Emily Carey
Director - Claims, Provider Services & Operational Assurance at UPMC Health Plan | Sewickley, Pennsylvania, United States
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As the Director of Claims, Provider Services & Operational Assurance at UPMC Health Plan, Emily Carey plays a pivotal role in shaping the landscape of health insurance operations. Leading a dedicated team of over 180 professionals, she is at the forefront of ensuring the accuracy, efficiency, and compliance of medical claims processing. Emily's extensive experience, spanning over 11 years in the health insurance industry, has equipped her with a deep understanding of complex systems such as Medicare and Medicaid, as well as the intricacies of medical billing and coding, including ICD-9 standards.
In her current role, Emily is not only focused on operational excellence but also on enhancing provider support and satisfaction. She is instrumental in implementing strategic initiatives that streamline claims processing and improve customer service, ensuring that both providers and members receive the highest level of support. Her commitment to operational assurance is reflected in her active participation in UPMC's Diversity Mentoring Program and Leadership Top Talent Network, where she fosters talent development and promotes a culture of inclusivity within the organization.
Emily's expertise in managing client relationships and employee engagement further underscores her holistic approach to leadership. By leveraging her skills in HIPAA compliance and operational management, she drives continuous improvement initiatives that enhance the overall efficiency of the claims process. As a mentor in the Insurance Services Division, she empowers emerging leaders, sharing her insights and experiences to cultivate the next generation of professionals in the health insurance sector. Emily's dedication to excellence and innovation positions her as a key influencer in the ongoing evolution of health plan operations at UPMC.
Director - Claims, Provider Services & Operational Assurance at UPMC Health Plan in February 2023 to Present
Program Director - Claims Operational Assurance at UPMC Health Plan in June 2022 to January 2023
Senior Claims Manager at UPMC Health Plan in May 2021 to June 2022
Claims Administrator at UPMC Health Plan in July 2020 to May 2021
Manager, Claims Operations at UPMC Health Plan in April 2018 to July 2020
Claims Supervisor at UPMC Health Plan in July 2017 to April 2018
Billing Premium Consultant at Coventry Health Care, an Aetna Company in October 2016 to July 2017
Associate Technical Claims Specialist at Coventry Health Care, an Aetna Company in February 2012 to October 2016
Customer Communications Specialist at Coventry Health Care, an Aetna Company in August 2011 to February 2012
Head Staffing Coordinator at ePeople Healthcare in November 2010 to August 2011
On Call Supervisor at ePeople Healthcare in November 2010 to August 2011
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Customer Service
Microsoft Excel
Medical Terminology
Health Insurance
Operations Management
Claims Management
CPT
HIPAA
Medical Billing
Claims Handling
Employee Benefits
Medicare
Insurance
Healthcare
Medicaid
ICD-9
Manage Client Relationships
Claim
Microsoft Word
Access
Microsoft Office
Leadership
Training
Team Building
Employee Engagement
Leadership Development
Process Improvement
Insurance Claims
HCPCS
Coordination of Benefits
Adjustments
Adjudication
IDX
Member of Toastmasters
Profit Margins
Claims Resolution
Business Process Improvement
Current Procedural Terminology (CPT)
Microsoft Access
U.S. Health Insurance Portability and Accountability Act (HIPAA)
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Discover more about UPMC Health PlanWhat is Emily Carey email address?
Email Emily Carey at [email protected]. This email is the most updated Emily Carey email found in 2026.
What is Emily Carey phone number?
Emily Carey phone number is +14124919145.
How to contact Emily Carey?
To contact Emily Carey send an email to [email protected]. If you want to call Emily Carey try calling on +14124919145. (updated on October 29, 2024)
What company does Emily Carey work for?
Emily Carey works for UPMC Health Plan
What is Emily Carey's role at UPMC Health Plan?
Emily Carey is Director - Claims, Provider Services & Operational Assurance
What industry does Emily Carey work in?
Emily Carey works in the Insurance industry.
Emily Carey Email Addresses
Emily Carey Phone Numbers
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