Lindsey Bazelais
Norwood,MA
Summary
Results-driven healthcare management professional with over 7 years of experience in provider enrollment, contracting, and vendor management. Proven success in optimizing processes, driving financial recoveries, and leading high-performing teams. Skilled in contract negotiation, regulatory compliance, and fostering strong vendor and payor relationships. Adept at managing multiple priorities and ensuring operational excellence in fast-paced environments.
Overview
7
7
years of professional experience
Work History
Vendor Contract Liaison
Springwell
Waltham, MA
09.2024 - Current
- Conduct audits of vendor agency documentation to ensure compliance with required standards and regulations
- Perform onsite visits to review personnel records, verify CORIs, and ensure training completion
- Communicate with vendors regarding audit findings, and address consumer complaints and other issues
- Manage vendor enrollment with MassHealth and track recredentialing, ensuring up-to-date records
Senior Provider Contracting
Health New England
NSW
03.2023 - 04.2024
- Led contract negotiations, thoroughly analyzing proposals and agreements, resulting in cost reductions for the organization
- Successfully managed high volumes of contracts while ensuring accuracy and meeting tight deadlines
- Streamlined scheduling and managed supervisor itineraries to enhance operational efficiency
Supervisor, Provider Enrollment/Contracting
Steward Medical Group Inc. (SMG)
Watertown, MA
03.2019 - 03.2023
- Supervised provider enrollment for the Northeast and Central regions of the largest private, physician- led healthcare network in the U.S
- Directed a team of 8 members to successfully enroll over 125 providers across 5 state markets, minimizing disruptions to billing and claim payments
- Spearheaded enrollment processes for 70 providers across 28 payors in Southern Florida, ensuring seamless service delivery during a large-scale acquisition
- Reduced enrollment write-offs through process improvements and enhanced payor relationships, recovering over $3 million in denied charges
- Implemented custom reporting to track productivity and presented data-driven insights to Senior Leadership
- Led initiatives to address lost revenue and recovered $1.3 million by scrutinizing vendor practices
Sr. Credentialing Specialist
Optum
Boston, MA
05.2017 - 03.2019
- Performed revalidation activities for MassHealth providers, ensuring timely and accurate documentation
- Trained new hires in using MMIS and PECOS systems, improving the team's overall efficiency
- Ensured compliance by verifying licensure and regulatory sanctions, and conducted quality control checks before submission to state authorities
Education
Bachelor of Science - Health Care Management
Newbury College
Brookline, MA05.2016
Skills
- Microsoft Office (10 years)
- Visio (3 years)
- Microsoft SQL Server
- Data Analysis & Reporting
- Call Center Management
- Athenahealth
- Contract Negotiations
- Medicare and Medicaid knowledge
Accomplishments
- Recovered over $3 million in denied charges through strategic payor engagement and escalation processes.
- Reduced organizational costs by optimizing vendor contracts and streamlining enrollment processes.
- Successfully enrolled over 125 new providers across multiple state markets, ensuring seamless provider operations.
Core Competencies
- Leadership & Team Management
- Contract Negotiation & Vendor Relations
- Process Optimization & Efficiency
- Provider Enrollment & Credentialing
- Regulatory Compliance
- Financial Recovery & Cost Reduction
- Cross-Functional Collaboration
- Data Analysis & Reporting
Timeline
Vendor Contract Liaison
Springwell
09.2024 - Current
Senior Provider Contracting
Health New England
03.2023 - 04.2024
Supervisor, Provider Enrollment/Contracting
Steward Medical Group Inc. (SMG)
03.2019 - 03.2023
Sr. Credentialing Specialist
Optum
05.2017 - 03.2019
Bachelor of Science - Health Care Management
Newbury College
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