Summary
Overview
Work History
Education
Skills
Systems
Timeline
Generic

Terri Gunther

Summary

Dynamic professional with extensive experience in operations and contract management, notably at Revecore. Excelled in roles requiring detailed data analysis, effective people management, and robust problem-solving skills. Achieved significant improvements in organizational effectiveness and efficiency, leveraging leadership and communication abilities. Expert in streamlining processes and enhancing profitability through strategic rule and contract analysis.

Overview

30
30
years of professional experience

Work History

Rule Operations Analyst - Training & Development

Revecore (Bottom Line Systems, Inc.)
05.2023 - Current


  • Reviewed rules for profitability for each client
  • Reviewed facility contracts for payment methodologies to identify rules that would capture claims for areas of opportunity
  • Removed rules from queues that did not pertain to the clients contracts and added rules that did
  • Consolidated, termed and condensed queues to mainstream opportunities for Billing & Coding Issues, Denials & Underpayments

Regional Operations Manager

Revecore (Bottom Line Systems, Inc.)
03.2021 - 05.2023
  • Coordinated with other regional managers to share best practices, streamline processes, and improve overall organizational effectiveness.
  • Monitored and analyzed performance data, identifying areas of improvement and developing corrective action plans.
  • Enhanced customer satisfaction through effective communication and problem-solving strategies.
  • Traveled to over [Number] locations per week to manage each store and perform reviews of individual managers and employees.

Managed Care Analyst/Consultant

Bottom Line Systems, Inc.
03.2013 - 11.2014
  • Enhanced decision-making by analyzing complex data sets to identify trends and patterns.
  • Developed strategic recommendations for optimizing business operations, improving efficiency.
  • Improved client satisfaction by providing timely and accurate analysis of market trends.
  • Conducted thorough research and analysis for actionable insights, driving project success.

Benefits Counselor/Agency Sales Representative

Colonial Life
05.2012 - 03.2013

I helped Employees protect their income and financial well being through Voluntary Benefits. I communicated and educated Employers and Employees on the value of Voluntary Benefits. I sold life insurance, cancer insurance, accident & dismemberment insurance.

Large Practice Ancillary & Contracting Executive

Humana
01.2008 - 05.2012
  • Negotiated contracts for multiple large physician specialty groups. large hospital owned physician groups and Ambulatory Surgery Centers
  • Identified and corrected system loading errors and had claims reprocessed accordingly
  • Was the liaison between physician groups and multiple Humana departments
  • Helped establish a new Oncology Pre-Certification process



Team Leader/Managed Care Analyst

Bottom Line Systems, Inc.
09.1998 - 01.2008
  • Improved team performance by fostering a collaborative work environment.
  • Led team meetings for project updates and strategic planning.
  • Enhanced team efficiency with effective delegation of tasks.
  • Coordinated team efforts, achieving project milestones on time.

Sr. Provider Representative-Hospital

Anthem BC/BS
01.1995 - 01.2008

Education

Certified Medical Assistant - Medical Assistance

Institute For Medical & Dental Technology
Cincinnati, OH
06-1982

Skills

  • People Management
  • Detailed
  • Data analysis
  • Problem solving
  • Communication
  • Leadership
  • Teamwork
  • Work Ethic
  • Accountability

Systems

  • Microsoft Office
  • Outlook
  • Excel
  • Word
  • Power Point
  • EPIC
  • Availity
  • Meditech
  • Cerner
  • SSI
  • Power Chart
  • NaviNet
  • Epremis
  • Invision

Timeline

Rule Operations Analyst - Training & Development

Revecore (Bottom Line Systems, Inc.)
05.2023 - Current

Regional Operations Manager

Revecore (Bottom Line Systems, Inc.)
03.2021 - 05.2023

Managed Care Analyst/Consultant

Bottom Line Systems, Inc.
03.2013 - 11.2014

Benefits Counselor/Agency Sales Representative

Colonial Life
05.2012 - 03.2013

Large Practice Ancillary & Contracting Executive

Humana
01.2008 - 05.2012

Team Leader/Managed Care Analyst

Bottom Line Systems, Inc.
09.1998 - 01.2008

Sr. Provider Representative-Hospital

Anthem BC/BS
01.1995 - 01.2008

Certified Medical Assistant - Medical Assistance

Institute For Medical & Dental Technology
Terri Gunther