Maureen Dougherty
Macungie
Summary
Experienced with client relationship management, enhancing customer satisfaction through personalized service and strategic account planning. Utilizes negotiation and conflict resolution skills to maintain and renew client contracts, ensuring alignment with business objectives. Track record of leveraging analytical insights to drive client retention and business development.
Overview
6
6
years of professional experience
Work History
Sales Manager
ADP
09.2023 - Current
- Increased Payroll & HRIS Adoption by successfully guiding small businesses in upgrading to ADP Workforce Now and RUN, improving payroll efficiency and reducing administrative burden by 30%
- Consistently Boosted Revenue Growth by exceeding sales targets by 155% by identifying client pain points and positioning ADP's payroll, tax compliance and HR solutions essential for business growth.
- Streamlined Payroll & Benefits Integration by assisting businesses in integrating payroll with benefits, 401(k) and time tracking systems, reducing discrepancies and improving reporting accuracy.
- Educated clients on payroll tax compliance, FLSA regulations and ACA requirements reducing their risk of penalties.
Provider Engagement Consultant
Capital BlueCross
06.2020 - 09.2023
- Served as primary liaison for Penn State Hershey Medical Center as well as 35 independent providers, ensuring strong relationships and streamlined communication resulting in provider satisfaction score increase by 20%
- Conducted data analysis and performance reviews to help providers optimize patient care while meeting contract requirements.
- Educated providers on claims processing, reimbursement policies and compliance requirements to reduce claim denials and disputes.
- Led and conducted training sessions and workshops on billing best practices, policy updates, and electronic health (EHR) integration.
- Partnered with healthcare providers to improve Medicare Stars ratings, driving enhancements in HEDIS, CAHPS and HOS measures.
- Developed and delivered training on Stars measures, preventative care, and electronic billing systems increasing provider engagement and adherence to best practices.
Insurance Follow Up Rep
Lehigh Valley Hospital and Health Network
10.2018 - 06.2020
- Investigated and followed up on outstanding insurance claims, ensuring timely reimbursement and reducing accounts receivable aging.
- Analyzed denied claims, identifying cause, and submitting accurate appeals and reconsiderations to maximize revenue growth.
- Maintained direct communication with insurance companies to resolve claim discrepancies, verify coverage and expedite payment processing.
- Ensured claims were accurately processed by verifying CPT, ICD-10 and HCHCS codes, reducing billing errors and rejections.
Education
Bachelor of Science - Communications
Kutztown University of Pennsylvania
Kutztown, PASkills
- Microsoft Office Suite
- Data Analysis & Reporting
- Customer Relationship Management
- Electronic Health Records
- Payroll & HR Systems
- Communication & Presentation
- Problem Solving & Critical Thinking
- Team Collaboration & Leadership
Timeline
Sales Manager
ADP
09.2023 - Current
Provider Engagement Consultant
Capital BlueCross
06.2020 - 09.2023
Insurance Follow Up Rep
Lehigh Valley Hospital and Health Network
10.2018 - 06.2020
Bachelor of Science - Communications
Kutztown University of Pennsylvania
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