Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tammy Phillips

Casa Grande,AZ

Summary

Professional representative with robust experience and strong commitment to delivering exceptional results. Effective at collaborating within teams and adapting to changing needs to ensure reliability and success. Skilled in communication, problem-solving, and customer relations, with focus on achieving impactful outcomes. Valued for proactive approach, integrity, and ability to build lasting professional relationships.

Overview

18
18
years of professional experience

Work History

Provider Engagement Representative-Client Manager

United Healthcare-Optum
08.2021 - Current
  • Increased customer satisfaction by addressing and resolving complaints in a timely manner.
  • Handled provider issues quickly and professionally to restore provider confidence and prevent loss of business.
  • Developed and maintained positive relations through coordination with team members to properly handle requests and questions.
  • Met and exceeded performance targets through diligent work ethic and focus on results-driven tasks.
  • Provide support to staff with education to include health plan processes, quality, claims appeals/escalations, prior authorizations, and network portals.
  • Problem solving as a liaison between managed care network and providers to include claims issues, contracting questions and patient access to care issues
  • Serve as a Client Manager maintaining relationships for successful benchmarks and growth.

Provider Relations Representative

Banner Health - Arizona
06.2018 - 08.2021
  • Increased customer satisfaction by addressing and resolving complaints in a timely manner.
  • Conducted in person meetings with Providers and staff
  • Handled provider issues quickly and professionally to restore provider confidence and prevent loss of business.
  • Developed and maintained positive relations through coordination with team members to properly handle requests and questions.
  • Met and exceeded performance targets through diligent work ethic and focus on results-driven tasks.
  • Provide support to staff with education to include health plan processes, quality, claims appeals/escalations, prior authorizations, and network portals.
  • Problem solving as a liaison between managed care network and providers to include claims issues, contracting questions and patient access to care issues
  • Serve as a Client Manager maintaining relationships for successful benchmarks and growth.
  • Work closely as a team to include quality and coding educators to ensure offices reach maximized performance and success.

Provider Relations Representative

Arizona Priority Care
09.2015 - 06.2018
  • Increased customer satisfaction by addressing and resolving complaints in a timely manner.
  • Conducted in person meetings with Providers and staff
  • Handled provider issues quickly and professionally to restore provider confidence and prevent loss of business.
  • Developed and maintained positive relations through coordination with team members to properly handle requests and questions.
  • Met and exceeded performance targets through diligent work ethic and focus on results-driven tasks.
  • Provide support to staff with education to include health plan processes, quality, claims appeals/escalations, prior authorizations, and network portals.
  • Problem solving as a liaison between managed care network and providers to include claims issues, contracting questions and patient access to care issues
  • Serve as a Client Manager maintaining relationships for successful benchmarks and growth.
  • Work closely as a team to include quality and coding educators to ensure offices reach maximized performance and success.

Health Information & Credentialing Manager

Select Hospital
05.2007 - 09.2015
  • Managed the onboarding process for new providers, ensuring timely completion of all required documentation.
  • Facilitated smooth communication between departments, fostering collaboration in support of credential management objectives.
  • Collaborated with department leaders to develop policies and procedures for maintaining accurate provider records.
  • Assisted with the preparation of reports for senior management, highlighting key achievements and areas for improvement within the department.
  • Maintained up-to-date knowledge of industry regulations, ensuring ongoing adherence to best practices in provider credentialing.
  • Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
  • Maintained relationships with medical providers, suppliers, and reporters.
  • Participated in committees to discuss electronic health records and methods to improve overall workflows.
  • Conducted education and training activities for physicians, nursing staff and administrative personnel.
  • Maintained high levels of customer satisfaction by addressing concerns related to health information management promptly and professionally.
  • Collaborated with interdisciplinary teams to establish best practices for maintaining accurate and timely medical records across the organization.
  • Championed a culture of excellence within the Health Information Management department, setting performance expectations and providing regular feedback to team members.
  • Ensured compliance with federal and state regulations by staying current on industry standards and updating organizational policies accordingly.

Education

High School Diploma -

Hanover High School
Hanover, CO
05-1990

Skills

  • Strong focus on accuracy
  • Proficient in prioritizing tasks
  • Coordinate and conduct business reviews
  • Facilitate and Drive Provider Engagement Meetings
  • Medical Expense Discussion and Education
  • Claims research
  • Contracting/Credentialing/Record Management
  • Report Preparation/Written Correspondence
  • Proficient in Microsoft Word, Excel, and PowerPoint
  • Compass (Sales Force) expertise
  • Education organization
  • Monitoring provider performance: Metrics, Medication Adherence
  • Problem Solving between Providers and Managed Care
  • Client engagement

Timeline

Provider Engagement Representative-Client Manager

United Healthcare-Optum
08.2021 - Current

Provider Relations Representative

Banner Health - Arizona
06.2018 - 08.2021

Provider Relations Representative

Arizona Priority Care
09.2015 - 06.2018

Health Information & Credentialing Manager

Select Hospital
05.2007 - 09.2015

High School Diploma -

Hanover High School

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