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Skills

  • Credit card payment processing
  • Data-driven performance analysis
  • Employee coaching
  • Data evaluation
  • Transportation solution development
  • Stockroom procedures
  • Fleet dispatching
  • Inventory control
  • Product organization
  • Quality assurance controls

Work Experiences

  • Worked as a liaison between customers and retail buyers to expedite orders and meet customer demands.
  • Increased productivity by providing CSR performance feedback for corrective action.
  • Collaborated with managers to create service improvement plans.
  • Improved operational efficiencies by developing organizational filing systems for confidential customer records and reports.
  • Consistently outperformed my daily credit card application goals.
  • Assessed customer needs and upsold products and services to increase initiative sales.
  • Provided senior management with detailed monthly departmental reports and updates.
  • Kept meticulous records of all customer accounts, including actions taken, issues resolved, and metric data.
  • Provided Microsoft Excel consultations to customers, addressing standard concerns.
  • Devised and implemented process improvements in order to reduce workloads and improve callback efficiency.

Summaries

  • Team player who is empathetic and supportive.
  • Mentoring and coaching skills in a dynamic professional.
  • Capable of recognizing and resolving issues while promoting new products and meeting sales targets.
  • Effective Provider Relations Field Representative with 7 years of experience assisting customers and offering targeted solutions through active listening and customer needs assessment.
  • Well-versed in Healthcare best practices and standards.
  • Professional who is cheerful and upbeat and has a track record of exceeding customer service expectations.
  • Framework regulations and procedures are second nature to me.
  • Provider Relations Field Representative with 18 years of experience resolving customer complaints and inquiries.
  • Accurately documents call details, prepares reports, and schedules service.
  • Professional with a strong understanding of how to solve customer problems efficiently and civilly.

Accomplishments

  • Created and executed outreach campaigns that boosted provider engagement by 84%, resulting in improved contract renewal rates.
  • Developed and delivered customized training materials to enhance provider compliance with billing protocols, increasing first-pass claim approval by 51%.
  • Created training modules in HubSpot for providers, leading to a 38% increase in self-service utilization.
  • Secured a 53% increase in contract renewals by aligning provider performance metrics with network goals in 2016.
  • Reduced average inquiry response time by 15% through the development of a streamlined field communication protocol.
  • Resolved over 2+ service issues, resulting in collaborative resolutions and a 18% improvement in mutual business outcomes.
  • Liaised with human resources to align provider relations strategies, resulting in a 69% improvement in network performance metrics.
  • Implemented provider feedback systems that captured critical insights, reducing service-related complaints by 83% over 6 months.
  • Achieved Innovation Award recognition for maintaining 30% provider satisfaction through proactive problem resolution efforts.
  • Consistently met or exceeded KPIs for managing a portfolio of 6 high-value provider accounts, improving satisfaction scores by 34%.

Affiliations

  • Collaborator, Provider Engagement and Relations Working Group
  • Participant, State-Specific Provider Credentialing Excellence Programs
  • Facilitator, Regional Provider Relations Networking Group
  • Certified Healthcare Provider Relations Specialist (CHPRS), procedure
  • Certification in Revenue Cycle Management, Brightline
  • Participant, Colorado Health Plan Regulatory Compliance Seminar
  • Member, Human Resources and Development Network in Healthcare (HRDNH)
  • Participant, National Provider Relations Specialty Taskforce
  • Member, National Association of Managed Care Physicians (NAMCP)
  • Member, American Association of Healthcare Administrative Management (AAHAM)

Certifications

  • Certified Customer Service Specialist (CSS) - 2018
  • Certified Health Unit Coordinator (CHUC) - 2017
  • Project Management Professional (PMP) – 2023
  • Healthcare Analytics Certification - 2022
  • SAP Certified Application Associate
  • Google Certified Professional Cloud Architect
  • Certified Business Analysis Professional (CBAP)
  • Lean Six Sigma Green Belt (Healthcare Focus) - 2017
  • Health Care Compliance Certification (HCCP) - 2019
  • Healthcare Customer Service Representative (HCS) - 2018

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