Jan Foust Email & Phone Number

Columbia, Sc

Columbia, South Carolina Area

Columbia, South Carolina

• Ongoing analysis of financial data in order to develop a strategy for support of contracting decisions.• Negotiated non-standard agreements with professional providers, ambulatory surgery centers, and ancillary providers that have strategic importance to the company.• Prepared reports and analysis using advanced excel functions.• Recruited 600+ providers which broadened the provider network.• After previous attempts by others, recruited full network in Beaufort County consisting of providers, physicians, and ambulatory surgery centers at competitive rates which enhanced membership by ~15%.• Developed and maintained relationships with providers in service area as well as all independent ambulatory surgery centers in SC. • Provided provider service and education, including field visits and seminars.• Awarded a Shining Star in 2012 for enrolling more providers in Electronic Funds Transfer than any other Contracting Representative in South Carolina.• Awarded a Shining Star in 2011 for successfully recruiting a full network in the Beaufort / Hilton Head market.

Columbia, Sc

Provider Relations Representative• Developed and maintained relationships with providers in service area.• Solved escalated claims issues.• Provided educational seminars to providers.• Visited high volume providers quarterly.

Practice Manager Responsible for management and daily operations of 7 Physician medical practice with staff of 25. Recruit, hire and train new employees. Conduct yearly performance reviews. Maintain current knowledge of HMO’s, PPO’s, Medicare and Medicaid, educate staff, and monitor CPT and ICD9 coding, to ensure maximum reimbursement. Negotiate Managed Care Contracts.  Responsible for maintenance and troubleshooting of computer network with 30 PC’s.

• Managed Daily Operations for one of the three clinics and Billing Operations for the whole company.• Responsible for Human Resources for all of Three Rivers Medical (10 physicians & 50 employees) Recruited and hired employees.

Human Resources Manager

Practice Manager