Kim Frock Email & Phone Number

Remote

VillageMD is a leading provider of healthcare for organizations moving toward a primary care-led, high-value clinical model. The VillageMD solution provides the tools, technology, operations, and staffing support needed for physicians to drive the highest quality clinical results across a population. VillageMD works with physician groups, independent practice associations, and health systems to improve quality, deliver a first-rate patient experience, and lower costs in the communities they serve.

Wessington Springs, South Dakota, United States

Regional Office Manager - Central Region. Managing the daily operations of four medical clinics and two dental clinics.

Sioux Falls, South Dakota Area

Manage the contracting and credentialing process for start up and conversion Urgent Care clinics. Request, negotiate and obtain contracts with commercial & government insurance payers in order to secure in-network status for each clinic and it's providers. Credential Physicians, Physician Assistants and Nurse Practitioners as required by each insurance plan to secure the provider's in network status.

Hudson, Oh

Initially Credential and monthly schedule over 150 contracted emergency medicine providers monthly.

Beachwood, Oh

Medicare enrollment of all on-site and telerad physicians. Obtain PTAN's in order for timely billing to be accomplished. Notify CMS of all changes and terminations.

Coordinate, gather and verify all credentialing documents and information from Radiologist and/or Staffing Agency. Prepare and submit to facility Medical Staff Office for privileging process.

Identified and corrected numerous computer processing errors decreasing lost revenue.Claims management and follow-up according to timely filing guidelines increasing revenue.Patient statements, patient financial arrangements, pre-collection standards, collection courses of action as necessary.CPT & ICD-9 coding of all PT, OT, ST and Audiology services.Inquires and appeals.

Analyze and prepare managed care contracts for negotiation and renewal.Collect and communicate all provider information and changes to necessary parties.Cultivate and maintain relationships with managed care companies, health organizations and medical practice managers.Liaison for claim resolution between clinic and managed care organizations.Maintain highly confidential information.Continually audit provider information to assure accuracy.

Assure accurate and timely processing and maintenance of all credential files.Maintain highly confidential information.Ensure compliance of NCQA requirements.Operate as the clinic liaison with contracted managed care networks.Perform administrative functions including scheduling & coordinating of all board meetings, educational offerings and medical manager meetings.

Assure accurate and timely enrollment process and procedures.Manage department processes and supervise employees.Create and process identification cards.Create Plan Documents and amendments for self-insured groups.Adjudicate medical, dental and vision claims.