Physician Business Manager & Provider Relations Leader
Resume:
TANIS PETTIS
Physician Business Manager
904-***-**** ************@*****.***
EXPERIENCE
Provider Service and Experience Manager
WellMed Medical Management
Develop and maintain strong positive relationships with healthcare providers
Serve as a primary point of contact for provider inquiries, issues, and concerns
Work closely with providers to resolve any service-related issues or disputes in a timely manner
Foster collaborative partnerships with providers to enhance satisfaction and retention
Ensure providers are educated about company products, services, and tools to optimize their engagement
Work with cross-functional teams such as operations, IT, and claims to implement solutions that improve provider experience Accomplishments: Resolved member escalated issues with education, redefined the referral process with specialist with providers able to begin seeing their patients more quickly, streamlined provider claims and billing inquiries increasing provider satisfaction rate
Physician Business Manager
WellMed Medical Management
01/2016 - 12/2023
Oversees financial matters, including budgeting, billing, and revenue management, to ensure the practice remains financially stable Responsible for staff management, scheduling, and compliance with healthcare regulations, fall under their purview
Strategic planning, identifying opportunities for growth, and implementing strategies to enhance the practice's profitability and reputation Effective communication, both with healthcare providers and patients, is essential, serve as a bridge between medical professionals and the business aspects of the practice
Accomplishments: Business relationships with Primary Care Physicians, specialist, hospitals, home health providers, and skilled nursing facilities, built a broader specialist network for patient care, resolved claims, prior auth, and referral issues that were preventing patient care Provider Relations Representative
ValueOptions Federal Inc
01/2015 - 01/2016
Establish and maintain positive relationships between our healthcare organization and external healthcare providers, such as physicians, clinics, and hospitals
Facilitate communication, address provider inquiries, and ensure that providers understand and comply with our network policies and procedures
Collaborate with internal teams to resolve issues, optimize provider network performance, and contribute to the overall success of our healthcare network
Accomplishments: Building a network for military members and families, successfully addressing provider inquiries and concerns, leading to increased satisfaction and retention in the network SUMMARY
Results-oriented professional with over 8 years of proven success in contract management, provider
service, training, and medical claims/billing.
Specific knowledge in Business Administration
specializing in management.
SKILLS
Financial Management
Regulatory Compliance
Problem Solving Data Analysis
Strategic Planning
Communication
Patient-Centered Focus
Negotiation
EDUCATION
Masters in Human Resource
Management
Saint Leo University
Bachelor of Arts in Business
Administration
Saint Leo University
Associates Degree in Liberal Arts
Del Mar College
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EXPERIENCE
Beneficiary Service Representative
Tricare
01/2014 - 01/2015
Professionally addressing beneficiary inquiries and concerns Accurately processing claims while ensuring compliance with program regulations
Providing clear explanations of program details to beneficiaries, helping them make informed decisions about their benefits
Maintain organized records of beneficiary interactions and collaborating with other departments to resolve complex issues, while upholding the highest standards of customer service and confidentiality www.enhancv.com Powered by
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