting February 2012 - January 2013
Symetra 2002 - February 2012
Symetra Financial 2002 - 2012
PacifiCare Health Systems 2000 - 2002
Skills
Insurance, Healthcare, Structured Settlement..., Medicare/Medicaid..., Health Insurance, Medicare, HIPAA, Employee Benefits, Clinical Research, Nursing, Leadership, Underwriting, Medicine, Hospitals, Process Improvement, Managed Care, Fixed Annuities, Strategic Planning, Life Insurance, Liability, Claim, Disability Insurance
Education
MSA Training program 2012 — 2012
MSCC Certification, Medicare Set aside allocation work
Seattle University 1990 — 1999
BABA/BSN, Business Mngt./Nursing
Chad Bowman's Provider Resources, Inc. Experience March 2012 - Present
Job Experience as Business Analyst and Operations Manager in Healthcare, Nonprofit, & Ministry Organizations
Industry Government Relations
Experience
Provider Resources, Inc. March 2012 - Present
Refuge Ministries, Inc. January 2010 - March 2012
University of Kentucky 2004 - 2009
Corman and Associates 2003 - 2004
eCorporation/Faith and Values Media 2000 - 2003
Skills
Project Management, Microsoft Office, PowerPoint, Microsoft Excel, Customer Service, Ministry Leadership, Non-profit..., Ministry Development, Non-profit Consulting, Business Analysis, Website Development, Technical Training, Teaching Workshops, Non-profit Finance, Non-profit Boards, Adobe Creative Suite, HTML, Website Promotion, Website Authoring, Graphics Layout, CSS, Healthcare Analytics, Dreamweaver, Nonprofit Technology, Relational Ministry, Student Ministry, Management, Manage Client..., Management Consulting, Real Estate, Team Building, IT Management, Training, Community Outreach, Public Speaking, Volunteer Management
Education
Asbury College
Leadership & Ministry
Lafayette High School
University of Kentucky
Business Management, Marketing, & Communications
Provider Resources, Inc. March 2012 - Present
Refuge Ministries, Inc. January 2010 - March 2012
University of Kentucky 2004 - 2009
Corman and Associates 2003 - 2004
eCorporation/Faith and Values Media 2000 - 2003
Skills
Project Management, Microsoft Office, PowerPoint, Microsoft Excel, Customer Service, Ministry Leadership, Non-profit..., Ministry Development, Non-profit Consulting, Business Analysis, Website Development, Technical Training, Teaching Workshops, Non-profit Finance, Non-profit Boards, Adobe Creative Suite, HTML, Website Promotion, Website Authoring, Graphics Layout, CSS, Healthcare Analytics, Dreamweaver, Nonprofit Technology, Relational Ministry, Student Ministry, Management, Manage Client..., Management Consulting, Real Estate, Team Building, IT Management, Training, Community Outreach, Public Speaking, Volunteer Management
Education
Asbury College
Leadership & Ministry
Lafayette High School
University of Kentucky
Business Management, Marketing, & Communications
Rebecca Villano's Provider Resources, Inc. Experience 2012 - Present
Job Experienced Disability Management Professional, Case Manager and Return to Work Expert
Industry Insurance
Experience
Provider Resources, Inc. 2012 - Present
Genex Services January 2007 - December 2011
Rebecca Villano Self Employed January 1998 - February 2005
Montgomery County Community College 2005 - 2005
Concentra January 1998 - August 1999
Arizona State Compensation Fund January 1993 - January 1998
Skills
Case Management, Workers Compensation, Managed Care, Healthcare, Corporate Wellness, Wellness Initiatives, Claims Management, Case Managment, Insurance, Wellness, Claim, Treatment
Education
Institute of Integrative Nutrition 2013 — 2014
Certified health coach, Health and nutrition
New York University
