Coach of the Quarter – Lauren Weston

Lauren Weston is a Senior Analyst at Palmetto GBA with five and a half years of experience. She was recently promoted to this new role. Lauren excels in her knowledge of Medicare Part A and is always willing to assist her teammates providing valuable education and insight. Her coaching skills were demonstrated by her work with a new associate , as well as her assistance to other team members. Lauren's dedication to promoting education and quality work outcomes creates a positive team atmosphere, making her well deserving of recognition as our Coach of the Quarter.

Team of the Quarter – Medical Review (MR) Part B

The Medical Review Part B team is exceptional in their work. In the first quarter alone, they completed over 14 thousand reviews, exceeding their goal by 9.2% for the Jurisdictions J (JJ) and M (JM) Medicare Administrative Contracts (MAC). As of May 2023, they have already completed 89% of the JJ annual workload and 54% of the JM annual workload, ahead of schedule for both contracts. The team has also met all internal audits in the first quarter.  The team takes pride in the quality of their work and its impact on providers and beneficiaries. They have been named Team of the Quarter for their outstanding and consistent service.

Team Members: Chris Allarde, Sue Anderson, Jessica Brewer, Natalie Caltrider, April Eason, Emily Gilchrest, Kenneth Heaton, Melissa Jordan, Shawn King-Lynch, Paige Long, Susan Matthews, Madison Morrow, Robin Murray, Victoria Regrut, Betsy Robertson, B.T. Rothwell, Jennifer Smart, Trina Williams, and Debra Yates

Process Improvement of the Quarter – Accessing Additional Development Requests (ADRs), Results Letters, and Notification Letters using Content Manager On-demand (CMOD)

To help improve customer service, a streamlined process for accessing ADRs, results, and notification letters for the provider community was implemented. The Provider Call Center and Provider Outreach and Education teams can now pull the necessary letters during their communication with providers, eliminating the need to request reports from the Data Strategy team and reducing wait time. This improvement also reduces costs by eliminating the need for a daily nurse resource. The goal is to provide efficient and effective support to the provider community.

Team Members: Makisha Callaham, Tammy Dodge, Jazz Harrison, Belinda Marin, Denise Phillips, Daliyl Skinner, and Wendy Weary

Associate of the Month (January) – Robyn Karstrom

As a Medical Reviewer, Robyn demonstrates excellent leadership skills and is a valuable member of our team. Robyn is always willing to share her extensive knowledge of medical review for various lines of business. She mentors her colleagues while also managing her workload effectively and consistently producing high-quality work. Congratulations to Robyn for being named our Associate of the Month!

Associate of the Month (February) - Georgina Chiejile

Georgina Chiejile has been working in the Provider Audit & Reimbursement Department as an Auditor I for a little over two years. She takes great pride in her work and consistently provides exceptional customer service to both internal and external providers. Georgina is always willing to share her valuable insights on projects and takes the time to answer any questions her colleagues may have. She is thorough in her explanations and provides the reasoning behind why certain processes should be done in a certain way. We are thrilled to announce Georgina as our Associate of the Month for her leadership, teamwork, and commitment to customer satisfaction.

Associate of the Month (March) – Jennifer Williamson

Jennifer Williamson, a Medical Reviewer III, has been with Palmetto GBA for 13 years. Jennifer was hired to work with the Railroad Retirement Board (RRB), but she goes out of her way by helping wherever there is a need. She is known for completing reports quickly and reaching out to get answers to provider questions. Jennifer is accurate, efficient, and has a deep understanding of how systems work. She is also skilled in completing Edit Effectiveness (EE) promptly and can set up and maintain edits smoothly. Her team describes her as a valuable asset and a teammate. Congratulations to Jennifer for being named our Associate of the Month.