Olivia Inniss

9 Bexleigh Court|Parkville, MD 21234|* 347-870-0876|* oif28534@westpost.net

Professional Profile
Self-motivated MBA healthcare administration professional with over
10 years of education and industry experience. Detail-oriented individual who e
xemplifies professionalism and an ability to manage multiple projects and tasks
at any given moment. Demonstrated history of successful business acquisition an
d relationship management, while providing high-quality administration and effec
tive issue resolution and service for clients. Exemplary leadership qualities a
nd the ability to work with people from varying backgrounds, while implementing
team values.
Education
Strayer University
* Master of Business Administration; Concentration: Health Service Administratio
n
Monroe College
* Bachelors in Business Administration
Professional Experience
United Healthcare, Network Account Manager
05/2009 - Present
* Accountable for Physician network development and management activities in acc
ordance with United Healthcare standards
* Managed company databases and staff ensuring timely completion of company proj
ects
* Over seeing claims resolution, provider performance, and provider appeals
* Directed all lines of company products including Medicare, Medicaid, and comme
rcial plans
* Provided excellent customer service guaranteeing client satisfaction
* Contracting and negotiating payor rates for Physicians
Glenridge Healthcare Solutions, Contract Specialist
01/2008 - 05/2009
* Recruited medical providers generating significant new business and revenue
* Provided high-level customer care and support for multi-national clients inclu
ding BlueCross BlueShield, WellCare Medicaid Health, Principal Edge Financial Gr
oup, and Texas True Choice Providers
* Review all incoming client contracts and documentation assuring accuracy of in
formation
* Determined appropriate managed care contracts for medical providers according
to applicable medical law
Maxim Healthcare Services, Reimbursement Representative
08/2007 - 01/2008
* Reviewed unpaid accounts to ensure proper payment and accounting
* Contacted payers regarding insurance claims, denials, and reimbursements
* Assigned appropriate billing codes to claims as needed
* Observed all Medicare, Medicaid, and other applicable medical law
A.C.L.D., Client Service Provider
05/2004 - 12/2005
* Led life-skills instruction sessions for clients with MR/MI
* Observed and documented client behavior and outcome goals
* Evaluated client improvement techniques offering solutions as needed
* Planned client recreation activities in accordance with program goals
Multiplan, Inc., Credential Verification Specialist 10/2
000 - 07/2003
* Recruited and enrolled new physicians into company network
* Oversaw and managed staff ensuring effective and efficient operations
* Reviewed and verified provider medical licenses, malpractice insurance, and cl
aims
* Credentialing of multi-speciality medical providers a national level
F.R.E.E., Counselor / Clerical
04/1998 - 05/2000
* Processed sensitive client information for acceptance into respite program
* Oversaw logistics including client scheduling and transportation services