Master of Arts, Counseling
Florida State University
Bachelor of Science, Sociology
Provider Resources, Inc. 2012 - Present
Genex Services January 2007 - December 2011
Rebecca Villano Self Employed January 1998 - February 2005
Montgomery County Community College 2005 - 2005
Concentra January 1998 - August 1999
Arizona State Compensation Fund January 1993 - January 1998
Skills
Case Management, Workers Compensation, Managed Care, Healthcare, Corporate Wellness, Wellness Initiatives, Claims Management, Case Managment, Insurance, Wellness, Claim, Treatment
Education
Institute of Integrative Nutrition 2013 — 2014
Certified health coach, Health and nutrition
New York University
Master of Arts, Counseling
Florida State University
Bachelor of Science, Sociology
Debbie Browning's Provider Resources, Inc. Experience September 2012 - July 2013
Job MSA Nurse Allocator/Writer at Medivest
Industry Medical Practice
Experience
Medivest December 2013 - Present
Provider Resources, Inc. September 2012 - July 2013
OCPS August 2007 - September 2012
Skills
Patient Safety, ACLS, Nursing, Cpr Certified, Hospitals, EMR, Medication..., Pediatrics, Acute Care, BLS, Medical Records, Medical Coding, Healthcare
Education
University of Central Florida 2012 — 2014
Bachelor of Science (BS), Health Services Administration
Medivest December 2013 - Present
Provider Resources, Inc. September 2012 - July 2013
OCPS August 2007 - September 2012
Skills
Patient Safety, ACLS, Nursing, Cpr Certified, Hospitals, EMR, Medication..., Pediatrics, Acute Care, BLS, Medical Records, Medical Coding, Healthcare
Education
University of Central Florida 2012 — 2014
Bachelor of Science (BS), Health Services Administration
Eileen McInerney's Provider Resources, Inc. Experience 1992 - 2002
Job Legal Assistant
Industry Law Practice
Experience
Law Office of Charles J. Humphreys January 2005 - January 2013
Law Office of Martha L. Morrill 2002 - 2003
Provider Resources, Inc. 1992 - 2002
Licensed Day Care Provider 1989 - 1992
Murphy, Hesse, Toomey & Lehane 1986 - 1989
Hill & Barlow 1985 - 1986
Education
University of Massachusetts, Amherst 1980 — 1984
Marketing, Business Administration
Law Office of Charles J. Humphreys January 2005 - January 2013
Law Office of Martha L. Morrill 2002 - 2003
Provider Resources, Inc. 1992 - 2002
Licensed Day Care Provider 1989 - 1992
Murphy, Hesse, Toomey & Lehane 1986 - 1989
Hill & Barlow 1985 - 1986
Education
University of Massachusetts, Amherst 1980 — 1984
Marketing, Business Administration
Ann Emling's Provider Resources, Inc. Experience July 2012 - 2013
Job Accounts Payable/Account Receivable & Collections Support at FMC Technologies
Industry Accounting
Experience
FMC Technologies 2013 - Present
Provider Resources, Inc. July 2012 - 2013
Walker Filtration Inc April 2010 - May 2012
Babcock Power (Riley Power, Inc.) May 2000 - February 2009
Skills
General Ledger, Accounts Payable, Fixed Assets, Invoicing, Accounts Receivable, Microsoft Office, Microsoft Excel, Accounting, Tax, Account Reconciliation, Payroll, Peachtree, Access, Customer Service, Reconciliation, Excel, Balance, Reconciliations, Word, Sales Tax, Reconciling, Cash Management, Billing, Expenses, Payroll Processing, Income Tax, Cash, Cost Point, Manufacturing, SAP
Education
Edinboro University 2006 — 2010
Erie Business Center-Erie 1995 — 1999
Associate of Science (AS), Business Administration and Management, General
FMC Technologies 2013 - Present
Provider Resources, Inc. July 2012 - 2013
Walker Filtration Inc April 2010 - May 2012
Babcock Power (Riley Power, Inc.) May 2000 - February 2009
Skills
