Thomas Cooper

Sr. Operations Manager

Role
Sr Operations Manager at Gold Coast Health Plan
Location
Los Angeles, CA, US
LinkedIn followers
500 followers

About Thomas Cooper

Claims professional offers strong analytics; superior management skills; and a thorough grasp of claim and revenue cycle and payment methodologies. Expert in both facility and professional review, common and advanced reimbursement concepts, client relations and customer service displays top performance in health insurance sector.

Experience

  1. Sr Operations Manager

    Gold Coast Health Plan

    Sep 2021 — Present · Camarillo, CA, US

    I am responsible for providing leadership and management in the areas of claims-related services, including processing, auditing, research and resolution, reporting and process improvement. I am responsible for coordination of Gold Coast Health Plan\'s outsourced claims processing transaction functions as well as the overall daily management of GCHP\'s internal claims team. I ensure that the claims payment process adheres to regulatory requirements, that payments are made according to benefit and contract terms, and that providers have a high level satisfaction with claims payment performance.

Education

  • Lexington Community College

    Business Administration and Management, General

    2003 — 2006

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