Career Highlights * Grew a newly formed independent physicians' network to ~200 members. * Resolved claims disputes, negotiated contract language, and provided education/training services for physicians' network. * Facilitated startup of physician services in local market for large national health services company, supported growth to 31 providers on 3 hospital campuses. * Revamped internal managed care credentialing process, allowed payers to complete enrollment within 60 - 90 days. * Discovered and incorporated Senate Bill 710 legislation into managed care credentialing process reduced out-of-network denials and increased in-network reimbursements. * Coached/mentored practice managers, directed onboarding/offboarding processes for providers and directed process improvements.

Highlights:

• Services
• Billing
• Policies and Procedures
• Scheduling
• HR
• Human Resources
• Managed Care
• Management