Deandrea Dickerson

Experience

1. Provider Engagement Administrator

   Centene Corporation

   Nov 2021 — Present

   Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices.Serve as primary contact for providers serving as a liaison between the provider and the health planInfluences provider behaviors to drive improvements in provider & member satisfaction optimizing outcomes and maximizing savingsConducts Joint Operating Committee meetings between key providers and our internal Quality, Finance and Operations TeamConduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on site and routing to the appropriate party for resolutionReceive and respond to external provider related issuesInitiate entry or change of provider related database information and oversee testing and completion of change requestInvestigate, resolve and communicate provider claim issues and changesEducate providers regarding policies and procedures related to referrals and claims submission, website education, EDI solicitation and problem solvingPerform provider orientations, including writing and updating orientation materialsAssists Quality department with dispersing Appointment Agendas and communicates STARS and HEDIS measures to providers while analyzing their performanceUnderstands unique value based contract structures as well as other contract structures and network requirements for Medicare and Medicaid