• DanielRingheiser@gmail.com

Daniel Ringheiser

1923 Tomlinson Rd, Philadelphia, PA 19116         (267) 549-5767

OBJECTIVE

To continue my career with an organization that will utilize my supervision, management and interpersonal skills to benefit mutual growth and success while focusing on my key strengths of fostering positive business relationships.

Work History

Work History

Account Manager

2015 - Present
WellNet Healthcare
  • Operate as the lead point of contact for any and all matters specific to customers
  • Cultivates, maintains, and grows relationships with established and new national accounts that will maintain the account, increase existing business, and ensure excellent client relations
  • Ensure the timely and successful delivery of solutions according to customer needs and objectives
  • Establishes and maintains a working relationship with key Company Marketing, Legal, Product, and Finance department associates to keep abreast of current and new products/services/strategic initiatives.
  • Communicate clearly the progress of monthly/quarterly initiatives to internal and external stakeholders
  • Forecast and track key account metrics
  • Assist with high severity requests or issue escalations as needed
  • Identify and grow opportunities within territory and collaborate with sales teams to ensure growth attainment

  • Ensures meeting of budgetary cost center constraints and takes corrective action when needed

Supervisor, Claims Payment-Processing

2001 - 2015
AmeriHealth Administrators
  • Manage a team of 12 direct reports in various job roles throughout the claims operations department including claims repricing, claims payment/processing and provider check returns/refunds
  • Manage inventory and daily activities of claims repricing, processing and provider refunds utilizing proprietary mainframe and multiple national network applications
  • Responsible for ensuring departmental guidelines, procedures and goals are being met
  • Monitor departmental activity to ensure production is consistently at or above standard parameters
  • Conduct new hire and continued education training in accordance with departmental guidelines
  • Mentor, coach and develop direct reports that are inline with company and personal growth goals
  • Produce unit level inventory, production and quality reporting to management
  • DRG grouping and coding
  • Identify, propose and develop workflow process improvements for management and senior level management
  • Communication liaison between internal and external customers, vendors and brokers
  • Interview, hire and provide continual training, development and coaching of staff
  • Currently serving as a liaison and SME for system migration and implementation since 2013


Technical

Operating systems: Windows 98/XP/Vista/7/8 & 10, MS-DOS, Unix.
Software: Microsoft Access, Excel, Word, PowerPoint, Outlook (2003 & 2010), IBM CICS, PeopleSoft and HealthRules.
Proprietary Software: CICS-MHS Pricing Applications, Planmate and Content Manager.
National Network Systems: Multiplan/PHCS Enterprice, Hygeia Provider Portal, First Health and FairHealth Portals.
Programming Languages: COBOL, C, C++, Visual Basic, SQL, HTML and Java.

Education

Education

Certificate - Computer Programming

Sep 1998 - Oct 1999
Computer Learning Center

Cum Laude Award

Developed large-scale applications in both Visual Basic and C++ programming languages employing Object-Orientated design methodology, including standard standard dialog boxes, menu editor, sequential and random access files, control arrays, abstract data types, multiple classes, file I/O and multiple inheritances.

Diploma

Sep 1994 - Jun 1998
Father Judge High School

References

Available upon request