TRINA M. HENDERSON
*** *** ***** **** *********, GA 30188 H: 770-***-**** ***********@***.***
Professional Summary
Confident and assertive professional with 16yrs experience in relationship management within a matrix environment. Subject matter expert and strong leadership skills with the ability to build trust with integrity and achieve buy-in. Self-starter with excellent process improvement strategies along with great problem solving abilities to include root cause analysis and ability to analyze detailed information. Excellent verbal and written communication, research and presentation skills. Exceptional organizational and planning skills along with strong contract negotiation, business analysis and operations experience.
Summary of Qualifications
Managed Care
Contract Negotiation
Contract Management
Healthcare Operations
Reimbursement Methods
Auditing
Revenue Cycle
SalesForce
Microsoft Office Suite
Process Improvement
Education and Training
Bachelor of Arts
University of Massachusetts – Boston – B.A. Political Science: Concentration in Public Policy
Professional Experience
Contract Assignments Sept 2016 to June 2018
Insurance Sales
Provided sales and consultations for life, health and supplemental insurance to families, individuals and employers.
Provider Administration Analyst
Worked on a Project Team to ensure provider data integrity met company, state and federal guidelines.
Responsible for reviewing and processing provider contracts and fee schedules.
Managed, tracked and processed incoming provider data. Reconciled provider data across all systems.
Procurement Coordinator
Responsible for procuring a wide range of supplies, equipment, materials and services.
Created requisitions, purchase orders and Request For Quotes.
Prepared invitations for bids.
Adhered to cost containment and price negotiations.
Responsible for order tracking and management.
Prepared and received required documents for Finance to submit payment to vendors.
Researched payment discrepancies for outstanding statements and invoices.
Worked with manager to create new work flow process and SOP.
Lease Contracts Administration Analyst II Jun 2011 to Jan 2016
Ryder Systems – Alpharetta, GA
Audited service level sales contracts for old and new business as well as up-sales.
Lead and primary Analyst for non-standard contracts.
Audited associates work for quality control as well as training specific needs.
Researched and resolved contractual issues escalated by internal and external customers.
Collaborated with Sales and Credit departments for new vehicle contract orders for national and global accounts.
Collaborated with Purchasing/Pricing and vendors regarding variances, validations and completion for customer specs, pricing, order cancellations and spec revisions.
Trained new hires and temps on department processes and procedures. Provided additional training and mentoring to current employees.
Developed and maintained department procedural guidelines, training curriculum and documents.
Ranked top 3 out of 20 associates for contract auditing and new vehicle orders.
Utilized Lean Six Sigma principles to implement new business processes.
Project Team Lead – successfully reduced the number of incomplete sales packages by 83%.
Billing/Auditing Reporting Analyst Sep 2008 to 2010
Northside Hospital – Atlanta, GA
Responsible for financial reporting and forecasting for private and government payors.
Created daily billing reports to maintain revenue compliance.
Provided project support for both Billing and Hospital Audit departments.
Managed Care Business Analyst Mar 2008 to Sept 2008
NovaMed – Alpharetta, GA
Responsible for contract negotiations, management,modeling and analysis with health care payors.
Responsible for securing managed care contracts with health plans as in-network proivider.
Assisted with mergers and acquisitions of surgery centers throughout the US.
Provided ongoing intervention and assistance with contractual, billing, credentialing and CMS issues.
Monitored payor policies and protocol changes for financial and operational impact.
Led project to standardize national insurance carriers’ contracts.
Provider Relations Contracting Representative, Senior Lead Jul 2005 to Mar 2008
Community Choice Michigan – Okemos, MI
Responsible for contract creation, negotiations, management, analysis and modeling.
Responsible for provider/client recruitment, contract drafting and onboarding process.
Serviced contracts for PCP, PHO, IDN, IPA, multi-specialty clinics, and ancillary networks by conducting orientations, visits, in-service training and issue resolution throughout contract life cycle for 200 groups.
Monitored metrics and benchmark and supported financial initiatives.
Worked extensively with Pricing, IT, Sales, Audit, Claims, Finance, Legal,Regulatory, and Quality.
Executed network strategies to include development, adequacy and expansion.
Facilitated monthly and quarterly meetings with provider community to include C-level executives.
Facilitated training sessions and projects, and developed corrective action plans.
Worked with Quality to compile provider data to renew accreditation requirement with NCQA and JCAHO.
Assisted Regulatory team with plan’s licensure renewals and provider and contractual issues.
Requested various reports using data to communicate to healthcare providers.
Worked with business staff as well as healthcare clinicians to improve HEDIS quality reporting measures.
Initiated and successfully restructured interdepartmental processes and procedures.
Restored positive relationships with provider community less than 2yrs.
Aggressively recouped over-payments from hospitals in excess of $1 million.
Decreased outstanding $1M A/R within 3 months of hire date for large hospital group.
EDI Enrollment Analyst, Lead Dec 2002 to Feb 2004
ProxyMed – Norcross, GA
Reviewed and processed EDI contracts for health care electronic claims.
Researched and maintained multi-state EDI regulations, processes and procedures.
Serviced clients’ EDI accounts.
Provided training, mentoring and guidance to team members.
Monitored and distributed work flow.
Implemented new work flow process re-design.
Provided training on new computer applications.
Network Development Specialist, Lead May 2001 to Jul 2002
Blue Cross Blue Shield NC
Reviewed, processed and managed contracts and credentialing applications, etc.
Answered and resolved provider inquiries.
Managed territory greater than 450 groups.
Performed site surveys. Prepared fee schedules.
Negotiated contracts.
Re-designed and improved work flow process.
Initiated and led project to divide specialists into regions.