Casie Epperson

Experience

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  House of Carpet, Inc.

  Sept 2000 - Oct 2011

  Account Executive/Sales Representitive

  • Improved Quarterly Sales and Operational goals• Coordinated and managed accounts with General Contractors and Installers• Managed Accounts Receivable and Account Payables along with controlling cost and maintaining efficiency in the operations process for business• Assisted in Marketing and Advertising Campaigns to improve goals on a quarterly basis every year.• Provided training, leadership, supervision, and development to new hires.

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  DSI Renal

  Mar 2012 - Jun 2016

  U.S. Renal Care-Nashville, TN (Previously DSI Renal) March 2012-June 2016Managed Care-Contract Manager (January 2015-June 2016)Ensure consistent management of proposals and contracts. Oversight of the contract management process, as well as development of specific standards for bidding and submission, contract negotiations and document management. Develop process that requires close collaboration with various departments, including clinical operations, project management, account management, business operations and finance.• Oversee organizational contract development and management activities, and enforce organizational principals of integrity and complacence.• Ensure that contracts an proposals are properly entered into organizational databases and securely maintained• Develop standards for contracts, including presentation of budget, payment terms, general language and provisions.• Perform appropriate clinical, administrative and operational research to support proposal and contract development.• Conduct contract strategy meetings to identify issues and client requirements, facilitate pricing discussions, and obtain senior management input on timelines and deliverables.• Draft contractual provisions based on strategy discussions, senior management input, and organizational needs and expectations.• Assure accuracy and appropriateness of contract text and attachments• Interface with insurance companies regarding adequacy of coverage and purchasing needs.• Serve as primary organizational contact during contract negotiations. Show less Supported the Managed Care Department and revenue enhancement including: reporting initial credentialing, re-credentialing, claims review, Letters of Agreements and Interest. Worked closely by phone or email with facility personal, Patient Account Representatives, other departments and various other outside agencies to assist in credentialing, contracting, and payment issues.• Maintain DSI facility list with corrected or new information (provider numbers, change in address, etc.). Facility list maintained for Billing, Collections, Financial, legal and accounting departments.• Maintain DSI Contract Data Base and distribute information about new contracts to the appropriate DSI Departments.• Prepare and maintain reports related to contract performance, revenue in specific locations and commercial revenue performance.• Maintain and update all contract terms as they relate to escalators, termination clauses, review dates.• Negotiate Letters of Agreements for patients with No Out of Network benefits• Single Patient Agreement requests to determine financial feasibility of the terms after review of patients Out of Network benefits and previous paid claim history• Enroll and Re-enroll all State Medicaid• Credentialing and Recredentialing for all health care plans-contracted or not contracted.• Apply for all Facilities National Provider Identifications• Tracking and updating all new information for VA processes. Administrator for Dunns & Bradstreets system and SAM’s system for VA.• Tracking provider relations contracts for contracting and providing letters of interest, tracking response and review. Show less Assist and support management and the leadership team with handling and resolving Human Resources issues. Create and maintain new hire and personnel files and enter them into Human Resources Information System.• Traveled nationwide four months implementing DSI facilities on a new software program for clocking in, paid time off, benefits, and payroll called Ultipro.• Assisting senior management with any Human Resources issues• Provided employees with benefit information such as life, medical, dental, vision, accident and disability insurance.• Administer various human resource plans and procedures for all company personnel; assist in the development and implementation of personnel policies and procedures.• Participated in developing department goals, objectives and systems.• Performed other related duties as required and assigned. Show less

  • Managed Care-Contract Manager

    Oct 2012 - Jun 2016

  • Managed Care Coordinator

    Oct 2012 - Jan 2015

  • Human Resources Generalist

    Mar 2012 - Oct 2012
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  Urgent Team

  Jan 2016 - Nov 2016

  Contracting Physicians Credentialing Specialist

  • Enrolled and Re-enrolled physicians in contracted health plans• Verify that Credentials of healthcare professionals are in compliance with state and federal standards.• Enrolled and Re-enrolled healthcare physicians in Medicare (PECOS) and state Medicaid.• Collected and processed significant amounts of verification and accreditation information.• Maintained and updated accurate databases for practitioners.

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  Dialysis Clinic, Inc.

  Nov 2016 - now

  • CMS Provider Enrollment/ Provider Relations Specialist

    May 2019 - now

  • Medicaid and Contract Payor Specialist

    Nov 2016 - now