Deedee Bittner Email & Phone Number

Nashville, Tn, Us

Greater Nashville Area, Tn

Brentwood, Tn

Provided oversight of the provider contracting, provider relations, and purchasing department to ensure the operational success of healthcare services in over 400 correctional facilities in 25 states. - Direct management of staff in all activities related to the building and maintenance of a quality cost effective provider and vendor network. - Developed, wrote and implemented new processes, procedures, and goals for the department, closing identified process gaps ensuring compliance with company policy and increased individual and departmental accountability. - Managed high level negotiation/renegotiation of multi-million dollar contracts with vendors and providers for healthcare services, supplies and equipment. - Drafted provider/vendor communications as well as internal communications with field personnel educating on processes, contract developments and other key information needed to meet operational needs and identify savings opportunities. - Assisted with business development projects supplying provider network subject matter expertise for 20-40 requests for proposals (RFPs) annually. - Assisted in developing a vendor diversity program and vendor diversity initiatives that helped in achieving compliance with company and client contract diversity goals. - Served as second-level claims appeal committee member reviewing elevated provider issues. Provided recommendations for prompt and appropriate resolution based on company policy, legal and contract terms, ensuring providers remained in network and delays in care were avoided.

Brentwood, Tn

Provided daily management and oversight of provider relations and purchasing staff activities to ensure the integrity of the provider and vendor network. - Direct management of provider relations and purchasing staff. - Coordinated with internal departments, field personnel and providers and vendors to ensure provider and vendor issues are handled appropriately and that resolution was obtained. - Assisted with provider/vendor contract renegotiations, school affiliation agreements, provider communications, vendor contract set ups, client contract rebids, second-level appeals, writing and implementing of policies and procedures and annual budget development.

Brentwood, Tn

PHS merged with CMS to form Corizon.- Drafted, negotiated and reviewed hospital and provider contracts ensuring compliance with both departmental and legal requirements.- Negotiated prompt payment and case rate agreements saving the company thousands of dollars on claims from non-contracted providers. - Assisted in request for proposal (RFP) process by providing reporting and analysis on current and future network needs and costs. - Assisted in the review and creation of policies and procedures documenting workflow and processes for future reference. - Administered the Access database of contracted providers ensuring all necessary data elements were captured for tracking and reporting. - Reviewed and made recommendations on provider appeals resulting in prompt and appropriate resolution. - Facilitated and attended high level provider meetings for both contract negotiation and development of network opportunities. - Assisted in the development and implementation of reporting and analysis deliverables and served as the senior member of the contracting team.

Nashville, Tn

- Maintained surgery schedule- Coordinated and maintained all credentialing and re-credentialing functions for Medical Staff- Entered billing charges and produced payer claims- Prepared patient statements- Researched and processed refunds, account adjustments and payments

Bachelor Of Science (B.S.), Healthcare Administration

Associate Of Arts And Sciences (A.A.S.), Business, Management, Marketing, And Related Support Services