Devorah Gellis
Lakewood,NJ
Summary
MCO Contracting Manager at Guided Care overseeing a team of contracting specialists. I am detail-oriented and results-driven, with experience managing 1,000+ contracts while improving efficiency, client satisfaction, and payer relationships.
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Overview
6
6
years of professional experience
Work History
MCO Contracting Manager
Guided Care
05.2022 - Current
- Directing a team of contracting specialists while overseeing a portfolio of 1,000+ active contracts ensuring operational efficiency.
- Cultivate strategic payer relationships to ensure optimal outcomes.
- Managed and strengthened client relationships by delivering responsive communication, understanding client needs, and ensuring high levels of satisfaction and retention.
- Resolves complex claims and authorization issues related to contracting, minimizing delays and enhancing reimbursement performance.
MCO Contracting Specialist
Guided Care
11.2019 - 05.2022
- Secured managed care contracts for skilled nursing facilities to expand network participation.
- Managed credentialing and negotiated reimbursement rates to maximize revenue.
- Supported Change of Ownership (CHOW) processes and resolved managed care inquiries efficiently including claims and authorization issues.
Education
High School Diploma -
Shiras Devorah High School
Lakewood, NJSkills
Detail oriented
Multitasking
Effective Communication
Responsible
Strong problem solving skills
Managerial skills
Timeline
MCO Contracting Manager
Guided Care
05.2022 - Current
MCO Contracting Specialist
Guided Care
11.2019 - 05.2022
High School Diploma -
Shiras Devorah High School