Suzanne_Jordan

Suzanne Jordan

SCHIP Compliance Manager, Broadspire

POSITION TITLE: SCHIP Compliance Manager

POSITION SUMMARY:

• Early involvement since 2009 in the MMSEA Section 111 Mandatory Insurance Reporting “MIR”

• Internally manage and track Conditional Payment progress across the country for our organization and clients

• 8 years of experience in technical and soft skill training

• Manage a team of “SCHIP” experts responsible for reporting on behalf of a large client base and a high number of Responsibility Reporting Entities “RRE’s”

• Experience working with The Center for Medicaid/Medicare Services “CMS” on matters related to reporting including the development of written recommendations to CMS

• Well-versed with the “CMS User Guide” that defines the rules and regulations for MMSEA Section 111 Reporting

• Understands and develops internal training to support claim adjusters in SCHIP reporting regulations

• Extensive knowledge on issues related to Medicare Beneficiary denials

• 15 years of experience as an IT Manager within the Insurance Industry including managing large scale infrastructure support, projects and implementation of new technology within Fortune 500 companies

TOTAL YEARS OF INSURANCE INDUSTRY EXPERIENCE: 17 years

YEARS IN CURRENT POSITION: Nine years

EMPLOYMENT:

Broadspire Services (A Crawford Company) Since: 2009

• Professional Designations: ITIL Manager Certified, Help Desk 2000 Manager Certified

• Geographical Experience/States: North America, Canada, India, Philippines


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