Summary
Overview
Work History
Education
Skills
Tools And Software
Traits
Timeline
Generic

STEPHANIE BOYD

Birmingham,Alabama

Summary

To utilize my extensive knowledge of provider relations and problem solving, obtained through 8+ years of on-the-job experience, to further relationships with existing clients, secure relationships with new clients, and ensure favorable business outcomes for StateServ.

Overview

8
8
years of professional experience

Work History

Manager of Central Support

StateServ
Birmingham, AL
04.2023 - Current
  • Manager of Provider Service Associates for Network Operations, upwards of 9 team members
  • Oversees the central support functions within network operations including SPAs, CQIs, sourcing, specialties, and compliance
  • Works directly with Associates in preparing them for promotions to the consultant role
  • Creates and implements processes that are easily replicated
  • Deescalates issues that arise with external providers, internal departments, management, direct reports, etc., to prevent further escalation to Leadership
  • Collaborates with all departments of StateServ to support cross functionality to ensure efficiency
  • Creates new reports and dashboards in Salesforce to manage productivity and project management
  • Works directly with Sales, Finance, and Direct Services to create SPAs for non-contracted clients and place internal orders for tracking purposes
  • Reviews metrics with the Senior Director and Senior Vice President of Network Operations and assist with identifying trends regionally.

Sourcing Services Supervisor

StateServ
Birmingham, AL
06.2020 - 04.2023
  • Manages team members and conducts annual reviews
  • Submits PAFs for merit increases, promotions, terminations, etc
  • Loads contracts and relationships in DMETrack for billing and internal SPA purposes to ensure Network Providers are paid in a timely manner and have access to a patient’s profile when not directly contracted for the site
  • Works directly with department heads to create and implement processes that would lessen billing and margin errors
  • Worked with providers to reduce specialties by 85%.

Sourcing & Configuration Coordinator

StateServ
Birmingham, AL
02.2019 - 06.2020
  • Processed Single Patient Agreements
  • Obtained pricing, provider specifics, and proper approvals
  • Built relationships with non-contracted providers
  • Reviewed contracts and fee schedules
  • Sourced equipment for patients when needed
  • Handled all Specialties by updating or canceling orders to correct items and ensure accurate billing
  • Assisted with process improvements for both Specialties and Single Patient Agreements
  • Created and made SOPs more efficient
  • Worked with multiple systems to ensure orders were placed properly between both Mesa, AZ and Birmingham, AL
  • Worked with a variety of departments internally including CSCs, PCCs and BI Analysts
  • Created new contracts in Hospicelink and DMETrack Pro
  • Applied item adds in DMETrack and limited formularies in HL.

CSD Representative

Blue Cross Blue Shield
Birmingham, AL
01.2016 - 01.2018
  • Reviewed claims and how the benefits applied to the members
  • Resolved issues with billing and providers
  • Updated information for members and efficiently explained procedures and DME guidelines
  • Handled a high call volume and specific schedules to adhere to fellow co-worker and customer needs
  • Knowledgeable with criteria of coverage for DME
  • Explained and interpreted precertification and prior authorizations with limitations and pricing allowances for DME
  • Met the guidelines and exceeded with first call resolution using Ulysses
  • Communicated with customers and providers with confidence.

Education

Skills

  • Critical Thinking
  • Problem Solving
  • Self-starting
  • Innovative
  • Process Improvement
  • Performance Management
  • Adaptable
  • Sociable
  • Team Leadership
  • Team Building

Tools And Software

Hospicelink
  • DMETrack
  • Salesforce
  • SharePoint
  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • Smartsheet
  • QuickBooks
  • MRO
  • CIS
  • Adobe
  • Aspect
  • Provider Access
  • JIVA
  • OnSpring
  • Power BI

Traits

  • Critical Thinking
  • Problem Solving
  • Self-starting
  • Innovative
  • Process Improvement
  • Adaptable
  • Sociable
  • Team Leadership
  • Team Building

Timeline

Manager of Central Support

StateServ
04.2023 - Current

Sourcing Services Supervisor

StateServ
06.2020 - 04.2023

Sourcing & Configuration Coordinator

StateServ
02.2019 - 06.2020

CSD Representative

Blue Cross Blue Shield
01.2016 - 01.2018

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STEPHANIE BOYD