Wanda Haynes

Work History

Work History

Practice Administrator-Operations

HCA Physician Services

Administered provider enrollment, managed care services, and insurance for physician practices with 31 providers located at 3 area hospital campuses. Mentored area practice managers. Analyzed metrics in enrollment, credentialing, and reimbursements..

  • Clarified startup compliance requirements necessary for obtaining state licenses, hospital privileges, and managed care enrollment.
  • Directed practice startups, coordinating with internal and external vendors, practice managers, property managers and hospital administrators to identify practice locations, install/setup equipment and supplies, and train staff.
  • Instructed Managed Care and Enrollment Managers on incorporating Senate Bill 710 letter into Central Business Office credentialing process for improved revenue flow.
  • Eliminated duplication in Central Business Office credentialing process by mandating 1 standard application and establishing electronic submission of credentialing applications, creating efficiency in workflow.
  • Notified managed care manager of increases in utilization, supplying market data to support indications of possible new revenue sources and availability of higher reimbursements.

Area Practice Manager

HCA Physician Services

Area Practice Manager

|Facilitated startup of business and clinical operations for Lafayette market. Launched and managed OB hospitalists program, pediatric neurology, pediatric hematology/oncology, pediatric orthopedics, breast surgery, urogynecology, pediatric specialty clinic, vascular surgery, and family practice operations.

  • Administered financial performance reviews, collections, and compliance programs.
  • Partnered with physicians, medical director, and hospital administration to initiate pilot OB hospitalists program at Women's & Children's Hospital.
    • Corrected disruption in workflow and joined with medical records director, patient access director, and quality director to revise process and ensure primary physicians received ER/hospital reports.
    • Adapted workflow to include biweekly calls with provider enrollment team, A/R, and practice managers to expedite claims with addition of HCA tax ID into insurance plan network database.

Provider Relations Manager

Women's & Children's Hospital

Managed new physicians' network, resolving contract language disputes and challenges to claims with managed care plan representatives. Joined Board of Directors and Chairman to create by-laws, policies and procedures, elect future Board members, and recruit new members. Coordinated training and development opportunities for office managers.

  • Became key resource for physicians to connect with insurance plan reps and resolve open claims.
  • Trained office managers to use root cause analysis to source problems, implement new practices, and prevent recurrence.
  • Reviewed and negotiated new contract language with managed care payers. 

ADDITIONAL EXPERIENCE

Office Manager, Our Lady of Lourdes RMC, Breaux Bridge, LA

Managed day to day operations of a busy family practice clinic.

  • Collaborated with director and team of 4 office managers to create office policies and procedures, select and implement new electronic billing system, and automate scheduling for 5 clinics.

Education

Education

B.Sc

University of Phoenix

Skills

Skills

growth

local market

Physician Services

START-UP

Health Services