Health Care account executive seeks new opportunity.
Professional with experience in provider relations and strong track record of optimizing communication between healthcare providers and organizations. Skilled in conflict resolution, contract knowledge, and relationship management. Focused on team collaboration and achieving results, adapting to changing needs, and ensuring seamless coordination.
Knowledgeable Provider Relations Advocate with background in provider relations. Expertise in building and maintaining relationships with healthcare providers, ensuring smooth communication and collaboration.
Overview
17
17
years of professional experience
Work History
Provider Relations Coordinator
United Healthcare
12.2017 - Current
Streamlined communication between healthcare providers and the organization, resulting in improved collaboration and efficiency.
Answered provider inquiries via email, telephone and written correspondence.
Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
Analyzed data to uncover insights and identify key opportunities to inform strategic decisions.
Initiated physician and hospital orientations to support ongoing education of health care provider community.
Organized educational events for healthcare providers to promote best practices and strengthen partnerships.
Account Executive
Avery Home health
08.2016 - 12.2017
Responsibilities include marketing and selling home health services to physicians, nurses, social workers, case managers, and facility administrators
Educate referral sources on appropriate home health for patients for Medicare and Medicaid guidelines
Developed and implement a weekly call plan
Day to day communication with clinical staff to ensure high patient satisfaction
Ensure adherence and compliance to established productivity targets for record/billing review
Analyze physician referring habits and plan sales calls accordingly
Properly documenting inventory and expense reports to remain compliance with company regulations
Scheduling and conducting lunch and learn programs
Averaging 12-15 calls per day exceeding expectations by 1 to 2 calls per day, and averaging 3-4 facility activities per week
Expanded territory increase by 30% in 9 months
Boosted client satisfaction by developing and maintaining strong relationships through effective communication.
Managed multiple accounts simultaneously while maintaining organization and prioritizing tasks efficiently.
Health Care Information Specialist
William Beaumont Medical Center
06.2012 - 06.2016
Plan and direct unit operations for healthcare information and claims within medical records and billing
Investigated and resolved member complaints regarding providers to maintain member and provider satisfaction
Educate and train all physicians and clinical staff for documentation standards and policies
Developed and implemented plans for formal and informal physician, nursing, and other clinical staff
Identify strategies for changing work process to facilitate complete, accurate clinical documentation
Ensure adherence and compliance to established productivity targets for record/claim review
Conducted presentations to physicians and clinical staff regarding proper documentation and system usage
Led the team training for new and improved approach to hybrid system for clinical documentation
Audited programs and techniques to improve data quality business practices and billing
Prepare reports and provided metrics and other information to leadership and upper management
Co-chaired Health Plan Credentialing Committee
2014 – Recognized with the Commander's Award for Joint Commission leadership
Resolved customer problems and complaints.
Compiled information from files and research to satisfy information requests.
Medical Supply Sales Account Manager
Universal Companies
01.2008 - 01.2010
Sold medical spa equipment
Established policy, program planning and execution, managing, supervising, and coordinating marketing
Provided technical guidance for phases of logistics management operations
Recommended and implemented policies and systems for program management, movement control, and supply movement both internationally and within the continental US
Served as a formal leader; mentor peers, subordinates, and superiors on processing operations and maintenance
2010 – Star Sales Excellence Award
2010 – Represented company at the Las Vegas Convention Center iSpa
2009 – Achieved 18% market increase for Corrective Skin Care line
Managed accounts to retain existing relationships and grow share of business.
Increased sales revenue by identifying and pursuing new business opportunities.
Provider Relations Coordinator, promoted to Sr. Provider Relations Coordinator at Medical Associates Clinic & Health PlansProvider Relations Coordinator, promoted to Sr. Provider Relations Coordinator at Medical Associates Clinic & Health Plans