General Ledger, Accounts Payable, Fixed Assets, Invoicing, Accounts Receivable, Microsoft Office, Microsoft Excel, Accounting, Tax, Account Reconciliation, Payroll, Peachtree, Access, Customer Service, Reconciliation, Excel, Balance, Reconciliations, Word, Sales Tax, Reconciling, Cash Management, Billing, Expenses, Payroll Processing, Income Tax, Cash, Cost Point, Manufacturing, SAP
Education
Edinboro University 2006 — 2010
Erie Business Center-Erie 1995 — 1999
Associate of Science (AS), Business Administration and Management, General
Brian Childress's Provider Resources, Inc. Experience November 2010 - Present
Job Senior Engineer at GutCheck
Industry Information Technology and Services
Experience
Provider Resources, Inc. November 2010 - Present
GutCheck March 2015 - August 2015
Specialized Loan Servicing February 2014 - March 2015
Zekiah Technologies August 2010 - November 2010
American Audio Video 2008 - 2010
Skills
Program Management, Microsoft Office, SQL, SharePoint, HTML, MySQL, CSS, Web Applications, Customer Service, Data Analysis, jQuery, Requirements Analysis, JavaScript, PHP, Web Development, Systems Analysis, Agile Methodologies, Drupal, Python, Excel, ArcSDE, ArcGIS, Access, Programming, Wordpress, Microsoft Excel, Ruby, Customer Relations, Windows, Ruby on Rails, Audio Post Production, Technical Drawing, Audacity, SketchUp
Education
North Carolina State University 2007 — 2010
Geographic Information Systems
Radford University 2002 — 2006
Bachelor of Science (BS)
Provider Resources, Inc. November 2010 - Present
GutCheck March 2015 - August 2015
Specialized Loan Servicing February 2014 - March 2015
Zekiah Technologies August 2010 - November 2010
American Audio Video 2008 - 2010
Skills
Program Management, Microsoft Office, SQL, SharePoint, HTML, MySQL, CSS, Web Applications, Customer Service, Data Analysis, jQuery, Requirements Analysis, JavaScript, PHP, Web Development, Systems Analysis, Agile Methodologies, Drupal, Python, Excel, ArcSDE, ArcGIS, Access, Programming, Wordpress, Microsoft Excel, Ruby, Customer Relations, Windows, Ruby on Rails, Audio Post Production, Technical Drawing, Audacity, SketchUp
Education
North Carolina State University 2007 — 2010
Geographic Information Systems
Radford University 2002 — 2006
Bachelor of Science (BS)
Ira Nathan's Provider Resources, Inc. Experience June 2011 - October 2012
Job Analytics Manager at StrategicHealthSolutions
Industry Government Relations
Experience
StrategicHealthSolutions December 2013 - Present
Provider Resources, Inc. June 2011 - October 2012
IntegriGuard October 2005 - June 2012
Skills
Medicare, Medicaid, Health Insurance, Data Analysis, Microsoft Excel, Actuarial Science, Insurance, Research, Claim, Team Building, Process Improvement, Financial Analysis, Government, Microsoft Office, Microsoft Word, Healthcare Information..., Managed Care, Medicare Part D, Fraud, Training, Financial Reporting, Access, HIPAA, Analysis, Project Management, Hospitals, Analytics, Healthcare Management, Auditing, Healthcare, PowerPoint, Risk Management, Health Policy, Policy, Strategic Planning, Employee Benefits, Business Analysis, Healthcare Consulting
Education
University of Nebraska-Lincoln 1967 — 1971
Bachelor of Arts (BA), Actuarial Science, Mathematics, Economics
University of Nebraska-Lincoln 1967 — 1971
Bachelor of Arts (BA), Economics, Mathematics, Actuarial Science
StrategicHealthSolutions December 2013 - Present
Provider Resources, Inc. June 2011 - October 2012
IntegriGuard October 2005 - June 2012
Skills
