Cyndi Wiltshire
Manager, Credentialing at ArchWell Health- Claim this Profile
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Bio
Carolyn Pickles, MBA, FACMPE
Cyndi and I met while working on a client assignment. She completed the credentialing piece while I worked on the practice management side. She knows credentialing and can be counted on to "get the job done"!
LinkedIn User
I referred Cyndi to a new client of mine after discovering a critical need for managed care contracting and enrollment services. The surgeons were relocating to Nashville and utilizing an inexperienced individual, leaving their contracts and applications in complete disarray. Without a quick intervention, they were faced with losing hundreds of thousands of dollars in revenue. Cyndi stepped in with her superb knowledge and expertise-expediting the contracting process-allowing the surgeons to see patients when their practice opened (only a few weeks later). Needless to say, everyone was thrilled with the efficiency and results of Cyndi's performance. This is merely one example, of many, where Cyndi's proficiency was instrumental in overall practice productivity. I would highly recommend Cyndi to any practice needing expert guidance with managed care and revenue cycle improvements.
Carolyn Pickles, MBA, FACMPE
Cyndi and I met while working on a client assignment. She completed the credentialing piece while I worked on the practice management side. She knows credentialing and can be counted on to "get the job done"!
LinkedIn User
I referred Cyndi to a new client of mine after discovering a critical need for managed care contracting and enrollment services. The surgeons were relocating to Nashville and utilizing an inexperienced individual, leaving their contracts and applications in complete disarray. Without a quick intervention, they were faced with losing hundreds of thousands of dollars in revenue. Cyndi stepped in with her superb knowledge and expertise-expediting the contracting process-allowing the surgeons to see patients when their practice opened (only a few weeks later). Needless to say, everyone was thrilled with the efficiency and results of Cyndi's performance. This is merely one example, of many, where Cyndi's proficiency was instrumental in overall practice productivity. I would highly recommend Cyndi to any practice needing expert guidance with managed care and revenue cycle improvements.
Carolyn Pickles, MBA, FACMPE
Cyndi and I met while working on a client assignment. She completed the credentialing piece while I worked on the practice management side. She knows credentialing and can be counted on to "get the job done"!
LinkedIn User
I referred Cyndi to a new client of mine after discovering a critical need for managed care contracting and enrollment services. The surgeons were relocating to Nashville and utilizing an inexperienced individual, leaving their contracts and applications in complete disarray. Without a quick intervention, they were faced with losing hundreds of thousands of dollars in revenue. Cyndi stepped in with her superb knowledge and expertise-expediting the contracting process-allowing the surgeons to see patients when their practice opened (only a few weeks later). Needless to say, everyone was thrilled with the efficiency and results of Cyndi's performance. This is merely one example, of many, where Cyndi's proficiency was instrumental in overall practice productivity. I would highly recommend Cyndi to any practice needing expert guidance with managed care and revenue cycle improvements.
Carolyn Pickles, MBA, FACMPE
Cyndi and I met while working on a client assignment. She completed the credentialing piece while I worked on the practice management side. She knows credentialing and can be counted on to "get the job done"!
LinkedIn User
I referred Cyndi to a new client of mine after discovering a critical need for managed care contracting and enrollment services. The surgeons were relocating to Nashville and utilizing an inexperienced individual, leaving their contracts and applications in complete disarray. Without a quick intervention, they were faced with losing hundreds of thousands of dollars in revenue. Cyndi stepped in with her superb knowledge and expertise-expediting the contracting process-allowing the surgeons to see patients when their practice opened (only a few weeks later). Needless to say, everyone was thrilled with the efficiency and results of Cyndi's performance. This is merely one example, of many, where Cyndi's proficiency was instrumental in overall practice productivity. I would highly recommend Cyndi to any practice needing expert guidance with managed care and revenue cycle improvements.
Experience
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ArchWell Health
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Manager, Credentialing
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Nov 2022 - Present
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Bizmatics: A Harris Computer Company
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Software Development
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200 - 300 Employee
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Credentialing Manager
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Oct 2021 - Nov 2022
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Promises Behavioral Health
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Credentialing and Licensure Specialist
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Oct 2020 - Feb 2022
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Pain Management Group, PC
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United States
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Medical Practices
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Manager, Provider Enrollment
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Jul 2018 - Jun 2020
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Manager, Payor Enrollment
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Jan 2018 - Jul 2018
Prepare, submit, track provider applications throughout the payer credentialing process for large physician health system clients in multiple states. Supervision and training of 10 Symplr payer enrollment direct reports. Organizational lead for Vistar credentialing platform eVIPs. Troubleshoot software issues and train department on utilization. Prepare, submit, track provider applications throughout the payer credentialing process for large physician health system clients in multiple states. Supervision and training of 10 Symplr payer enrollment direct reports. Organizational lead for Vistar credentialing platform eVIPs. Troubleshoot software issues and train department on utilization.
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Med Management, Inc.
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United States
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Contracts & Credentialing
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Sep 2013 - Dec 2017
Evaluate and negotiate agreements for new and existing contracts with health insurance payors. Manage the contract assignment process related to acquisitions, leading contract negotiations, assisting in the resolution of contract payment issues, and analyzing contract performance. Enrollment of clinic providers into all governmental and contracted commercial health plans. Evaluate and negotiate agreements for new and existing contracts with health insurance payors. Manage the contract assignment process related to acquisitions, leading contract negotiations, assisting in the resolution of contract payment issues, and analyzing contract performance. Enrollment of clinic providers into all governmental and contracted commercial health plans.
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Consultant, Revenue Cycle Management
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Aug 2011 - Nov 2013
Southwind, a division of The Advisory Board Company, is a physician management and consulting practice that provides physician alignment services including interim practice management, clinical integration, medical staff planning and physician practice operations improvement consulting to hospitals, health systems, academic medical centers, and large, independent medical groups. Individual area of expertise within revenue cycle management include assessments of hospital-integrated multi-specialty physician group clients, analyzing processes for provider enrollment and managed care contracting, and the impact on billing & collecting. Document current work flow, identifying opportunities for improvement in the provider enrollment process with the goal of increasing overall collections and revenue. Create customized policy & procedure and actionable plans for reaching desired goals. Staff education, workshops, ongoing training & coaching of best practices for provider enrollment/ credentialing personnel. Assistance with selection, implementation and use of credentialing software. Department start-ups; interim management; preparation of job description; screening and interviewing candidates for permanent department management. Nationwide outsourced provider enrollment/ credentialing services. Show less
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PivotHealth
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Health, Wellness & Fitness
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Director of Provider Enrollment
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Jun 2009 - Aug 2011
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Baptist Healthcare Group
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United States
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Medical Practices
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1 - 100 Employee
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Managed Care Coordinator
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Aug 2007 - May 2009
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Aetna
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United States
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Appliances, Electrical, and Electronics Manufacturing
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1 - 100 Employee
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Provider Relations Liaison
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Apr 2007 - Jul 2007
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HCA Physician Services
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United States
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Medical Practices
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1 - 100 Employee
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Manager, Provider Enrollment
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Apr 2006 - Mar 2007
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Managed Care Coordinator
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May 2001 - Apr 2006
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Education
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1984 - 1988
Middle Tennessee State University
Marketing
Community
