Celestine J. Hill

Clover, SC 803-***-**** (C) 704-***-**** abmg6l@r.postjobfree.com

CHARACTER SUMMARY:

A self-motivated and goal-oriented professional, possessing an accomplished background in the areas of,

project management, contract negotiations strategic sourcing and healthcare reimbursement and

collections. A dedicated individual with a strong customer service background that focuses on building

relations and resolving issues. Diligent in work ethics and empowered by persistence, determination and

integrity.

AREAS OF EXPERTISE:

Excellent Customer Service ~ Relationship Building ~ Management ~ Supervision ~ Administration, and

Training abilities ~ Leadership Planning ~ Team Building ~ Establishing Strategic Direction ~ Great Written

and Verbal Communication skills ~ Decision Making

PROFESSIONAL SUMMARY:

2006-2010 Premier Inc., Charlotte, North Carolina, Strategic Sourcing Specialist-

Surgical Services Division

• Arranged and conducted bid packages, RFI/RFP proposals, for product category sourcing procedures,

financial and price savings analysis to successfully activate and launch 36 agreements in 16 Surgical

Services product categories; maximizing time management skills and reaching the 60-day launch

metric. The contracts overall performance generated revenue, savings, and favorable negotiated

contract language for the member hospitals and select physician organizations.

• Identified critical issues for risk management with members of the Surgical Committee Board, Member

Task force Suppliers and other partner organizations to maximize the benefits realized from the

relationship.

Corresponded with Process Improvement Task Force, Contract Management and Sourcing Specialist

team members to discover ways to standardize the sourcing process that would incorporate the

conversion process with Cams, Pims and Passport to reduce errors.

Selected Accomplishments:

2009- Recipient of the Premier Sourcing Team award for the Highest Validated Savings for Custom

Procedure Trays/Gowns.

2008- Successfully activated and launched 24 agreements in 16 Surgical Services product category; a

$872M surgical services portfolio, generating savings and added value for the Membership

Created a contracting sourcing tool used to help assist with organizing documents for negotiations/ and

or supplier calls.

2007- Effectively worked with vendor/suppliers to promote additional savings to our Membership

through promotional and Group Buy Programs that provide savings for a short period of time. .Added

value consisted of: extended payment terms, additional discounts, free shipping and higher trade-in

values with aggregation).

2003-2006 Great West Healthcare, Charlotte, North Carolina, Provider Relations

Manager

• Established and executed a clearly defined strategy and associated tactical plans to increase

prospective physician organizations as well as maintain past relationships across the North and South

Carolina region to ensure collaboration and continuous support from the Provider Relations

management team through, retention, and conversion opportunities.

• Managed, provided leadership and training and development to the Provider Relations Team while

offering negotiated physician and surgery center contracts for the NC SC counties; providing

competitive rates for providers

• Directed the flow of work-related tasks regarding physician recruitment, credentialing, data analysis,

appeals, claims and contracts disputes via Provider Contact Management System to monitor physician

demographics, escalated complaints and network trends.

• Conducted quarterly educational seminars/presentations with large physician organizations to

incorporate new lines of business and promotional events.

• Participated in ongoing Corporate Network Development calls and management research seminars as

well as lead person for new project implementation.

Selected Accomplishments:

2005- Expanded the NC and SC network by offering competitive rates to over 500 physicians and surgery

centers

Continued

abmg6l@r.postjobfree.com

2001-2003- Gaston Memorial Hospital, Gastonia, North Carolina, Managed Care

Coordinator

• Responsible for the management, development and training of 13 employees for the Business Services

Department for the purpose of achieving team goals and objectives.

• Controlled Managed Care and Commercial billing cycle, payment review discrepancies and collection

activities to decrease billing errors increase AR collection and to close the gap on contract related

reimbursement issues.

• Improved revenue cycle management through extensive denial management training, consistent

insurance follow-up and appeals and maintained provider relations.

• Analyzed contract proposals for re-negotiation, recommending process workflow to Managed Care

Director.

• Assisted with the establishment and monitoring of structure, policies, procedures and quality control

standards.

Selected Accomplishments:

2003-Led team to consistently generate weekly revenue in collections which implemented an employee

monthly bonus structure.

1999-2001-Preferred Medical Marketing Corporation, Charlotte, North Carolina, Client

Support Manager

• Assessed client’s (hospital) internal teams to facilitate and introduce software packages that best utilize

our resources against the client objectives

• Maintained client databases, interpreted contract language discrepancies and logged in Managed Care

and Commercial Care contract information via Contract Pro CS Management System and Crystal Report

Design.

• Customized a value creation process for targeted clients recommending reimbursement auditing

process and collection strategies for the end of month financial performance reporting process.

• Organized outsourcing timelines, extracted hospital data by way of Access and Monarch interfaces, and

relayed test data results for system integration.

Selected Accomplishment:

2001- Strategically prepared reports for high level executives that guided recoupment process. Recouped

over $500,000 for member hospitals.

1997-1999- Inova Fairfax Hospital, Fairfax, Virginia, Managed Care Analyst/ Supervisor

• Guided staff through various Managed Care contract performance reports utilizing simulations and

forecasting future contract negotiations via Contract Pro CS Management System auditing process.

• Consulted with Managed Care Organization, on projects designed to insure proper payment results by

presenting appeals for reconsideration, forwarding supplemental billing invoices and maintaining

ongoing relationships with payor organizations.

• Reviewed hospital medical records to establish necessity of care, communicating the decision to the

Utilization Review Organization for proper discharge notification.

EDUCATION:

• 2007 Pfeiffer University Charlotte, NC, MHA-Healthcare Administration

• 1989 Virginia Union University Richmond, VA -BS degree in Business Administration/Accounting

SKILLS:

• MS Word. Excel PowerPoint, Access, SMS Shared Management Systems, CAMS-Microstrategy v9,

Siebel, Contract Pro CS

MEMBERSHIP:

• Pfeiffer Alumni Association ISM-Carolinas-Virginia (Institute of Supply Management)-Charlotte

Chapter, Girl Scouts of America (The Pioneer Council-), Gastonia, NC

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