Medicare, Medicaid, Health Insurance, Data Analysis, Microsoft Excel, Actuarial Science, Insurance, Research, Claim, Team Building, Process Improvement, Financial Analysis, Government, Microsoft Office, Microsoft Word, Healthcare Information..., Managed Care, Medicare Part D, Fraud, Training, Financial Reporting, Access, HIPAA, Analysis, Project Management, Hospitals, Analytics, Healthcare Management, Auditing, Healthcare, PowerPoint, Risk Management, Health Policy, Policy, Strategic Planning, Employee Benefits, Business Analysis, Healthcare Consulting
Education
University of Nebraska-Lincoln 1967 — 1971
Bachelor of Arts (BA), Actuarial Science, Mathematics, Economics
University of Nebraska-Lincoln 1967 — 1971
Bachelor of Arts (BA), Economics, Mathematics, Actuarial Science
Martin Wasserman's Provider Resources, Inc. Experience June 2010 - Present
Job Medical Director, Provider Resources Inc
Industry Government Relations
Experience
Provider Resources, Inc. June 2010 - Present
Optimal Solutions Group September 2008 - May 2010
Med Chi, the Maryland State Medical Society September 2006 - April 2008
Glaxo Smith Kline Phrmcuticals July 2002 - June 2006
Oregon Department of Health September 2000 - April 2001
Johns Hopkins Bloomberg School of Public Health April 1999 - September 2000
Maryland Department of Health and Mental Hygiene December 1994 - March 1999
County Health Department - Arlington, Montgomery, Prince George's September 1977 - December 1994
Mount Washington Pediatric Hospital July 1976 - September 1977
US Public Health Service July 1971 - August 1977
Education
University of Maryland Francis King Carey School of Law 1974 — 1977
Doctor of Law (J.D.), Health Law
University of Rochester School of Medicine and Dentistry 1968 — 1971
Pediatrics Residency, Chief Resident
The Johns Hopkins University School of Medicine 1964 — 1968
Doctor of Medicine (M.D.), Pediatrics
Williams College 1960 — 1964
Bachelor of Arts (B.A.), Chemistry/Pre-Med
Provider Resources, Inc. June 2010 - Present
Optimal Solutions Group September 2008 - May 2010
Med Chi, the Maryland State Medical Society September 2006 - April 2008
Glaxo Smith Kline Phrmcuticals July 2002 - June 2006
Oregon Department of Health September 2000 - April 2001
Johns Hopkins Bloomberg School of Public Health April 1999 - September 2000
Maryland Department of Health and Mental Hygiene December 1994 - March 1999
County Health Department - Arlington, Montgomery, Prince George's September 1977 - December 1994
Mount Washington Pediatric Hospital July 1976 - September 1977
US Public Health Service July 1971 - August 1977
Education
University of Maryland Francis King Carey School of Law 1974 — 1977
Doctor of Law (J.D.), Health Law
University of Rochester School of Medicine and Dentistry 1968 — 1971
Pediatrics Residency, Chief Resident
The Johns Hopkins University School of Medicine 1964 — 1968
Doctor of Medicine (M.D.), Pediatrics
Williams College 1960 — 1964
Bachelor of Arts (B.A.), Chemistry/Pre-Med
Lisa McGuigan's Provider Resources, Inc. Experience July 2013 - Present
Job Program Manager, Provider Resouces, Inc.
Industry Hospital & Health Care
Experience
Provider Resources, Inc. July 2013 - Present
Thomson Reuters February 2010 - August 2012
Centers for Medicare and Medicaid Services December 1993 - June 2007
Education
Penn State University 1988 — 1993
Bachelor's degree, Health Policy and Administration
Provider Resources, Inc. July 2013 - Present
Thomson Reuters February 2010 - August 2012
Centers for Medicare and Medicaid Services December 1993 - June 2007
Education
Penn State University 1988 — 1993
Bachelor's degree, Health Policy and Administration
Terri Belcher's Provider Resources, Inc. Experience June 2012 - Present
Job Case Reviewer, Level II at Provider Resources, Inc.
