Tajee Wathen

About Tajee Wathen

Specialties: Six Sigma Yellow Belt

Experience

1. Vice President of Payment Compliance and Contract Management (Prior Senior Director)

   Community Health Systems

   Jan 2014 — Present

   Manage and coordinate payment compliance and contract management activities for 100+ hospitals, including recommending performance improvements to core processes; improving payer contracts and relations; analyzing coding irregularities and payer behaviors to maximize net revenue; and supervising daily payment variance review processes • Supervise direct reports including payment compliance and contract management personnel • Develop and hold team accountable to achieve department KPI • Initiate corrective action when business results are not meeting established operational targets • Project staffing needs and maintain adequate staffing levels • Implement systems to monitor transactions in order to determine where efficiencies may be gained • Interface with key payer management to ensure timely resolution of issues and accurate reimbursement for services provided • Coordinate recovery team projects from escalation to payer contact through recovery of owed amounts • Ensure stakeholders are aware of and anticipating future payer changes • Build and foster strong relationships with clients, business prospects and business partners

Education

• University of Southern Indiana

  BS

  2003 — 2007

• University of Evansville

  MS

  2009 — 2011

Skills

• Provider Relations
• Medical Billing
• Healthcare Management
• Revenue Cycle Management
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Hospitals
• Medicaid
• Revenue Cycle
• Compliance
• Healthcare Industry
• Hipaa
• Healthcare
• Credentialing
• Network Development
• Jcaho
• Performance Improvement
• Key Performance Indicators
• Medicare
• Six Sigma
• Employee Relations
• Customer Service
• Training