Renee Nelson Email & Phone Number

Knoxville, Tn

Operating Budget: $70 Million | Client Retention Rate: 95% | Net Promotor Score 80•Promoted to drive multi-site practice expansion through strategic hospital partnerships, achieving growth goals and developing the next generation of leaders through succession planning.•Led initiatives in talent development, performance management, and employee relations, cultivating a collaborative environment to enhance team learning and individual growth.supervise multi-site, hospital-based… Show more Operating Budget: $70 Million | Client Retention Rate: 95% | Net Promotor Score 80•Promoted to drive multi-site practice expansion through strategic hospital partnerships, achieving growth goals and developing the next generation of leaders through succession planning.•Led initiatives in talent development, performance management, and employee relations, cultivating a collaborative environment to enhance team learning and individual growth.supervise multi-site, hospital-based provider practices, with a focus on fostering hospital partnerships.•Develop and maintain strong, long-lasting client relationships with hospital executive leadership, serving as the primary point of contact for inquiries and concerns in a timely manner.•Monitor client satisfaction and engagement levels, taking measures to address any challenges that arise promptly.•Prepare and deliver monthly and quarterly performance reports and presentations to clients, highlighting key performance indicators/metrics, achievements, and opportunities for improvement.•Collaborate with internal cross-function teams to develop and execute onboarding plans tailored to each client's needs and requirements.•Define practice service scope, objectives, and deliverables, and develop detailed project plans outlining timelines, milestones, and resources needed for successful onboarding.•Coordinate and schedule kickoff meetings and other onboarding activities.•Monitor project progress, identify potential risks, and take preemptive steps to mitigate issues and ensure on-time delivery.•Established partnerships with cross-functional support teams, including Legal, to guarantee regulatory-compliant client contract terms•Project Management experience with healthcare software (EMR, Imaging and Revenue) conversions, implementations, and enhancements Show less

Knoxville, Tn

•Directed and coordinated operations for multiple healthcare practice sites, overseeing strategic management and ensuring operational excellence across all locations. •Spearheaded operational best practices, optimized service line performance, cultivated hospital partnership relationships, and achieved retention and business development objectives.•Provided strategic planning, leadership development, fiscal management, and process improvement. •Cross-team collaboration with… Show more •Directed and coordinated operations for multiple healthcare practice sites, overseeing strategic management and ensuring operational excellence across all locations. •Spearheaded operational best practices, optimized service line performance, cultivated hospital partnership relationships, and achieved retention and business development objectives.•Provided strategic planning, leadership development, fiscal management, and process improvement. •Cross-team collaboration with physicians, hospital senior executive teams, community providers and peers to enhance company growth and exceed revenue, market, and market share performance objectives.•Introduced new value-added services to promote service line growth and sustainability with introduction of Obstetrical Emergency Department and collaborative service agreements•Enhanced client reimbursements by resolving long-standing revenue challenges with claim submission and reimbursement•Successfully negotiated new contracts and renewals•Published articles in Becker's Hospital Review and Modern Health magazines Show less

Greenville, South Carolina

•Elevated to oversee operations and revenue for multi-site healthcare practices, focusing on operational excellence, performance enhancement, cultivating hospital partnerships, and maintaining relationships, all in support of ongoing business development.• Provided strategic planning, leadership development, fiscal management, and process improvement for a team of 5 Directors and 50+ FTEs. • Enhanced company growth and exceeded revenue, market, and market share performance objectives… Show more •Elevated to oversee operations and revenue for multi-site healthcare practices, focusing on operational excellence, performance enhancement, cultivating hospital partnerships, and maintaining relationships, all in support of ongoing business development.• Provided strategic planning, leadership development, fiscal management, and process improvement for a team of 5 Directors and 50+ FTEs. • Enhanced company growth and exceeded revenue, market, and market share performance objectives while ensuring regulatory and quality standards.• Developed Emergency Medical Treatment Active Labor Act training webinar and guidelines to ensure 100% renewal rate of hospital and physician contracts each year• Secured contracts in all states meeting national and regional regulatory guidelines to resolve out of network conflicts and reimbursement issues with insurance carriers as well as Independent Physician Associations• Generated contracts with local payers for services; developed brochures and marketing artifacts to emphasize the positive returns of joining the group• Developed the National Quality Forum initiative to improve quality with 7 sub-initiatives devoted to Labor and Delivery protocols Show less

Greenville, South Carolina

Managed Care Contracting:• Lead company’s managed care/payor relations strategy through initiation, development, negotiation, and monitoring of payor and health plan contracts.• Utilization of data analysis to identify strategies optimizing payor contracts and improving reimbursement process.Revenue Cycle Management:• Evaluate the fiscal outcomes of managed care contracts, ensuring their financial viability.• Managed revenue cycle operations to guarantee precision… Show more Managed Care Contracting:• Lead company’s managed care/payor relations strategy through initiation, development, negotiation, and monitoring of payor and health plan contracts.• Utilization of data analysis to identify strategies optimizing payor contracts and improving reimbursement process.Revenue Cycle Management:• Evaluate the fiscal outcomes of managed care contracts, ensuring their financial viability.• Managed revenue cycle operations to guarantee precision billing and optimized collections.• Served as the primary point of contact and escalation for all payor relations matters, leading independent dispute resolution (IDR) process for optimum resolution.• Responsible for compliance with federal, state, and local healthcare regulations and standards. • Conducted market analyses to understand payor trends, reimbursement changes, and regulatory developments.• Worked closely with various departments, including legal, compliance and finance, to ensure a coordinated approach to revenue cycle management and optimization.Provider Enrollment - Payors• Responsible for team managing individual/group enrollment process, including initial applications, revalidations and updates to enrollment data.• Communicated with healthcare providers and payers to resolve enrollment-related issues and inquiries.• Assisted with the development and implementation of process improvements to streamline the enrollment process and enhance efficiency.Provider Credentialing – Hospital• Responsible for oversight of team responsible for completing provider applications and supporting documentation for securing provider's initial hospital privileges and reappointments.• Enhanced efficiency in provider onboarding procedures, specifically targeting hospital credentialing processes, through the development and execution of streamlined process enhancement, increasing provider satisfaction by elimination of providers from the tedious tasks of application completion and redundancies Show less

Registered Nursing/Registered Nurse

Business Management

Registered Nursing/Registered Nurse

Diploma Of Nursing, Nursing