Cody Wheeler Email & Phone Number

United States

Austin, Texas, United States

Chesterfield, Missouri

Chesterfield, Missouri

Maryland Heights, Missouri

▪ Manage contracting for independent physician practices and multi-specialty groups throughout the Missouri & Illinois Market.▪ Evaluate and negotiate contracts in compliance with company contract templates, reimbursement standards, and other key process controls.▪ Work closely with internal departments to provide swift resolution to nonstandard contracting and credentialing inquiries. ▪ Establish and maintain strong business relationships with Hospital, Physician, and Ancillary providers.▪ Travel within assigned territory to discuss any changes or identified trends as they relate to contractual agreements and market trends.

Hazelwood, Missouri

• Performed fee schedule analysis and generated proposals to prospective health plans by cross-referencing current CMS reimbursement based yearly reductions.• Enrolled regional services branches with national agreements through addendums to current contract language.• Triaged requests for assistance with credentialing and contracting support from various departments across the organization ranging from accounts receivable to order processing.• Traveled to HME state association meeting and worked along side other DME providers to resolve order processing and claim issues while simultaneously building relationships for future business.

Hazelwood, Missouri

• Responsible for leading 6 direct reports including 3 supervisors managing 23 indirect reports.• Accountable for managing over 20 million in open receivables. • Effectively work with company’s sales force, operations team, and insurance companies to resolve payment trends and issues to satisfy delinquent receivables. • Perform weekly operations calls with service branches to effectively identify and resolve frontend-billing issues to optimize backend reimbursement.• Develop and implement standard operating procedures for urological supply business. • Deliver ongoing training for staff on effective collection tactics and ever-changing payer guidelines. • Communicate with executive level provider contacts within payer organizations to streamline revenue and data exchange.

Chesterfield, Mo

• Effectively manage requests from physicians and administrators on a daily basis regarding process improvement, data analysis, and support services.• Create monthly reports in Microsoft Excel for clients providing account detail and summary.• Ensure compliance for all accounts particularly regarding federal and state guidelines.• Collaborate with all internal departments to maximize client profitability and satisfaction.

Wildwood, Missouri

• Responsible for managing monthly revenue for 21 outpatient surgery centers and over 9 million in collective revenue.• Direct supervisor for over 30 accounts receivable representatives.• Facilitated weekly operational meetings to discuss process improvement and implementation of standard operating procedures to increase productivity and accountability.• Compiled weekly reports through the use of Microsoft Excel to isolate areas of improvement and analyze client efficiency.

Wildwood, Missouri

• Oversight of three outpatient clinics specializing in pain management.• Consistently exceeded monthly goals set by executive management.• Generated ad hoc reports for management through Excel to resolve global claims issues.• Quantified accounts receivable trends on a weekly basis while working with insurance companies and patients to resolve outstanding medical claims.

Bachelor'S Degree, Business Administration And Management, General

Associate'S Degree, Art/Art Studies, General

Certified Emt, Emergency Medical Technology/Technician (Emt Paramedic)

Completed certification with the National Registry in January of 2010.