Dawn Dager
Spencerville,IN
Summary
Highly motivated Contract Specialist with 25 years of experience. Diligent team player with extensive knowledge in Managed Care Contracting operations.
Overview
26
26
years of professional experience
Work History
Provider Contracting Supervisor
Physicians Health Plan Of Northern Indiana
Fort Wayne, IN
07.2007 - Current
- Facilitate network development in support of the strategic goals and directives of Senior Management and Sales Team
- Negotiates agreements with provider() Ambulatory Surgery Centers and large health systems within employers medical cost requirements.
- Manage provider relationships and is accountable for interfaces with providers and business staff.
- Research and analyze need of network to assure network adequacy and potential for growth
- Prepare and present provider fee's, contract language negotiations, and quality initiatives to prospective providers/groups/systems.
- Knowledge of CMS guidelines and various reimbursement schedules including but not limited to; professional, lab, DME, ASC and drug reimbursements
- Extensive knowledge of claim research and resolution
Provider Contracting Representative
Lutheran Health System
Fort Wayne, iN, IN
06.2005 - 07.2007
- Responsible for maintaining contracts for multiple large payers, including Medicare and Medicaid.
- Negotiated rates and reviewed contract language change requests.
- Develop and maintain relationship with payors and providers .
- Responsible for notifications of hospital chargemaster increases
- Research and resolve payment issues with payers.
- Educate provider and facilities on contracted rates with the various payers
Provider Relations Specialist
The Healthcare Group D/b/a Encore Health Network
Fort Wayne, IN
01.2003 - 06.2005
Provider Relations Specialist
Parkview Signature Care
Fort Wayne , IN
03.1996 - 01.2003
Education
No Degree - Business Management
IPFW
Fort Wayne IN High School Diploma -
Northrop High School
Fort Wayne, IN06.1991
Skills
- Contract rate negotiations
- Relationship Management
- Conflict Resolution
- Excellent Communication skills
- Network Development
- Understanding of Provider Contract language
- Team Player
- Decision Making
Additional Information
Completed extensive coaching training through Gladieux Consulting in 2019-2020.
Timeline
Provider Contracting Supervisor
Physicians Health Plan Of Northern Indiana
07.2007 - Current
Provider Contracting Representative
Lutheran Health System
06.2005 - 07.2007
Provider Relations Specialist
The Healthcare Group D/b/a Encore Health Network
01.2003 - 06.2005
Provider Relations Specialist
Parkview Signature Care
03.1996 - 01.2003
No Degree - Business Management
IPFW
High School Diploma -
Northrop High School