Connie Whipple

Experience

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  Cardiology Consultants of East Michigan

  Oct 2009 - Jul 2014

  Receptionist

  • Managed appointment scheduling, maintained inventory records, and handled end-of-day details, including bank deposits.• Operated a multiplex phone system, took messages, handled fax, mail, and email correspondence, and managed medical files.• Verified and confirmed next-day appointments, checked-in patients, and updated medical records.• Checked out patients, followed up on insurance verification, collected co-pays, and addressed outstanding balances.• Obtained referrals and handled precertification, performed ICD-9 coding, and received and sorted incoming mail. Show less

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  Aerotek

  Jul 2014 - Apr 2015

  Practice Coach - McLaren Physician Partners

  • Worked alongside physician office staff to ensure their comprehension of utilizing the population management software for daily interactions with providers and patients.• Assessed processes, identified issues, and suggested strategies for process improvement to enhance overall work performance.• Generated gaps in care reports.• Supported providers in data collection and entry into the disease registry, aiming for full functionality of the registry for all patients and payers.• Collaborated with providers and their staff on PCMH and PCMH-N initiatives. Show less

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  McLaren Physician Partners

  Apr 2015 - Dec 2016

  Practice Coach

  • Worked alongside physician office staff to ensure their comprehension of utilizing the population management software for daily interactions with providers and patients.• Assessed processes, identified issues, and suggested strategies for process improvement to enhance overall work performance.• Generated gaps in care reports.• Supported providers in data collection and entry into the disease registry, aiming for full functionality of the registry for all patients and payers.• Collaborated with providers and their staff on PCMH and PCMH-N initiatives. Show less

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  Corizon Health Services

  Dec 2016 - Nov 2021

  Utilization Management Clerk

  • Managed incoming telephone calls from hospitals, MDOC, and providers, ensuring prompt and efficient handling and completion of requests.• Regularly liaise between Corizon and the facility's utilization management staff.• Received UM authorization requests, processed them following established procedures, and coordinated and ensured the receipt of additional clinical documentation when needed, entered UM request details into Corizon's management systems, recorded authorization information in the MDOC EHR, completed approved services in Corizon's Management system for payment and followed up on any pending authorizations.• Collaborated with providers and RMDs in the ATP appeals/acceptance process Show less

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  Wellparh

  Sept 2021 - May 2023

  Utilization Management Clerk

  • Managed and processed requests for all outpatient procedures, tests, and office visits across all MDOC prisons, ensuring compliance with designated timelines.• Acted as a regular intermediary between Wellpath, the provider, and the MDOC to facilitate proper handling and completion of offsite requests.• Coordinated and ensured the collection of additional clinical documentation when required, entered UM request information into Wellpath's management system (ERMA), recorded authorization details in the MDOC EHR, completed approved services in Wellpath's Management system for payment, and followed up on any pending authorizations.• Reviewed pending and paid claims to ensure proper payment. • Collaborated with providers and RMDs to ensure the proper handling of ATP appeals/acceptances.• Conducted training sessions for new providers on the UM process and handling offsite requests.• Played a key role in developing the workflow for Arista MD consultations and handled all aspects of the process, including provider notification, record retrieval, information entry into Arista MD, receiving the consultation, and ensuring MDOC receives the results.• Provided training for all newly hired UM Clerical positions and conducted performance reviews at 14, 30, and 90 days.• Assisted in the interview process for UM Clerical and Scheduler positions. Show less

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  Wellpath

  Oct 2022 - May 2024

  Office Manager

  • Oversee and manage the day-to-day operations within the regional office.• Support new hire orientation, processed payroll and assisted with UM.• Manage the procurement and maintenance of office supplies.• Aid in managing pending/paid claims and balance billing.• Process I-9 documentation.• Assist in handling UM offsite requests and obtaining approvals.• Maintain regular communication through email and phone with all Wellpath team members to address any daily issues, including payroll, policy concerns/questions, and IT matters.• Ensure effective communication with the client to guarantee proper and timely processing of all requests. Show less

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  ZOLL Cardiac Management Solutions

  May 2024 - now

  Intake Specialist