Ronni Stevens

10/11/2021 - Behavioral Health Network Specialist for Providence Health Services. Behavioral Health and Dental Provider Experience Representative Senior (2015 – 2021) Provided assistance to individual, group, and facility type contracted providers providing mental health / behavioral health and dental services. Assisted with credentialing, contracting, claims, payments, appeals, member / provider complaints, billing, pre-authorizations, eligibility, rate negotiations, telehealth, and provider updates. Built lasting relationships with credentialing, contracting, intake / clinical, claims, PEM, appeals, legal, and audit teams. Collaborated with members to provide them with the services required for their unique needs. Enrolled new members and updated current members depending on their application request. » Assisted up to 100 providers, clinics and or facilities daily with their inquiries. » Built our provider network to support member needs for ABA services and our Suboxone services by reaching out and finding providers to contract with in Oregon, Utah, and Clark County, WA. » Created 50+ email response templates for inquiries received to handle the high volume of inquiries. Provider File Analyst (2013 – 2015) » Reduced the time spent working penned queues by advising and assisting with how to review claims quicker. » Did provider location and information updates. » Loaded new providers in our system for claims processing. Membership Enrollment (2013) » Assisted with AEP and took phone calls from members with questions about their enrollment. Government Program Claims Analyst (2012 – 2013) Obtained working knowledge of various programs within a medical and dental role. » Developed a reference guide that enabled others to navigate the system easier.