Olivia Hetzler Email & Phone Number

• Independently provide departmental management and complex high level project managementleadership to the Provider Enrollment Department, primarily managing implementation of state andfederal regulatory requirements.
• Manage a team of supervisors and employees responsible for the provider enrollment needs for over 20 states, 400 sites, 40 TINs, and 7000 providers. This includes but is not limited to initial enrollments.
• Extensive knowledge of Medicare, Medicaids, Blue Cross, Blue Shield, and other commercial payers
• Consistently use enterprise, department, and individual performance reports to ensure that the team is continually performing at optimum levels, and analyze for trends or results that may require intervention or.
• Serve as a subject matter expert on Vituity’s Legal and Finance data to report changes in entitystructure or finances to payers on an annual or as needed basis
• Collaborate with Sr. Director to optimize team structure, technology, and processes for implementing new practice lines and expanding into new markets

Emeryville, California, United States

• Managed a team of supervisors and employees responsible for the provider enrollment needs forVituity’s emergency medicine business across over 20 states and multiple TINs
• Served as a high-level contact for Vituity leadership, billing team, legal, finance, and contracting teams, while collaborating with various departments to optimize Vituity's vision and culture
• High level knowledge in resolving payer issues and providing recommendations on complex matters
• Utilized department and individual performance reports to ensure the team is performing at optimumlevels, and provide feedback and direction as needed
• Using data and analytics, analyzed issues, diagnosed problems, and identified process improvement opportunities
• Initiated and implemented process improvements across the entire team when applicable

Emeryville, California

• Responsible for overseeing the performance of a subteam that processes provider enrollment for aclinical service(s), geographic market, or function
• Monitored and audited the preparation, submission, and approval of sub team’s provider enrollmentapplications, which could exceed 10,000 applications per year
• Maintained strong knowledge of payer processes across multiple states and had a subteam responsible for upwards of 150 payers
• Partnered with Automation Anywhere and created a bot that impacted the entire Provider EnrollmentTeam

Emeryville, California

• Provided project management support to Vituity’s Provider Enrollment projects, including, but not limited to, startups, tax ID changes, billing company changes, annual Officer and Owner changes, Salesforce revisions.
• Initiated and executed projects and maintained a detailed, high-level documentation of all meeting and discussion notes for entire Provider Enrollment Team to access
• Developed comprehensive project plans to be shared with manager and staff, utilizing ResponsibleAccountable Consultant Informed (RACI) technique when applicable

Emeryville, California

• Independently prepared and submitted approximately 1,500 provider enrollment applications per yearfor Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed and wasresponsible for all.
• Monitored submitted provider enrollment applications to ensure approvals were received andcommunicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications.
• Served as liaison between billing company, providers, and payer representatives to resolve all provider enrollment issues with assistance from supervisor/manager
• Worked closely with supervisor/manager to learn Vituity’s Legal and Finance information

Emeryville, CA

• Prepared and submitted approximately 1,500 provider enrollment applications per year for Medicare,Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed and was responsiblefor all aspects of payer.
• Submitted all applications to supervisor/manager for audit prior to submission, working towards an error rate of less than 5%
• Responsible for all individual provider enrollment for Vituity’s new contracts, with a 60-90 day timeframe from the start date

El Cerrito, California

• Provided leadership, management, and feedback to a team of 20 while maintaining the sales andefficiency of a multimillion-dollar store
• Selected and developed a strong team to maximize sales, complete tasks, and inspire customers in a fast-paced environment
• Developed and executed short- and long-term plans to achieve goals in support of company strategy
• Successfully lead the team to become the #3 store in the company out of 1500 stores for number ofnew Pier 1 Credit Cards opened
• Analyzed an array of reports to determine areas of opportunities and successes

Emeryville, CA And Indianapolis, IN

• Worked directly with Store Manager to build a strong team that supported the success of a $1.4 million dollar store
• Project managed all task-related operations including (but not limited to): transitions, events, markdowns, freight processing, onboarding of new associates
• Analyzed an array of reports to determine areas of opportunities and successes
• Helped lead our store to be #6 in the company for new Pier 1 Credit Cards opened out of 1500 stores

Indianapolis, IN

• Drove sales and supplied leadership to store associates by implementing a daily sales plan
• Provided excellent customer service while maintaining a balance of tasks and responsibilities