Jennifer Schultz Email & Phone Number

Oklahoma, United States

Identifies and recruits new healthcare providers and ancillary providers to enhance the network, ensuring a comprehensive range of services available to patients. Develops and manages relationships with existing providers to maintain satisfaction, address concerns, and negotiate agreement terms. Negotiates contracts with providers/ancillary providers to benefit the health system and self-funded employees.Analyzes network performance and utilization data to identify areas for improvement and make strategic decisions about network development.Develops strategies for network growth and improvement, including assessing market trends and identifying opportunities for expanding services.Collaborates with operations, marketing and account management departments to align network development efforts align with organizational goals.

Oklahoma City, Oklahoma, United States

Reviewed provider contracting information for accuracy and required documentation, enters information into Network Management database for HealthChoice, Dept of Rehabilitation Services, Dept of Corrections networks according to procedures and provides daily reportingProvided response to all correspondence inquiries regarding contracting and claims issues from providers, interagency and third-party administrators and documents all incoming and outgoing contacts in database contact logMaintained provider medical license expirations report; corresponds w/ providers--provides contract information regarding expirations, terming providers with lapsed medical licenseRepresented agency in provider seminars, conferences and meetings--works w/ other agencies and third-party administrators to obtain goals and objectives of agency including training, grievances, and plan benefit changesAssisted w/ recruitment of health and dental providers--presents education material, newsletters and articles to improve company statistics and billing practices

Moore, Oklahoma, United States

Initiated physician and advanced practitioner initial credentialing and reappointment applications by obtaining necessary documents for hospital privileges--verifies accuracy and completeness prior to submission to facilityAssisted providers with obtaining required state licenses, DEA, OBNDD, and malpractice insurance--ensures all licenses and malpractice insurance remained currentMaintained provider roster of hospital privileges; coordinates w Medical Staff Services in order to expedite physician and advanced practitioner privileges--provides response to requested information in timely mannerSupported personal adherence to professional confidentiality standards in accordance with legal, ethical and hospital policies

Oklahoma City, Oklahoma, United States

Provider Relations liaison for 101 multi-specialty providers to include credentialing and contracting--works directly w/ the CFO to complete all physician and advanced practitioner credentialing w/ Government and Commercial Managed Care payersEnsured all Medicare and other Government/Commercial Managed Care applications are successfully submitted in a timely manner on new providers--follows up with health plans to ensure receipt and processingOversaw completion of re-credentialing on all Managed Care payers for providers--maintains copies of all agreements along with fee schedulesProvided liaison and professional relations w/ Managed Care Provider representatives--assists providers w/ issues relating to claims, authorizations, network participation, and complianceMaintained qualifications w/ Managed Care industry--attends continuing education seminars to keep current on Medicare, other Government payer modifications and all HIPAA regulationsProvided training to new and existing staff regarding Managed Care--allows office to stay current

Oklahoma City, Oklahoma, United States

Responsible for sending all electronic claim files to claim clearing house--printed paper claims and distributed to assigned Business Office Assistant in a timely mannerCorrected 5,200 claim and payer rejections at a 97% on-time rate--immediately rebilled all claimsProcessed 3,800 rejections--sent errors to patient ID, billing/coding or payment errors for distribution to the assigned employee for correctionResponsible for contacting PCIS or Clearing House for help with any electronic claim file issuesEnsured changes made to PCIS setup file--documented follow-up screen for info regarding reject

Oklahoma City, Oklahoma, United States

Total responsibility for OCA mail service--sort, pickup and delivery of 10K pieces of correspondencePoint of contact for all accountable mail--personally liable for all Express/Registered Mail along withpharmaceutical shipments received by OCAFiled 125 secondary claims, pulled EOB’s by using Medic and Cerner programsCompleted 500 missing ticket reports--entrusted to provide upper management up-to-date information

Norman, Oklahoma, United States

Customer service representative for initial patient check-in/insurance verification--provided serviceto 20K university personnel and studentsWorkman’s Compensation Claim Representative for all cases at the Norman campus--processedover 400 individual cases in a two-month periodFocal point for university medical athletic billing--processed bills 17 men’s and women’s programs