Director of Payer Relations, Contracting & Credentialing
RMX MONITORING LLC
Mount Laurel, NJ
10.2024 - Current
Negotiated and secured contracts with insurance companies and government entities to expand payer networks.
Oversaw provider credentialing and ensured compliance with documentation standards, particularly for Medicare, while collaborating with internal teams to facilitate network expansion.
Developed strategy based on market trends and revenue analysis.
Restructured and enhanced department standard operating procedures to optimize operational efficiency.
DIRECTOR OF CONTRACTING, LOGISTICS & ANALYSIS
611 Metals Recycling
Pipersville, PA
06.2023 - Current
Managed contract negotiations with vendors and partners, achieving favorable terms and supporting company growth.
Tracked logistical data to optimize operations and identify cost-saving opportunities.
Developed daily revenue projection reports for owners, improving decision-making with insights on fluctuating metal recycling prices.
SR. Manager, Network Contracts & Credentialing
Ethos Therapy Solutions
Blue Bell, PA
01.2019 - 12.2023
Established contracting department by writing and implementing internal processes, defining department goals, and producing revenue and market analysis reports.
Standardized filing system, enhancing document retrieval speed and overall efficiency.
Built the logic for a streamlined contract database, improving contract management and accessibility.
SR. Manager of Rev Support, Contracts & Analysis
Fresenius Kidney Care
Plymouth Meeting, PA
01.2012 - 12.2019
Managed revenue analysis for 1/4 of FMCNA in-network book of business (approx 800 individual contracts), optimizing financial performance.
Developed comprehensive market reports and analyses to inform strategic planning.
Served as Affordable Care Act Expert and primary liaison for Executive Leadership, facilitating compliance and informed decision-making.
Asst. Revenue Manager
DaVita Inc
Malvern, PA
01.2009 - 12.2012
Managed verification, billing, and collections for all insurance plans in designated region, enhancing cash flow and minimizing outstanding receivables.
Oversaw hiring and coaching of staff, resulting in increased team productivity.
Achieved national recognition for conceiving, designing, and creating an innovation/process improvement system that was adopted and implemented in all corporate and revenue offices nationwide.
Timeline
Director of Payer Relations, Contracting & Credentialing
Corporate Director and Administrator Managed Care, Payer Relations, Contracting and Networks at PAM Health Hospital, Voyages Behavioral Hospital System and Professional Group Medical CareCorporate Director and Administrator Managed Care, Payer Relations, Contracting and Networks at PAM Health Hospital, Voyages Behavioral Hospital System and Professional Group Medical Care
Director of Credentialing and Payer Relations at Discovery Behavioral HealthDirector of Credentialing and Payer Relations at Discovery Behavioral Health