Dale Talbot Email and Phone Number

- Key member of the managed care team, delivering against strategic goals through quality contracting.- Facilitate the recommendation and implementation of managed care corporate strategy with respect to contracting with commercial payers. - Represent AAC and its subsidiaries in all managed care contract negotiations, and responsible for going into the negotiation process prepared with goals and objectives for the contract outcomes. - Responsible for ensuring entities at all levels of the organization will be informed about terms of negotiated contracts and understand their role in ensuring contracts are implemented quickly and correctly. - Own an end to end contracting process including negotiating financial and contract terms through implementation of final contract.- Develop detailed, and concise negotiation strategies and plans to yield desired outcomes.- Build and maintain collaborative relationships with key external and internal partners.- Manage all aspects of network contracting for AAC in-network sites.- Prepare proposals and negotiate provider contracts.- Support business development efforts for contracting opportunities.- Interface with legal/credentialing departments to coordinate the completion of the required credentialing and legal review of managed care contracts.- Offer guidance for the development of facility systems for effective contract management.- Handle grievances, dispute resolution, and settlement negotiations that may arise from network payors.

• Accountable for all aspects of commercial claims and collections to deliver increased revenue. • Negotiate and re-negotiate all contracts and rates with payers in order to exceed financial goals.• Maintain financial records for the facility of all billings, payments, and adjustments as well as accounts receivable aging reports.• Compile reports and provide information required for hospital and organizational audits.• Act as a liaison and settle payment disputes between Sunrise House, insurance companies, and patients.• Demonstrated ability to maintain excellent working relationships with insurance networks and managed care companies.

• Owned and operated a medical billing company where providers outsource their complete billing department functions to Integrated Business Services (IBS). • Largest customer was Sunrise House, a substance abuse facility. IBS handled all inpatient and outpatient billings to commercial insurance carriers, unions, state funding, as well as private patient billing.• Developed and maintained all aspects of billing, collections, accounts receivable management, and reconciliation techniques for a 110 bed substance abuse treatment facility.• Led growth of collections by +30%.• Increased responsibility to include school-based billings, two halfway house accounts, daily cash flow reports, and all contract relations.• Negotiated contracts with commercial insurance carriers (such as United Behavioral Health, Aetna, Cigna, Blue Cross Blue Shield, GHI, MagnaCare, Oxford, Beech Street, etc.) as well as labor unions, increasing rates by an average of more than +10% annually.• Interfaced with all payers to set up and maintain the credentialing criteria for the facilities.• Partnered with legal team to create a process for all intake documents and financial forms, thus improving the recordkeeping process and likelihood of on-time collection.• Coordinated the opening of Dudley House in November 2010 by setting up all required registrations with payers.• Supported various Sunrise House Departments such as Access, Utilization Review, Medical Records, and Finance.• Maintained commercial payer contract reports and monthly billing information reports for general ledger purposes.