Emily Wright

Experience

• 

  Thomas Financial Group

  Jun 1999 - Nov 2002

  Para-Planner

  Assisted with daily office tasks, compiling materials for financial plans, daily price downloads, assisted in writing the employee handbook/guidelines. Quality assurance

• 

  Carr Allison

  Nov 2002 - Jan 2005

  Paralegal

  Deposition summaries, assist attorneys with case and trial preparation. Set mediation and order and serve subpoenas. Handle workman's compensation cases for Wal-Mart in the state of Alabama.

• 

  Blue Cross and Blue Shield of Alabama

  Jan 2005 - Jun 2018

  Review front end rejections and edits. Assist assigned vendors with errors and troubleshooting or updates to server. Enter new submitter ID's in system along with secure passwords. Assisted with the education and release of provider new web portal. Enter 835 enrollments. QA, send vendor notifications, assist with out of state dental processes. Assist other areas with projects and goals to meet deadlines. Subrogation, work comp and subpoena analyst. Research work for attorneys and company. Follow close HIPAA and compliance guidelines. Research and review case data for pharmacy fraud. Set up cases and referrals to law enforcement. Run reports to show fraud and abuse trends as preventative measures. Work with Medicare and outside law enforcement and internal compliance to reduce fraud and abuse and set up education. Set up medical fraud cases and run trend reports

  • Internal Representative- EDI/ eSolustions

    Aug 2012 - Jun 2018

  • Analyst-Subrogation

    Feb 2009 - Aug 2012

  • Internal Representative/ Investigation- Pharmacy Integrity

    Aug 2006 - Feb 2009

  • Administrative Coordinator- Network Integrity

    Jan 2005 - Aug 2006
• 

  Wayspring

  Jun 2018 - Apr 2021

  Establish and maintain beneficial relationships● Travel as needed to perform site visits, presentations, educate, or present to client● Gather qualitative practice information in order to provide education and recommend resources that best fit practice needs● Subject matter expert on axial resources and stay on top of update in order to provide ongoing training of clinical membersand initial training for new hires● Review clinical reports containing pharmacy and medical claims data with high acuity with internal members and practices● Continuous track record of hitting performance targets and reviews over the course of the year● Proficient in understand and communicating opioid related clinical risk factors Show less . Engage clinical practices via verbal, written, and face to face outreach to increase use of axial’s products/services and end-user satisfaction. Work with providers and their staff to incorporate axial products/services and overcome barriers to adoption. Locate and engage hard to reach clinical practices with persistent creativity. Develop a report with practices and providers and those that resist engagement . Uniquely incorporate products and services to overcome barriers to adoption by tailoring them to providers needs. Provide individual and group education on site and telephonically to providers, clinic staff, billing staff and others identified for training. Use discretion and sensitivity when working with sensitive/confidential information in accordance to HIPAA regulations. Develop in depth understanding of axialHealthcare products and services es so as to speak knowledgeably to internal and external stakeholders. Provide ongoing follow up as needed for clinical practices as well as follow up as needed to support adoption of risk mitigation services . Support Coordination efforts within axial’s clinical team. Provide continuous guidance on process improvement . Provide support, research and information to the APP team and assist with site visits as well as presenting findings to the client. Draft provider action plans and present to the APP team in order to put plans in place . Work closely with and provide training to client representatives to keep client relationship going. Work with Client Partnership to provide suggestions and improvements based on provider responses.. Develop new outreach strategies.. Attend JOC, APP, Quarterly Network Services Meetings, Blue Forums, Site Visits with and without client representatives and present at conferences and meetings to represent axialHealthcare and discuss initiatives, products and services Show less

  • Senior Engagement Specialist

    Nov 2020 - Apr 2021

  • Provider Education Specialist

    Jun 2018 - Nov 2020
• 

  Glic Health LLC

  Apr 2021 - now

  Client Success, Implementation Specialist

  Manage onboarding, implementation, training, and ensure retention.