TONICA MARIE L.

Oversee all business operations, including financial management, procurement, and resource allocation for residential and commercial remodeling projects. * Debris Removal and Waste Management focusing on Damage Assessment and Prioritization Hurricane Ida (2021) Hurricane Francine (2024) and Hurricane Ian (2022). * Apply for DBE and WBE certifications and obtain all requirements to keep certifications. * Develop and implement strategies to improve efficiency, reduce costs, and maximize profitability. * Extensive knowledge of PMO processes i.e., Waterfall, Agile, etc. * provide precise project bids, develop accurate cost projections, and maintain meticulous financial management across both residential and commercial projects. * Handle procurement, resource allocation, and labor costs, utilizing your expertise to deliver projects within budget constraints. * Ensure compliance with local, state, and federal regulations in construction and business operations. * Manage residential and commercial remodeling projects keeping all within budgeting and time management. * Provide consultations to clients, offering expert advice on design, materials, and remodeling solutions. * Address client concerns and feedback, maintaining high customer service standards for repeat business.

Managed and coordinated operational and administrative activities associated with provider relations, including provider education and liaison responsibilities, marketing and promotion, and facilitation of credentialing and certification. * Verified and updated all credentialed enrolled pending providers for Medicaid, Ambetter & Behavioral health. * Maintained and updated network provider data applications and coordinated the data verification process. * Developed dashboards for data visualization and integration; provided reports and statistical data to other department designees for review. * Managed and resolved complex provider data issues, such as mass change updates, limited reconciliations, and direct submissions of urgent requests requiring batching. * Organized, updated and created applications, programs, and interfaces for business guidelines within the electronic data implementation process. * Managed multiple provider networks including the Health Insurance Marketplace, Medicaid, Behavioral Health, Cobra, FMLA, and Medicare

Reconciled and rebilled over 3.5 in unclaimed dialysis bills within the State of Virginia and border state of North Carolina * Processed Medicaid, Social Security and State government claims and billing submissions for dialysis patients. * Credentialed and enrolled providers to Medicaid, Medicare health plans and medical facilities. * Maintained and monitored the Health Plans compliance guidelines and updates. * Analyzed and compared data within compliance guidelines using Micro- Strategies and SQL to manage and process data across wide and local area networks and billed claims plans when rates changed. * Ran and mapped data reports using software of Power BI & Tableau * Source-to-Pay process within Procurement * Discovered data issues and analyzed trends to minimize instances of rejected claims. * Created Excel data spreadsheets for factual evidence in rebilling in source to pay. * Ensured all fee schedules were current and up to date. * Conducted data conversion with Legacy mitigation and Azure cloud.

Enrolled providers in Medicaid and Medicare health plans and medical facilities. * Updated CMS applications within Georgia state regulations * Utilized Oracle (RDBMS) base solutions to manage and process data across wide and local area networks. * Conducted data comparisons and informational updates statewide. * Cross-checked all information against government-regulated databases. * Corrected and updated information in provider files to reflect the current status. * Created and maintained important credentialing reports, certificates, data banks, and OSI. * Completed requests within a reasonable timeframe and in accordance with licensing compliance guidelines. * Gathered and analyzed primary source verification for the credentialing of applicants in accordance with the standards of all applicable accrediting and regulatory agencies.

Assist in litigation business claims, foreclosures, estate & trustee paperwork & document research * Book, schedule and arrange all travel arrangements for council and or clients coming for depositions and or meetings. * Banking and accounting of the firm's accounts payable * Collected and managed Payroll and timesheets * Case research and findings * E-filing motions and lawsuits * Make all office orders for both main and satellite office * Keep up with mailing and postage * Handled all social media and marketing for the firm's * Schedule all depositions for conference rooms * Compile data and client research * Bate stamp and arrange production documents for upcoming trials.

Maintained all correspondence with clients, attorneys, and insurance agencies * Drafted legal motions, interrogatories and discovery requests * Updated clients on case status * Notarized legal documents and signatures * Draft all legal correspondence and memos * Managed attorney's calendar and travel arrangements * Performed legal research utilizing Lexis Nexus * Maintained filing system * Filed legal motions interrogatories, discoveries, responses & answers * Managed cases in criminal, family, entertainment, real estate and personal injury law * Interviewed potential clients and kept current clients updated on their case status * Filed licenses, trademarks, copyrights and corporation license for clients * Responsible for payable and receivables on client accounts * Created and maintained company's website * Followed up with opposing counsel and other agencies regarding pending claims