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COVER LETTER: Dear Sir/Madam: Please accept this letter for the Director, Network Contracting Managemen that is currently posted on the ConnectiCare website. As technology continues to challenge the growth of the healthcare industry, I am recognized for my strong track record and experience in managed care combined with an impressive leadership role. In my current role, I review contracts to ensure that the contract language is consistent with the facilities mission, goals and grade them according the mission standards. When necessary I will edit the contract so that the contract is in line with the goals and mission of the company that I am currently employed by. I participate, develop and communicate high level analytics that are vital in negotiating high level contracts and ensure optimal contracting and operational outcome for Prospect providers. I manage software programs and have created analytics critical in the tracking of contracts and renewal dates, scanning, recording and filing of the contract documents. I am also trained in the McKesson software modeling program PMOD. My demonstrated leadership skills are recognized working in collaboration with the executive team, and staff in multi-faceted changing environments regarding patient financial management. Notably I have: * Organized a Charge and Claim committee (called the CDM committee) and Denial management committee that fixed hundreds of claims issues. Both committees still exist today. * Creating reports that are essential in Auditing current claims performance that help in better negotiations * Assembled a multi-functional project work team that consisted of expertise in billing, collections, patient accounting, and new compliance guidelines for a large sized medical center. I have experience in working within the hospital Revenue Cycle / Contacting and also the insurance industry as a Provider Representative which equips me with the ability to understand the protocols of both the hospital provider industry and insurance industry. This knowledge enables me understand and make better decisions in regards to contractual written language and enables me to negotiate with the best interest of the company, along with a quick resolution of payor claims disputes. Mentioned, are just a few of my career accomplishments. Attached is my resume that highlights my leadership and management skills, technical knowledge, and expertise in Contracting in more detail. I would be delighted to meet with you in person as soon as possible to determine my fit with your organization. I will be contacting you in a few days to confirm that you have reviewed my resume and to set up a day and time for us to meet. Sincerely, Louise Tokman
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