Joe Basham Email & Phone Number

Responsible for revenue integrity through vigilant monitoring and collection standardsResponsible for compliance auditing and establishing CAPA’s as neededResponsible for establishing Medicare documentation training for physicians and their staff to meet audits by MAC/RAC/ZPICProvide expert testimony in Medicare hearings and State Workers Compensation trailsProvide training/mentoring for new employeesProvided leadership to billing and sales that allowed for revenue growth of 50% during end of life phase for primary product and diversification into multi-line productsManaged groups of 5 to 80 over the past 14 years

Santa Rosa, Ca

Increasing responsibility over 4 year periodInitially worked with one IPA to orchestrate a $1.2M turnaroundAssisted in growth from 18K CEM to 74K CEM’sDeveloped cooperation between medical group and hospital discharge planning that led to National best standards for bed days/1000 for both commercial and Medicare.Responsible for contracting, provider relations, data management, claims processing, utilization management, quality improvement, customer service and case managementWorked cooperatively with health plans to meet annual HEDIS goals leading to superior report cards for the medical groups and bonus earnings for the physicians.Marketing web based physician support servicesAssisted in development of statewide disease management programs

Santa Rosa, Ca

Managing day to day prior authorization requestsResponsible for data extraction to determine outliers and potential stop-loss casesCoordinated with Medical Director and Group physicians to improve care of chronic beneficiaries and reduce cost of care

Rohnert Park, Ca

Managed day to day operations of a large full line DME companyResponsible for A/R, personnel and risk managementReceived initial JCAHO accreditation under my leadershipNegotiated exclusive contracts with the two largest HMOs in the country

Bachelor'S Degree, Business

Nursing License, Nursing Science