Melanie Joseph

Performed auditing of pre and post chart accounts, coding medical files, and conducting appeals and reviews of charts rejected not acceptable to CMS standards. Managed account access, customer service, and client support, ensuring customer satisfaction and adherence to CMS guidelines.

Oversaw the development and implementation of clinical adherence programs, closely monitoring new patient and provider adherence. Managed a team of seven direct reports, focusing on compliance, contract preparation, lead generation, and marketing efforts. Implemented regulatory programming and coordinated safety programs to ensure compliance with medical standards.

Built positive relationships between health plans, beneficiaries, providers, and practice managers by assisting with program design and implementation. Supported the creation of provider networks and the training of external providers through educational initiatives. Aided Network Contracting and Development teams in identifying network gaps while navigating multiple systems.

Managed and ensured compliance of truck drivers with Department of Transportation (DOT) standards and oversaw the development and implementation of clinical adherence programs. Acted as an auditor for a team of seven, focusing on compliance and DOT paperwork. Led recruitment and training of new employees, tracked call center activities, and performed daily quality assurance audits.

Conducted health assessments on patients to identify proper equipment and healthcare interventions, providing education and orientation on preventative healthcare strategies. Directed a team of 14 outreach specialists and ensured direct communication with doctors, discharge planners, and social workers for proper management. Performed quality audits, reviewed performance metrics, and led employee

Managed close supervision and inspection of product integrity to ensure safety and minimize flaws, aiming for zero defects. Implemented modifications and corrective actions to address employee deficiencies in health and safety practices. Performed various safety functions, including training and updating employees, and resolving errors at workstations.

Carried out daily quality assurance audits to improve team performance and customer service satisfaction. Conducted training and managed daily activities of the health care call center, including quarterly and annual employee performance reviews. Formulated customized respiratory health plans for chronic pediatric and adult patients, ensuring proper coordination of adherence and compliance program

Strategically directed overall operations, encompassing payroll, accounts payable, and menu management, while overseeing curriculum and teacher activities. Managed marketing and advertisement, facilitated interviews of prospective clients and new candidates. Coordinated with state representatives throughout inspections and catered to customer needs regarding critical issues.

Completed a Master of Science in Public Health and Health Education. Focused on advanced topics in public health, health education, and related fields.

Earned a Bachelor of Science in Health Prevention and Wellness. Studied health promotion, disease prevention, and wellness strategies.

Obtained an Associate of Science in Respiratory Care and Therapy. Gained expertise in respiratory care practices and therapeutic interventions.