Jenae Lopez
Fort Collins,CO
Summary
Dedicated provider relations professional with over 20 years of experience. Passionate about cultivating strong relationships, networking, and driving new business growth. A self-starter with a track record of fostering collaboration and delivering results in dynamic healthcare environments.
Overview
21
21
years of professional experience
Work History
Sr Provider Relations Account Manger
UnitedHealthcare
02.2016 - 05.2025
- Serve as the single point of contact for healthcare facilities, representing both government and commercial insurance products, ensuring seamless communication and support across various healthcare systems.
- Act as a trusted advisor to healthcare systems, providing expert guidance and problem-solving for complex and novel issues without clear paths to resolution.
- Work cross-functionally within a dynamic and matrixed organization to identify emerging trends and recommend actionable improvements to internal processes and provider relations.
- Educate providers and healthcare systems on the outcomes of root cause analyses, delivering clear communication about the results and recommended actions to improve their revenue cycle management.
- Lead educational initiatives on billing and coding errors, reimbursement policies, and other critical components of the revenue cycle, fostering continuous improvement in provider billing practices.
- Propose and implement strategies to optimize provider satisfaction and operational efficiency, improving overall financial performance for healthcare facilities.
Community Resource Manager
Colorado Access
06.2014 - 07.2015
- Developed and implemented a comprehensive strategic communication and outreach plan for a High Fidelity Wraparound pilot program across multiple counties in Wyoming, ensuring effective program introduction and engagement.
- Cultivated relationships with Wyoming organizations, programs, providers, and community stakeholders to facilitate collaboration and drive participation in the program, ensuring diverse community engagement in the process.
- Planned, organized, and facilitated community advisory group meetings in each of the pilot counties to collaboratively identify program strengths, gaps, and unique community needs, adapting the program for maximum impact.
Outreach/Communications Coordinator
Wyoming Department of Health CHIP
01.2013 - 06.2014
- Developed and implemented a comprehensive re-branding plan for the program, effectively marketing it to Wyoming healthcare professionals, providers, local organizations, families, and key stakeholders.
- Represented the program and agency at public events, establishing and maintaining valuable relationships with community and statewide stakeholders to promote program awareness and participation..
- Designed and wrote content for new marketing materials, including brochures, posters, and a monthly newsletter, distributing through print, website, and email campaigns to increase program visibility and engagement.
Provider Relations
Blue Cross Blue Shield of Wyoming
10.2011 - 08.2012
- Facilitated contracting and credentialing for medical providers within the Blue Cross Blue Shield of Wyoming provider network, ensuring compliance with all policies and industry standards.
- Provided end-to-end support for medical providers, addressing a wide range of provider issues and fulfilling contracting needs to enhance network efficiency and provider satisfaction.
- Administered provider education by conducting regular face-to-face visits and facilitating conference calls to address policy updates, billing processes, and program changes, ensuring providers are well-informed and aligned with program requirements.
Assessment & Admissions Counselor, CADC I
Serenity Lane
04.2004 - 08.2010
- Conducted in-depth assessments and level of care determinations for prospective patients based on the American Society of Addiction Medicine's (ASAM) Patient Placement Criteria, ensuring appropriate treatment placement and care planning.
- Coordinated and scheduled admissions for a 65-bed inpatient facility, utilizing patient triage and evaluating level of care appropriateness, while also addressing financial requirements for treatment.
- Collaborated with multidisciplinary teams to facilitate optimal care plans and ensure timely admission for patients in need of addiction treatment services.
Education
Bachelor of Science - Journalism- Public Relations
University of Oregon
Associate of Arts - Psychology
Laramie County Community College
Skills
- Relationship building and management
- Customer service
- Cross-functional collaboration
- Multitasking and organization
Timeline
Sr Provider Relations Account Manger
UnitedHealthcare
02.2016 - 05.2025
Community Resource Manager
Colorado Access
06.2014 - 07.2015
Outreach/Communications Coordinator
Wyoming Department of Health CHIP
01.2013 - 06.2014
Provider Relations
Blue Cross Blue Shield of Wyoming
10.2011 - 08.2012
Assessment & Admissions Counselor, CADC I
Serenity Lane
04.2004 - 08.2010
Associate of Arts - Psychology
Laramie County Community College
Bachelor of Science - Journalism- Public Relations
University of Oregon
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