Industry Legal Services
Experience
Provider Resources, Inc. June 2012 - Present
Crowe Paradis Services Corporation June 2009 - May 2012
Education
New Mexico State University-Alamogordo 1986 — 1990
Associate’s Degree, Registered Nursing/Registered Nurse
Provider Resources, Inc. June 2012 - Present
Crowe Paradis Services Corporation June 2009 - May 2012
Education
New Mexico State University-Alamogordo 1986 — 1990
Associate’s Degree, Registered Nursing/Registered Nurse
Trish Staszewski's Provider Resources, Inc. Experience October 2010 - Present
Job QMS Manager, Section508 Compliance Officer
Industry
Experience
Provider Resources, Inc. October 2010 - Present
Skills
Proposal Writing, Iso 9000, Quality System, Policy, Medicare, Medicaid, HIPAA, Access, Public Health, Healthcare Management, Managed Care, Healthcare, Program Management, Microsoft Office, Data Analysis
Education
Edinboro University of Pennsylvania 1987 — 1990
BS Ed, Secondary Education and Teaching
Point Park College 1986 — 1987
Communication, Journalism, and Related Programs
Provider Resources, Inc. October 2010 - Present
Skills
Proposal Writing, Iso 9000, Quality System, Policy, Medicare, Medicaid, HIPAA, Access, Public Health, Healthcare Management, Managed Care, Healthcare, Program Management, Microsoft Office, Data Analysis
Education
Edinboro University of Pennsylvania 1987 — 1990
BS Ed, Secondary Education and Teaching
Point Park College 1986 — 1987
Communication, Journalism, and Related Programs
Janet DeMay's Provider Resources, Inc. Experience January 2009 - August 2009
Job Sr. Staff Accountant at Zippo Manufacturing Company
Industry Accounting
Experience
Zippo Manufacturing Company June 2012 - Present
Agility Marketing Group January 2012 - May 2012
ESAB Welding and Cutting August 2009 - January 2012
Provider Resources, Inc. January 2009 - August 2009
Lord Corporation June 2004 - January 2009
Werner Ladder Company June 1998 - June 2004
Diefenbach, Delio, Kearney & DeDionisio, CPA's October 1996 - July 1998
Zurn Industries September 1991 - October 1996
Skills
General Ledger, Financial Reporting, Accounting, Cost Accounting, Variance Analysis, US GAAP, Auditing, Accounts Payable, Financial Accounting, Financial Analysis, Accounts Receivable, Fixed Assets, Sarbanes-Oxley Act, Forecasting, Internal Controls, GAAP, Finance, QuickBooks, Hyperion Enterprise, Process Improvement, Budgets, CPA, Manufacturing, SAP, Financial Statements
Education
Penn State University 2006 — 2008
Master of Business Administration (MBA), Business, Management, Marketing, and Related Support Services, 3.9
Penn State University 1986 — 1990
Bachelor of Science (BS), Accounting
Seneca High School 1979 — 1982
General Academic, Business
Zippo Manufacturing Company June 2012 - Present
Agility Marketing Group January 2012 - May 2012
ESAB Welding and Cutting August 2009 - January 2012
Provider Resources, Inc. January 2009 - August 2009
Lord Corporation June 2004 - January 2009
Werner Ladder Company June 1998 - June 2004
Diefenbach, Delio, Kearney & DeDionisio, CPA's October 1996 - July 1998
Zurn Industries September 1991 - October 1996
Skills
General Ledger, Financial Reporting, Accounting, Cost Accounting, Variance Analysis, US GAAP, Auditing, Accounts Payable, Financial Accounting, Financial Analysis, Accounts Receivable, Fixed Assets, Sarbanes-Oxley Act, Forecasting, Internal Controls, GAAP, Finance, QuickBooks, Hyperion Enterprise, Process Improvement, Budgets, CPA, Manufacturing, SAP, Financial Statements
Education
Penn State University 2006 — 2008
Master of Business Administration (MBA), Business, Management, Marketing, and Related Support Services, 3.9
Penn State University 1986 — 1990
Bachelor of Science (BS), Accounting
Seneca High School 1979 — 1982
General Academic, Business