mikki thompson

Coordinated aspects of standard and non-standard provider contracts for lines of business and provider networks including managed care, open access, and point of service delivery systems. Implemented provider data per contractual agreements and ensured that provider data payment information was loaded into the appropriate claim payment agreement and tables in the source provider system that directs payment transaction processing. Assisted on various projects as assigned by management or other principal (s) on the team as needed.

Assisted with the overall management and administration of internal and external existing accounts, expansion, and new group on community accounts and renewals from an operational perspective. Provide accountability for all internal and external operations. Focus was based on individual lines of business; both on and off Exchange.

Coordinated and facilitated physician and Allied Health Case reviews in adherence with healthcare regulatory compliance. Maintained confidentiality of case files and determinations. Perform detailed certification research to verify licensure, credentials, and board certification.

Just took a few general courses in accounting and psych."]