Thomas Cooper
Sr Operations Manager @Gold Coast Health Plan
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WORK HISTORY
Sr Operations Manager @Gold Coast Health Plan
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
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.
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