Terry L. Ragsdale

• Established centralized ancillary and lab team, enhancing operational efficiency.
  Developed bot for case creation to streamline processes.
  Conducted training sessions for team members to improve skill sets.
  Facilitated collaboration across departments to ensure seamless integration of services.ew sops, and scorecards. Generated team scorecards and aged reports to enhance performance tracking.
• Conducted individual 1:1 sessions with team members for personalized support.
• Compiled daily, monthly, and year-to-date reports for leadership meetings.
• Monitored inventory and escalated case issues to ensure resolution.
• Collaborated with advocates to address case issues effectively.
• Trained team members on processes and quality standards.
• Facilitated monthly team meetings to discuss best practices and mood management.
• Covered managerial responsibilities during PTO to maintain operational continuity.

• Compiled daily team reports and presented agenda during Daily Team Huddles.
• Coached team members to enhance performance and accountability.
• Monitored aged inventory to ensure timely management and resolution.
• Created and updated SOPs and job aids for operational efficiency.
• Responded to inquiries on SME Q&A SharePoint to support knowledge sharing.
• Trained team members to improve skill sets and overall productivity.
• Reported progress in leadership meetings for Lab and Ancillary teams.
• Facilitated issue escalation and conducted quality audits to maintain standards.

• Managed provider claim projects from initial contact to resolution and outcome communication.
• Educated providers on UHG reimbursement policies and billing requirements.
• Specialized in various markets to understand physicians, facilities, and ancillary provider contracts.
• Interacted with market providers and internal staff to resolve claim-related issues.
• Maintained ongoing communication with providers throughout project lifecycle.
• Enabled team members to deliver consistent quality service to UHG participating providers.
• Resolved complex issues, supporting fellow CPMs with feedback and training as necessary.
• Responded to escalated provider contacts within established turnaround times.

• Followed up on all insurance EOBs received for each doctor in office.
• Contacted insurance companies and patients regarding rejected or incorrectly paid claims.
• Corrected patient and insurance information in system as required.
• Coordinated with medical coder on claims that were incorrectly coded.
• Collaborated with Insurance Payment Poster Representative on missing or incorrectly posted EOBs.
• Managed insurance reports through Task Management system to ensure timely filing.
• Processed insurance refunds efficiently while maintaining accurate records.
• Balanced front cash drawers, including insurance payments, ensuring accuracy.

Followed up on all insurance EOBs for each office physician.
Communicated with insurance companies and patients regarding rejected claims.
Corrected patient and insurance information in the system as required.
Collaborated with Medical Coder on incorrectly coded claims.
Managed follow-ups with Insurance Payment Poster Representatives.
Processed insurance reports through Task Management to ensure accuracy.
Maintained timely filing of all charges submitted to insurance.
Balanced cash drawers alongside insurance payments to ensure accuracy.

• Assisted pharmacist in entering and filling prescriptions in fast-paced environment.
• Executed coding and billing for DME claims with Medicare.
• Delivered high-quality customer service, utilizing extensive knowledge of over-the-counter products.
• Resolved customer issues effectively, enhancing overall satisfaction while maintaining professionalism.