Resourceful Account Manager with excellent client oversight, issue resolution and relationship-building expertise. Maximized repeat business opportunities and utilized proven prospecting techniques to expand client base. High-level sales cycle knowledge and strong collaborative skills leading to optimum outcomes.
Overview
21
21
years of professional experience
Work History
PES ACCOUNT MANAGER
Symplr
03.2023 - Current
Prepare hospital privileges and licensing applications on behalf of providers for hospital affiliation, DEA and CDS
Communicate and advise provider or designated contact person of the sequential steps needed to begin the process, through completion and set timeline expectations
Maintain necessary logs, lists, records and current documentation, scanning all related documents in the CARE, Spayer and Netsuite system
Prepare and distribute reports and status notes to designated contact person in order to communicate the progress of approvals
Realtor
Diamond Realty Brokers
05.2018 - Current
Coordinate appointments to show homes to prospective buyers
Confer with escrow companies, lenders, home inspectors, and pest control operators to ensure that terms and conditions of purchase agreements are met before closing dates
Evaluate mortgage options to help clients obtain financing at the best prevailing rates and terms
Assist buyers with finding ideal homes by assessing needs, requirements, and budgets
Review real estate laws to remain knowledgeable about the real estate market
Advise clients on market conditions, prices, mortgages, legal requirements and related matters
Promote sales of properties through advertisements, open houses, and participation in multiple listing services
Coordinate property closings and oversee signing of documents
Prepare documents such as representation contracts, purchase agreements, closing statements and several other documents
Display commercial and residential properties to clients and explain their features
Compare recently sold area properties to determine competitive market prices
Manage contracts, negotiations, and all aspects of sales to finalize purchases and exceed customer expectations
Negotiate, facilitate, and manage real estate transactions
Maintain connections with clients to encourage repeat business and referrals
Community Outreach Specialist
Devoted Health
07.2022 - 03.2023
Responsible for opening doors for sales and marketing opportunities in the community for Devoted Sales Agents
Build relationships with community influencers and gatekeepers to venues where Devoted sales agents can prospect and be a part of the senior population
Ensure market comprehension and adherence to Medicare marketing guidelines and compliance regulations
Assist internal and external sales agent's development of marketing plans and strategies
Deliver Medicare educational presentations at community events to seniors
Work with provider groups for co-op marketing
Track results and ROI on local marketing
Collaboration with internal and external stakeholders to achieve intended results
Developed long-lasting partnerships with local leaders, management team and peers with active engagement, exemplary communication and consistent issue resolution
Connected individuals with available and relevant resources
Provider Relations Representative
ATRIO Health Plans
10.2021 - 05.2022
Lead provider relations communication efforts in the development and delivery of positive and productive relationships with all provider networks
Serve as a point of contact for all provider types in resolving escalated issues
Cultivate and maintain a collaborative working relationship with contracted providers and delegated network providers and administration
Assist providers in understanding contractual obligations
Schedules and leads provider education and presentations in assigned territories
Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities
Answered provider inquiries via email, telephone and written correspondence
UnitedHealth Group
Provider Relations
05.2017 - 09.2017
Responsible for the full range of provider relations and service interactions working on end-to-end provider claim and call quality
Design and implement provider relationships between the health plan and business office managers
Responsible for identifying gaps in network composition contracting and development staff in prioritizing contracting needs, involved in identifying AR and researching and remediating claims
Responsible for assuring an effective Quality Management System by establishing prevention base system while focusing on the continuous improvement model
Responsible for ensuring that all procedures and processes are in compliance with the Code of Federal Regulations, Medicare and Medicaid regulations
Assure each facility is abreast of processes and procedures regarding health plan
