Adedolapo Adedoyin
Merrillville,IN
Summary
Seasoned Provider Relations Manager with significant experience in managing strategic relationships, enhancing provider networks and implementing corrective action plans. Possess strong skills in negotiation, conflict resolution, and team leadership. Demonstrated track record of improving provider performance metrics and leveraging communication skills to facilitate productive interactions between providers and healthcare organizations.
Overview
5
5
years of professional experience
Work History
Manager of Operations
SAFE SAIL LLC
Valparaiso, IN
02.2020 - Current
- Monitored claim denials, appeals, and grievances for accuracy and completeness of information.
- Responded promptly to inquiries from providers regarding billing issues, claims processing.
- Prepared reports on provider relations activities for management review.
- Participated in meetings with external parties such as managed care organizations and other vendors.
- Worked closely with IT department on system enhancements that would benefit both providers and members.
- Analyzed provider contracts to identify areas of improvement or potential risk exposure.
- Reviewed invoices from vendors providing services related to Provider Relations functions.
- Assisted in developing strategies to improve provider satisfaction levels.
Education
Bachelor of Science - Economics
Covenant University
Nigeria05-2008
Skills
- Provider relations
- Contract analysis
- Claims processing
- Regulatory compliance
- Vendor management
- Stakeholder engagement
- Problem solving
- Effective communication
- Process improvement
- Billing resolution
- Risk assessment
- Workflow Analysis
References
References available upon request.
Timeline
Manager of Operations
SAFE SAIL LLC
02.2020 - Current
Bachelor of Science - Economics
Covenant University