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Skills

  • Time management
  • Conflict resolution
  • Cross-functional collaboration
  • Stakeholder engagement
  • Team Leadership
  • Problem resolution
  • Project organization
  • Team building
  • Electronic health records (EHR) integration
  • Regulatory compliance

Work Experiences

  • Was in charge of process costs and quality.
  • Used metrics in order to evaluate performance and policies.
  • Collected actionable data.
  • Determined the framework objectives by analyzing feedback, observing consumers, and collecting surveys.
  • Answered 13 calls per two years to help customers with their questions and concerns.
  • Compared network provider performance against regional standards.
  • Used Salesforce to create and update tracking spreadsheets.
  • Achieved a 64% improvement in overall provider satisfaction.
  • Kept track of reports and analyzed them to see where improvements could be made.
  • Authored training materials for providers.

Summaries

  • Accomplished conflict resolution professional, resolving 10 complex provider escalations within one week, fostering a positive work environment.
  • Analytical and well-organized professional who is equally at ease working alone or in a group.
  • Consistently drove 85% improvement in patient satisfaction.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Clear understanding of workflow optimization and budget management as well as risk assessment training.
  • Costs were consistently reduced while profits were increased.
  • Achieved a 74% improvement in patient care metrics.
  • Decreased response times by 16%.
  • Conducted quarterly performance reviews.
  • Achieved results through EHR technology integration.

Accomplishments

  • Designed and implemented a comprehensive provider feedback survey, resulting in actionable insights that drove a 55% improvement in service levels.
  • Reduced network underperformance by 69% through implementation of key performance metrics and feedback loops for providers.
  • Optimized provider network workflows, reducing administrative overhead by 76% while maintaining quality service delivery.
  • Led the adoption of new claims management systems, improving provider payment accuracy and reducing remittance delays by 19%.
  • Collaborated with providers to decrease non-compliance by 20% by revising standards and improving provider engagement.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Streamlined re-credentialing processes, reducing approval times by 17 days and increasing overall provider adherence to industry standards.
  • Delivered a scalable network growth plan, expanding the provider network by 44% and ensuring consistent coverage across Columbus.
  • Improved payment turnaround time by 52% through the implementation of optimized billing and claims management protocols.
  • Increased utilization of key services by 67% through focused provider education and engagement initiatives.

Affiliations

  • Accreditation Association for Ambulatory Health Care (AAAHC)
  • Healthcare Leadership Council
  • American Society of Safety Professionals
  • Health Care Compliance Association (HCCA)
  • National Association of Accountable Care Organizations (NAACOS)
  • American Association of Healthcare Administrative Management (AAHAM)
  • Association for Supply Chain Management (APICS)
  • Association of Provider Services Executives (APSE)
  • American Medical Group Association (AMGA)
  • National Committee for Quality Assurance (NCQA)

Certifications

  • Accreditation Association for Ambulatory Health Care (AAAHC) Certification
  • Certified Healthcare Financial Professional (CHFP)
  • CompTIA A+ Technician
  • Healthcare Quality Certification Commission (HQCC) Certification
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Health Care Compliance Association (HCCA) - Certified in Healthcare Compliance (CHC)
  • Certified Healthcare Administrative Professional (cHAP)
  • Certified Medical Practice Executive (CMPE)
  • CompTIA Security+
  • National Committee for Quality Assurance (NCQA) Certification

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