Stephanie Maxwell

Lead provider network operations for a regional health plan across four states, overseeing provider relations, network analytics, reimbursement analytics, credentialing, and provider data management. Direct reimbursement analytics covering $500M+ in annual claims spend and led Epic Payer Platform implementation.

Led full revenue cycle and operational performance for 150+ freestanding primary care and specialty clinic locations within a 1,000+ bed health system. Held direct P&L accountability for revenue cycle results, payer contract performance, AR, denial management, and regulatory compliance.

Managed commercial billing and insurance follow-up teams for an 800+ bed system serving more than 250,000 patients per year. Ran day-to-day billing operations for all non-government accounts, including claim submission, payment posting, denial resolution, and collections.

Managed inpatient and outpatient billing for mental health services across commercial and Medicaid payers, including contract negotiations, staff supervision, and appeals management. Designed and rolled out a company-wide financial assistance program.

Worked directly with patient families to secure Medicaid and commercial insurance approvals, coordinated pre-authorization for surgical procedures, and managed appeals for denied services.

Bachelor of Science in Business Administration.

Epic Certification in Payer Platform.

Epic Certification in Resolute Hospital Billing and Contract Administration.

Epic Certification in Resolute Physician Billing and Contract Administration.

Certified Revenue Cycle Representative (CRCR) certification.

Certified Specialist Business Intelligence (CSBI) certification.

Lean Six Sigma Green Belt Certification.