- Trusted to make solid recommendations regarding contract negotiations- Drafted, successfully negotiated, and executed 19 contracts at the current network standards in the first 6 months of 2012- Led the review of 590 network contracts for accuracy, consistency, and potential renegotiation- Successfully negotiated 85% of all single-case agreements in the first 6 months of 2012, with high impact agreements representing $150,000 in savings to the plan - Identified systems issues leading to management review of current processes- Identified and recovered $50,000 in overpayments by auditing fee schedules and past paid claims- Proved ability to lead difficult analysis- Valued as an internal and external resource- Gained respect of peers, management, and external contacts

(Contract Coordinator)- Executed 92% of negotiated contracts, all at the current network standards- Relied upon to provide accurate network discounts, detailed analysis, contract information and provider comparisons- Successfully negotiated 85% of all single-case agreements in 2011 to reduce out of network costs and created a tool for Senior Management to track high dollar savings- Contributed to the renegotiation of the professional and ancillary components of a large health system contract- Company was purchased by Aetna, Inc.(Provider Relations Representative)- Managed the provider WebPortal and developed user instructions and request forms.- Created New Provider and Provider Update Forms which are used by network providers to report changes to their practice- Processed additions, terminations, and changes for a network of 2,000 providers- Performed team-assigned work on-time and effectively - Accomplished tasks with little to no instruction or supervision - Investigated and resolved provider inquiries within 24 hours- Supported the Contract Coordinator with daily tasks- Promoted to Contract Coordinator within one year of employment

- Provided support to the Director of Network Development and 16 Network Service Representatives on daily tasks and special projects- Processed 100% of incoming provider contracts and amendments- Educated participating providers on program regulations- Resolved contracting and billing issues for providers- Assisted in maintaining a database of 14,000 providers- Utilized as a resource in the planning and development of a new provider database- Applied provider relation, organization and customer service skills acquired in previous positions- Broadened knowledge of analyzing and interpreting contract language

- Organized provider office meetings and events, including an annual trade-show- Maintained a provider database of 1,100 professional, ancillary and facility providers- Produced monthly network updates for 20 regional and national PPO networks- Served as a liaison between providers and payors by investigating and resolving provider loading and claims issues- Assisted in the development and design of a new provider database still utilized by the company today- Traveled to participating offices to provide staff with updated reference materials and personalized education- Trained the newest Provider Services Representative in all departmental procedures- Accomplished tasks with little to no instruction or supervision- Effectively utilized provider relation, multi-tasking, time management, organization and customer service skills acquired in previous positions- Gained knowledge in analyzing and interpreting contract language for both provider and payor agreements

- Maintained a productive work schedule from a home office- Established and managed my daily schedule- Effectively covered a 6 county territory in Southern Indiana- Utilized program materials to educate participating office staff on program regulations, proper vaccine protocol and the statewide immunization registry- Audited childhood immunization records for accuracy- Proposed recommendations to providers on how to increase immunization coverage rates, which resulted in increased coverage rates in the state of Indiana- Assumed responsibility of vaccine preventable disease cases and investigated and closed 100% of cases. - Accomplished tasks with little to no instruction or supervision- Implemented time-management and provider relations skills acquired in previous positions- Enhanced organizational and customer service skills

- Successfully adapted to working from a home office- Established and managed my daily schedule- Effectively covered a 20 county territory in Southern Indiana- Utilized program materials to educate participating office staff on program regulations, proper vaccine protocol and the statewide immunization registry- Audited childhood immunization records for accuracy- Proposed recommendations to providers on how to increase immunization coverage rates, which resulted in increased coverage rates in the state of Indiana- Accomplished tasks with little to no instruction or supervision- Implemented time-management skills acquired in previous positions- Enhanced organizational and customer service skills- Gained provider relations experience- Position transitioned from contracted to state employed

- Successfully managed multi-line phone system- Updated patient accounts to reflect current personal and insurance information- Coordinated the daily patient schedule for a multi-physician practice - Created new patient information packets - Accurately entered daily charges for a multi-physician practice- Acquired the ability to multi-task and manage time- Developed organizational and customer service skills