Tyrone White Email & Phone Number

• Compiles competitor and internal data to grow enterprise networks in compliance with state and federal regulations. Evaluates DSO contracting for cost-effectiveness, balancing their needs with business requirements.• Develops understanding of DSO business plans to creatively benefit both DSOs and the enterprise. Represents the enterprise to DSOs, including executives, conducts training, and manages contract completion and Provider Tools functions.• Creates impactful presentations and negotiates with DSO executives and internal stakeholders using consultative selling skills to influence decision-makers.• Monitors DSO utilization patterns, recommends efficiency tools for effective plan administration, resolves DSO concerns creatively, and manages delegated credentialing participation and contract processing efficiently.

• Builds and develop partnerships between providers and the company, with the concerted effort to grow strong, stable provider networks.• Maintained 95% participating provider saturation in major metropolitan area market in territory states (GA, LA, TN, AL, MS) exceeding performance guarantee targets and consistently exceeding provider recruitment goals year-over-year.• Performed cost analysis reviews to assess cost effectiveness of contracting each provider prior to recruitment proposals.

•Served as first point of contact for providers on all matters related to the Dentegra network from a trusted advisor position.•Enabled 5 of 6 team members to exceed sales goals and grow YoY .•Provided high-level technical and logistical troubleshooting, investigating claims issues and guiding usage of Delta technologies. •Planned and facilitated regular recruitment meetings to advise Network Development Specialists on their targets and collaboratively develop strategies to hit those targets. Ensured a team culture of support, accountability, and customer-focused strategy.

• Secured outstanding and outdated provider credentials to maintain dentist network size and internal regulatory compliance. • Partnered directly with colleagues from Provider Relations to resolve any escalated delinquent credentialing issues.• Reviewed legislative requirements, polices, and updates and disseminated change information to all relevant parties.• Project managed colleagues across departments to ensure timely completion of all re-credentialing operations while maintaining unwavering compliance with all HIPAA privacy guidelines.

Alpharetta, Georgia, United States

In this customer-facing role, job functions included providing claim status to providers, enrollees’, and group benefits administrators. • Maintained an exceptional record of accurately and quickly reprocessing incorrectly processed claims and corrected claims. • Collected and forwarded information to dental consultant for re-consideration and appeal. • Managed incoming inquiries and complaints regarding benefits and eligibility information from all communication channels.