Denise Bartle Email & Phone Number

Cherry Hill, New Jersey, United States

Philadelphia, Pa

Directly responsible for enrollment and contracting reporting to the CFO.Manage a team of three enrollment specialist over five years.Implemented enrollment software and trained team on its use to increase productivity. Developed processes for organization of provider documents and credentials.Created tools for use by enrollment team to streamline the day to day processes. Developed policies and procedures for on-boarding, maintaining and end dating providers and groups with the payers.Negotiate new contracts and re-negotiate existing contracts for increased reimbursement for provider groups located in twelve states. Responsible for Medicare enrollment and re-validation utilizing PECOS.Participated in the activities relating to enrollment and contracting of facilities (ASC).Served as support to leadership relating to front end tasks, revenue cycle, provider enrollment and contracting.

Marlton, Nj

Oversight of contract reimbursement, managed care payer relations and physician credentialing, licensure and enrollment.Served as support and advisor to the Vice President of Contracting and Payer Relations to develop the financial strategy for the managed care contracts both new and existing, including reimbursement methodology. Participated in contract negotiations with company’s executive team and insurance companies. In addition to collection of underpayments stated below the team prevented future and ongoing losses in excess of 4 million dollars by containing contract errors and ensuring payer compliance.

Marlton, Nj

Completed successful implementation of contract management software “Contract Manager”.Trained staff of analysts to review and build payer contracts to ensure proper reimbursement and compliance.Managed contracts for three large physician and hospital groups.Recovered over 4.5 million dollars of insurance underpayments utilizing contract management software.Nurtured the existing relationships with insurance representatives to ensure contract compliance and open ongoing communication. Streamlined and developed processes to improve productivity. Developed and implemented policies and procedures. Designed and distributed a monthly internal communication to alert colleagues of changes in the managed care industry. Generated reports for clients and management of underpayments and the ongoing status of collection and/or settlement.

Voorhees, Nj

As Payer Relations Coordinator I assisted Director and Vice President of Payer Relations. Arranged meetings with Insurance Company Representatives, organized payer contracts and set up a system for tracking renegotiation timelines. Reviewed and disseminated relative payer information to other departments as it related to the business of managed care. Reviewed reports from the practice management system to find underpayments. Developed excellent relationships with the Insurance Company Representatives.

Gatekeeper for the VP of Physician Services; Insurance Capitation Reports, timesheet tracking for employed physicians, Employment contract management using Meditract