ALBERTO CHARLES

• Manage new provider partnerships and ensuring a comprehensive understanding of the provider preferences and their participation under the program.
• Deliver periodic status reports to internal and external clients
• Educate on policy and any self-service mechanisms available for stakeholders in the provision of medical records
• Provide ongoing provider support through issue resolution and customer service in the provision of medical records, including strategies for the optimization of medical record submission including
• Electronic Health Record transfer.
• Manage day-to-day relationships and region-specific needs of assigned providers in area of responsibility (AOR)
• Take an active part in the ongoing evolution of International SOS TRICARE Provider Network services
• Engage with providers and key client points of contact to understand, analyze, document and influence the direction of the Provider Network Function and self-service enhancements.
• Identify key problem areas of client and / or provider concerns and coordinate resolution
• Provide feedback and input to provider support materials
• Assist with provider SPA´s
• Assist with Pricing negotiations
• Assist with Network adjustments (addition or subtraction via Change Request Form, etc)
• Facilitate strategy development and planned with cross-functional teams.
• Enforce use of required processes and tools for partnership management.
• Use MS Excel to analyze data and PowerPoint to share information with team members.
• Drive efficiency improvement through continued process refinement and data analysis such as the use of MRC Collection Workflows

• Primary best practice workflow support contact for NEMG.

•Work under the direction of the Manager or Supervisor of Practice Optimization to focus on optimization activities.
• Strong working knowledge of the EHR.
• Ability to map the application functionality to the best practice workflows.
• Focus on ambulatory practice workflow with clinicians and staff in ambulatory offices.
• Work with hospitalists in the hospital setting as needed.
• Observe and analyze workflows.
• Implement and monitor optimizations to workflows.
• Elbow to elbow support and training when needed.
• Assist with customization of personal tools.
• In depth and precise investigation along with the ability to document interactions and best practice workflow recommendations.
• Attention to detail, high organization, exceptional customer service skills.
• Self-motivated with strong written and oral communication skills.

Additional Responsibilities:

EHR WORKFLOW AND CUSTOMIZATION SUPPORT
•Supports ambulatory offices including front desk staff, medical assistant and nursing staff, supervisors, and clinicians in the best practice workflow support for their roles.
•Support for hospitalists in the hospital setting as needed.

OCCASIONALLY:
•Participate in various system and NEMG committees to support NEMG Best practice workflow and optimization activities across NEMG and YNHHS

• Reviewed and corrected claim errors to facilitate smooth processing
• Used EPIC to schedule appointments
• Assisted in resolving and satisfying client requests and internal operational issues
• Interpreted and communicated new or revised policies to staff
• Trained new staff
• Maintained and improved the company's reputation and positive image
• Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients
• Assisted with financial operations, ordered office supplies via WBMASON, prepared nightly deposits
• Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
• Facilitated timely check-in by greeting visitors and establishing the purpose of their visit
• Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations
• Closely collaborated with management team to make office improvements
• Assist with language translation and/or interpretation
• Coordinate appointments with providers to ensure timely delivery of diagnostic and treatment services
• Self-directed and able to organize/manage multiple tasks and projects simultaneously.

• Actively engage customers, demonstrate products, and execute sales function.
• Ability to close sales and beat quotas.
• Ability to implement national marketing programs.
• Responsible for end of night accounting, cash handling, and closing operations.
• Perform weekly store inventory.
• Strong knowledge of all Company products, accessories, pricing plans, promotions, and service features.
• Knowledge of competitive offers/promotions.
• Customer relationship building.
• Establish new business accounts.

• Developed innovative and creative merchandise displays to drive point-of-sale purchases
• Handled scheduling to ensure proper staffing for high-volume shifts and seasonal promotions
• Managed weekly inventory transactions by creating templates to ensure optimal food and beverage stock
• Increased operational efficiency by training staff on best practices and protocols
• Provided excellent customer service, driving membership loyalty and increasing customer satisfaction rates
• Managed multiple priorities in fast-paced environment
• Monitored cash intake and deposit records to increase accuracy and reduce discrepancies
• Resolved all issues professionally and in a timely manner
• Recruited, interviewed and hired individuals who would bring passion and dedication to the positions at hand
• Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities
• Addressed problems with customers to promote quick and successful resolution
• Performed IT support by troubleshooting, updating devices and supporting software needs.