Team Leader Network Manager
Resume:
Cincinnati, Ohio *****
Phone: 513-***-****
Trey Hardin ad0fr9@r.postjobfree.com
Proven team leader with over thirteen years of healthcare related experience in managed care and cost analysis. Demonstrates leadership and consistently setting the standard of excellence in terms of organizational financial goals. Strives to exceed goals with a hands-on approach. Inspired to provide the best service for all parties involved through effective communication, while building relationships with providers.
CORE COMPETENCIES
Innate ability to provide detailed analysis, inefficiencies, errors and formulate a plan to for success.
Highly successful in building and maintaining relationships with colleagues and associates to ensure the highest level of productive quality.
Exceptional communication, presentation, research and interpersonal skills.
Proven ability to multi-task and meet goals set forth with minimal direction from superiors while supervising personnel, providing leadership, motivation and development for all associates. PROFESSIONAL EXPERIENCE
McLaren St. Luke's, Maumee, Ohio 5/2019 – 4/2023
Associate Director of Payor Management
Negotiate reimbursement rates with Providers within our network
Responsible for contract batch processing into our database.
Assist all providers with any physician contract issues. Laser Spine Institute, Cincinnati, OH 9/2016 – 3/2019 Provider Network Manager
Negotiate reimbursement rates with Professional Providers in the Tri-State area.
Team leader responsible for aligning contractual provider rates into company database.
Responsible for resolution, regarding all contractual issues and physicians concerns. United American Insurance, Cincinnati, OH 11/2009 – 7/2016 Compliance/Auditor Manager
Provide high-level analysis, documenting problematic issues within the Payor department.
Verify and validate commercial payers reimbursements, through contract load and auditing processes.
Developed and tracked associates billing errors and payer policy concerns through training seminars.
Coached new associates to increase productivity while exceeding revenue target shares.
Central Ready Mix, Monroe, OH 10/2008 – 9/2009
Accounst Receivable Manager
Responsible for payments applied to over 200 accounts.
Logged and handled all customer credit memos, with detailed reports.
Installed new accounting software and updates for all system departments. COACHING
Ohio Ballstars Basketball 3/2012 – 3/2019
President of Basketball Operations
Successfully created and established a non-profit basketball program youths in the Cincinnati area.
Youth AAU Basketball Coach
Scheduled and organized all program events, tournaments, practices for 25+ teams.
Grew organization from 20 members to over 250 members in 5 years. VOLUNTEER EXPERIENCE
Created youth sports programming for the DSGAC, community centers and schools.
Youth Basketball Coach Kilgour Elementary School TECHNICAL EXPERTISE
Software Applications: EPIC, ModMed, Med Assets Contract Manager, Microsoft Office Suite (Excel, PowerPoint, Access, Word, Photo Editor, FrontPage, & Outlook), Visual Basic, Adobe Acrobat 9 EDUCATION
Cincinnati State, Cincinnati, OH
Associates Accounting Technology, 2008
REFERENCES
Ismail Youngblood
Private Day Trader
San Francisco, CA
Robert Burlew
DOCS Dermatology
Director of Payor Relations
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