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Nancy Waymire

Huntington Beach, CA 92648


nancyw33@yahoo.com | 714-800-3914
Consulting| Process Improvement |Project Management |Strategic Planning |Managed Care Contracting

Healthcare Manager, Revenue Cycle Consultant


Advising Physicians, Hospitals, and Key Stakeholders

Healthcare Manager with eighteen years of experience and a solid track record of boosting efficiency, enhancing service standards,
and reducing costs. Subject matter expertise in transforming revenue cycle processes to maximize revenue, minimize denials and
accelerate cash flow. Hands-on manager with demonstrated ability to resolve barriers, streamline business processes and manage and
lead others.

Areas of Expertise
Project Management
Process Improvement & Implementation
Patient Access & Financial Services

Strong Analytical & Communication Skills


Superior Strategic Business Development
Extensive Relationship Building Skills

Professional Experience
2014 present
Healthcare Consultant
Analyze data for trends, cost reduction and process improvement initiatives.
Alignment of client processes and structure.
Perform detailed analysis of data, workflows, policies and procedures.
Function as the single point-of-contact for all on-going contractual and service issues as needed and develop and
implement solutions that are beneficial to clients, members, and the business at large.
Interim manager for billing, claim follow up, collections, cash posting, credit balance and underpayment review.
Anticipate and constructively resolve barriers and constraints.

Independent Contractor

UnitedHealthcare

2003-2014

Consultant/Senior Hospital Facility Advocate


Collaborate with cross-functional teams to develop and implement market focused quality improvement projects.
Assist with ongoing provider network development and education of contracted providers regarding plan
procedures and claim payment policies.
Serve as a primary point of contact instrumental to resolving member/provider complaints, contractual issues,
claim disputes and increasing overall efficiency.
Collaborate with executive management including legal team on significant claim disputes headed into litigation.
Coordinate and lead meetings with key providers to resolve operational issues and to increase and improve overall
ratings for STAR and HEIDS initiatives.

Medical Accounts Receivable Solutions

1997-2003

Account Manager
Develop work plans, project tasks and manage projects in accordance with budget.
Conduct trend analysis critical to reducing denials and maximizing reimbursement.
Successfully negotiated settlements with various payers on significantly aged accounts.
Provide strategic recommendations and coaching to providers on program implementation and barrier resolution.

Education and Certifications

University of Phoenix Fountain Valley, CA


Lean Certification
ICD 10 Certification in Process