Deidre Hayes Email & Phone Number

Greater Nashville Area, Tn

Advanced project manager pursuing Project Management Professional certification as a student.

Brentwood Tn

 * Provided guidance through the initial and follow up implementations of billing methods for onsite health centers for services that included Acute Care, Primary Care, Vision, Dental, Radiology, Pharmaceutical, and a range of services provided by Specialist Providers. * Review and creation of standard, custom, Medicare, and Worker’s Compensation fee schedules for over 150 health centers. Including being responsible for reviewing new CPT codes, formatting them to be loaded into the EMR (Electronic Medical Records system), sending the file to IT to load, auditing to ensure the codes were loaded correctly, and working with IT to ensure that codes are correctly activated in templates for the providers. * Responsible for researching, troubleshooting, and solving complex billing issues as well improving and scaling the overall billing process including provider enrollment, claims submission, claims posting, and auditing. * Liaison with Legal, Business Intelligence, IT, Compliance, Actuarial and Statistical, and Sales Departments * Provided training for New Hires, Account Managers, Remote Co-Workers including executives, and External Clients * Worked closely with Finance on reports for Return on Investment for potential, new, and existing clients. * Promoted through the department starting as a Billing Specialist, Head Billing Specialist, Billing Specialist Trainer, Credentialing/Provider Enrollment Specialist, and Assistant Implementation Manager

Franklin Tn

* Responsible for managing over then 70 staff members to improve front end store operations while focusing on customer satisfaction.* Trained and motivated employees to reach personal and professional goals as well as encouraging employees to achieve high levels of productivity. * Involved in the hiring, promotions, setting of productivity goals, and disciplinary actions of employees * Addressed customer questions, issues, and complaints immediately. * Involved in the hiring, promotions, setting of productivity goals, and disciplinary actions

Knoxville, Tennessee Area

* Input of new items and promotions in the systems for all Travel centers and located across North America and Canada* Assisted the Help Desk in resolving system and product issues in the stores* Key entity in the development and implementation of new Point of Sale system.

Knoxville, Tennessee Area

* Processed insurance for medical, dental, pharmacy, vision, legal, 401{k}, life, critical illness, cancer, tela-health, accidental death, and dismemberment, and disability of over 20,000 members and dependents* Designed and implemented a new database to transfer and communicate between insurance companies and privately owned franchises. * Conducted Audits. * Processed paper members’ applications to communicate to insurance carriers. * Designed and implemented a new database to transfer and communicate between insurance companies and privately owned franchises. * Communicated with Brokers concerning new enrollees, terminations, and plan changes. Processed all new production numbers for each broker

Knoxville, Tennessee Area

* Requested, faxed, filed, monitored, and entered into the database all insurance for each machine rented from branches in Tennessee and Mississippi. * Assisted in follow- up to insurance companies and client concerning damages to machines. * Communicated on a daily basis to all Rental Coordinators at each branch, four sale managers, and numerous sale representatives. Processed all Credit Applications for all branches. * Entered all new customer accounts in database for each branch. Created new credit application that was utilized at all branches * Reorganized filing room where all applications and related customer paperwork was kept. * Begin the design of paperless on-line filing system.

Certification, Contract Law

Project Management

Political Science And Government