Sie sind auf Seite 1von 2

Rodney A.

Tallahassee, FL 32308 850-545-4187

Cost Containment and Quality Improvement Leader whose strengths in program improvement and financial analysis helped reduce errors and save my employer over $30K Medicaid billing errors. Major Strengths Program Management Case Management Customer Service

Program Management Achieved 30% savings, about $1500 monthly, in fuel and maintenance costs by reviewing demographics and condensing seven meal delivery routes into four. (Elder Care Services) Saved over $4500 in unbilled meals after reviewing monthly meal billing reports and correcting 100 meals that were either over reported or under reported. (Elder Care Services) Saved one provider over $30K Medicaid billing errors while helping another recoup almost $10K in denied Medicaid billing errors while acting as Medicaid Waiver Specialist monitoring a 14 county Planning and Service Area. (Area Agency on Aging for North Florida) Reduced fuel costs by over $600, shortened delivery time and improved customer service by effectively coordinating dozens of volunteers delivering over 50,000 hot meals to four different routes annually. (Elder Care Services) Case Management Improved accuracy rate for disability claims from 91 to 98% for all claims submitted for a three year period of time by attending additional quality assurance, Medicaid, SSI and Social Security program training seminars. (Office of Disability Determinations) Customer Service Saved almost $3200 by successfully coordinated special delivery of 800 frozen meals to clients prior to a tropical storm that battered the area and disabled transportation. (Elder Care Services) Enrolled between 5-30 individuals into the Health/Ease Medicaid program after conducting 5 focus group meetings and 2 health fair seminars. (Health/Ease)

Completing Professional Certification Courses Career Step Medical Coding Program June 2010 to Present (Completion date 1/31/2012) National Heath Records Course (8/15/11-12/15/11, CEHRS Exam on 12/15/11) Medical Administrative Specialist Certificate (4/5/2011-5/5/2011) Medical Billing Course, LLC Medical Billing and Reimbursement Certification (5/6/2011-5/15/2011) Elder Care Services of Franklin County, Apalachicola, FL October 2009 June 2010 Provider of in-home direct care services, senior lunches and Meals-on-Wheels to homebound and disabled adults. Program Coordinator Maintained detailed and accurate records of policies, procedures and activities which ensured compliance with all funders and governmental regulations. Managed delivery routes for multiple volunteers delivering 150 meals daily. Tracked meal counts for records required by funding agencies.

Rodney A. Bigelow, Page 1

United Health Care, Tallahassee, FL February 2009 - May 2009 Diversified health and well-being company offering a spectrum of products and services. Medical Insurance Provider Sold AARP Medicare supplement and Advantage health insurance plans to low income individuals and families who met Federal or State eligibility requirements. Wellcare/Healthease, Tallahassee, FL February 2008 July 2008

Subsidiary of Wellcare Health Plans, a company providing Medicare and Medicaid managed care health plans. Medicaid Benefits Consultant/Sales Representative Managed and advised potential clients on Medicaid supplemental products. Utilized value added sales techniques during phone calls and visits to senior citizens. Established rapport with multiple clients and secured new policies in assigned area. Department of Children and Families, Office of Refugee Services, Tallahassee, FL July 2006 June 2007 Federally-funded program that helps refugees and entrants into the United States become self-sufficient. Government Operations Consultant Ii Oversaw contract terms and conditions of numerous providers. Liaised with current and potential providers; provided information on program eligibility, evaluated provider rates, and approved contract budget revisions. Determined the need for onsite, technical assistance and training to multiple providers on proper invoice documentation and allowable budget expenditures. Additional related work experience: Middle School Reading Teacher, Franklin County School Board, Apalachicola, FL (November 2003 June 2004) Medical Disability Examiner, Department of Health, Office of Disability Determinations, Tallahassee, FL (November 1999 November 2003)

Bachelor of Science, Business Administration, Florida A & M University, Tallahassee, FL

Enrolled in Career Step Medical Coding Program (Completion date 1/31/12)


Applied for membership to the American Association of Professional Coders

Life, Health, Variable Annuity Insurance License - State of Florida Tallahassee Community College-Medical Administrative Specialist Certificate-May, 2011 Medical Billing Course, LLC-Medical Billing & Reimbursement Certificate-May, 2011

Professional Skills: Problem-Solving Decision Making Leadership Team-Building Oral/Written Communications Performance & Productivity Improvement Team-Player Customer Service Cost Containment Quality Improvement Fiscal/Program Accountability Compliance Monitoring State/Federal Programs Client Relationship Management Supervise Train Recruit Volunteers Home/Community Based Medicaid Waiver Fund Raising Non-profit and Federally Funded Programs Care Plan Development Medical and Disability Plans Administration Senior Citizens Medicare/Medicaid Aging/Disabled Program Improvement Customer Service Board of Directors Budget Development Public Relations Training Programs Technical/Computer Skills: Microsoft Word Excel
Rodney A. Bigelow, Page 2