Account Executive II - AmeriHealth Caritas Pennsylvania
(2023-01)
- Manage statewide network adequacy, including monthly OPS‑5 map analysis, PROMISe registration review, and provider recruitment outreach.
- Completed and submitted 300+ network adequacy reports to the state, documenting compliance and outreach efforts.
- Oversee the ACP contracting mailbox, ensuring timely processing of provider applications and maintaining organized workflows.
- Communicate with prospective providers regarding contracting requirements, credentialing documentation, and fee schedules.
- Review, summarize, and maintain provider network management policies.
- Prepare and submit quarterly OPS‑11 Provider Education Reports.
- Provide operational and administrative support to Account Executives.
- Build and maintain strong professional relationships with providers and health systems.
- Coordinate provider outreach and engagement to support network growth and adequacy.
- Manage multiple concurrent projects with strong organizational and analytical skills.
Account Executive - AmeriHealth Caritas Pennsylvania
(2021-08 - 2022-12)
- Developed and maintained provider relationships across Northampton, Lehigh, Schuylkill, Carbon, and Monroe counties.
- Strengthened provider partnerships through proactive communication and issue resolution.
- Negotiated and executed single‑case agreements with non‑participating providers.
Assistant Operations Manager - Cedarbrook Senior Care & Rehab – County of Lehigh
(2017-01 - 2021-12)
- Prepared and maintained employment records related to hiring and termination.
- Managed a team of 10 staff within the financial department.
- Oversaw daily office operations and implemented efficient office procedures.
- Conducted financial interviews and submitted applications for residents.
- Collaborated with the Department of Human Services on applications and appeals.
- Managed billing and collection of monthly charges.
Assistant Business Office Manager - HCR ManorCare
(2016-01 - 2017-12)
- Planned and prepared workloads for month‑end close processes.
- Trained and supervised a team of five staff members.
- Processed and billed medical assistance approvals.
- Managed monthly private‑pay collections.
- Completed daily census reports.
Assistant Business Office Manager - HCR ManorCare
(2014-01 - 2015-12)
- Assisted families with medical assistance applications.
- Maintained accurate application records and tracked DHS notices.
- Identified and implemented process improvements to increase efficiency.
Receptionist / Accounts Payable - HCR ManorCare
(2014-01 - 2014-12)
- Answered and directed incoming calls.
- Managed reception area inventory and provided administrative support.
- Reviewed and verified invoices and check requests.
- Researched invoice discrepancies and monitored payment status.
Administrative Assistant – Outpatient Therapy - HCR ManorCare
(2013-01 - 2014-12)
- Managed day‑to‑day recordkeeping for physical therapists.
- Supported employee initiatives, projects, training, and events.
- Assisted with month‑end billing and related activities.
- Supported payroll tasks for a team of 10 therapists.
- Oversaw office administration for the therapy department.
