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Skills

  • Provider relations
  • Activity oversight
  • Application coordination
  • Performance management
  • Insurance procedures
  • Conflict resolution
  • Special needs students
  • Learning style assessment
  • Job counseling
  • Provider enrollment

Work Experiences

  • Worked with management to improve employee management strategies in areas like procedure and program, resulting in a positive system in 6 months.
  • Providers, Medicaid, Medicare, and private insurance plans were all enrolled.
  • Accurately tracked healthcare providers' certifications.
  • Achieved a process designation.
  • Annual salary surveys were conducted, and the company's salary budget was developed, analyzed, and updated.
  • Collaborated with insurance companies.
  • Planned, monitored, and appraised employee work results by training managers to coach and discipline employees.
  • Achieved a Top Performer award for process efficiency.
  • Improved office processes, such as record tracking and method, by implementing process improvements.
  • Achieved a 30% success rate.

Summaries

  • Taking on new professional challenges that provide opportunities for advancement.
  • Offering 9 years of teaching experience and expertise in team leadership and data analysis.
  • Application requirements for government and private insurance plans are well-understood.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • With 17 years of experience in Education and Training, I'm a seasoned leader and problem-solver.
  • Helping students develop a love of performance reporting is something I'm very passionate about.
  • Exceptionally well-organized and detail-oriented, with a thorough understanding of insurance regulations.
  • Credentialing Specialist with experience conducting application reviews and primary source checks.
  • With 17 years of related Education and Training experience, this instructor is forward-thinking and resourceful.
  • Clear understanding of stakeholder engagement and risk assessment as well as performance reporting training.

Accomplishments

  • Resolved product issue through consumer testing.
  • Training: : Delivered training modules to inter-departmental teams to ensure smooth adoption of new program. Completed training on-time and under-budget.
  • Metric Performed research and analysis for world-renowned psychologist, Jane Jacobs. Presented research findings at APA conference.
  • Standard Served as Credentialing Specialist, spreading global awareness and introducing world issues such as method
  • Coordinated
  • Collaborated with team of 4 in the development of standard.
  • Guided
  • Trained
  • Collaborated
  • Process Improvement: Developed cross-functional collaboration that resulted in category.

Affiliations

  • Hospitals & Health Systems Association
  • International Credentialing Association (ICA)
  • Joint Commission Resources
  • American Medical Informatics Association
  • American Society of Safety Professionals
  • Accreditation Council for Graduate Medical Education (ACGME)
  • International Council of Nurses
  • American Marketing Association
  • American Health Information Management Association (AHIMA)
  • Credential Verification Organization Network (CVON)

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Apple Certified Associate (ACA)
  • Certified in the Governance of Enterprise IT (CGEIT)
  • Certified Public Accountant (CPA)
  • Healthcare Accreditation Certified Professional (HACP)
  • Certified Revenue Cycle Professional (CRCP)
  • Credentialing and Privileging Specialist Certification (CPSC)
  • Fellowship in the American College of Healthcare Executives (FACHE)
  • Certified Healthcare Compliance Officer (CHCO)
  • First aid and CPR certified

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