Educate providers face-to-face, town halls and webinars
Participate on the eligibility and patient liability project with TennCare to ensure updates and corrections
Provider Credentialing Consultant
Symplr
12.2011 - 05.2017
Symplr provides credentialing/enrollment services, managed care consulting services to individual physicians, physician groups, hospitals employing or recruiting physicians under income guarantee arrangements and billing companies
Experience in licensing and hospital privileges
Enrolled providers and Medicaid, Medicare and private insurance plans
Provider Advocate, Choices Long Term Care
UnitedHealth Group
08.2009 - 12.2011
Headed up the CHOICES Long Term Care network for the Nursing Facilities and Home and Community Base Services providers in Middle, TN
Ensured that all procedures and processes were in compliance with the code of Federal Regulations, Medicare and Medicaid regulations
Participated on the eligibility and patient liability project with TennCare to ensure updates were correct
Educated providers face-to-face, town halls and webinars
Optimized customer experience by delivering superior services and effectively troubleshooting issues
Conducted regular reviews of operations and identified areas for improvement
Provider Relationship Manager
Americhoice
11.2007 - 08.2009
Maintained relationships between the health plan, physicians, hospitals, ancillaries and practice managers
Educated providers on the physician portal, claim submission, ICD-9, CPT procedural coding and uniform billing practices
Kept abreast of CMS rules and regulations
Identified gaps in network composition, contracting needs, contracting and development, involved in identifying AR, researching and remediating claims
Generated awareness regarding the company's products while focusing on the following key responsibilities; provided education to eligible provider groups, organized health fairs to educate the community and school events
Built and maintained relationships with new and existing clients while providing high level of expertise
Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction
Participated in industry events and trade shows to promote products and services
Created and maintained databases to track customer discussions and preferences for accurate, updated records
Facilitated workshops and seminars to educate customers on product features and benefits
Supervisor, Provider Enrollment
Community Health Systems, CHS
02.2007 - 11.2007
Distributed and monitored team members' workload and created plans of action to redistribute projects as needed when workload was unbalanced
Interviewed, hired and trained new employees
Managed schedules and paid time off
Advised physicians with practice start-up questions and state specific regulations
Assisted with hospital acquisitions and performed due diligence for enrollment needs
Coordinated and executed provider enrollment processes for multiple states; Actively assisted in projects working with all levels of management including CEO's, Administrative Assistants, medical staff, and physicians to achieve desired outcome.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows
Handled customer complaints, resolved issues, and adjusted policies to meet changing needs
Achieved results by working with staff to meet established targets
Enrollment Specialist
Community Health Systems, CHS
02.2003 - 11.2007
Enrolled physicians into numerous insurance plans within several different states
Handled change of ownership for Medicare groups.
Helped train new employees along with managing own accounts
Updated, entered and reviewed customer data.
Communicated effectively via telephone, email and in person with prospective customers
Reviewed statistic enrollment data and prepared reports
Education
Bachelor of Science - Healthcare Administration
Tennessee State University/Meharry Medical College
Nashville
05.1998
Skills
Realtor
Healthcare
Provider Relations, Credentialing
Human Resources, Recruiter
Contracts, Operations
Training Development, Quality Assurance
Sales Analysis
Client Relationship Management
Account Management
Contract Negotiation
Timeline
PES ACCOUNT MANAGER
Symplr
03.2023 - Current
Community Outreach Specialist
Devoted Health
07.2022 - 03.2023
Provider Relations Representative
ATRIO Health Plans
10.2021 - 05.2022
Realtor
Diamond Realty Brokers
05.2018 - Current
UnitedHealth Group
Provider Relations
05.2017 - 09.2017
Provider Credentialing Consultant
Symplr
12.2011 - 05.2017
Provider Advocate, Choices Long Term Care
UnitedHealth Group
08.2009 - 12.2011
Provider Relationship Manager
Americhoice
11.2007 - 08.2009
Supervisor, Provider Enrollment
Community Health Systems, CHS
02.2007 - 11.2007
Enrollment Specialist
Community Health Systems, CHS
02.2003 - 11.2007
Bachelor of Science - Healthcare Administration
Tennessee State University/Meharry Medical College