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Skills

  • Apache Tomcat
  • Supervision
  • First Aid/CPR
  • Inventory management
  • Process improvement
  • Advanced Excel and pivot table skills
  • jQuery
  • Data conversion and migration
  • Python
  • Compliance with industry standards (Six Sigma)

Work Experiences

  • Worked with others to brainstorm new standard possibilities.
  • Conducted primary source verification.
  • Kept my system knowledge up to date by doing project management and vendor management.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.
  • Was in charge of administering, supporting, and closely monitoring databases in order to quickly resolve issues with program and SQL servers.
  • Was in charge of all tasks delegated to me, including project management and stakeholder engagement.
  • Analyzed credentialing processes.
  • Developed a reputation for punctuality and hard work.
  • Affected provider payment schedules.
  • Achieved President's Club for highest data compliance rate.

Summaries

  • Excellent public speaking and communication abilities.
  • Results-oriented Miscellaneous professional with client relations, team leadership, and stakeholder engagement strengths.
  • Student pursuing a Miscellaneous degree who is eager to contribute developed knowledge in the role of Provider Data Specialist.
  • Achieved a 59% increase in provider directory accuracy.
  • Highly proficient in a variety of technologies, including process, system, and method.
  • Ability to recognize method issues and integrate category solutions to achieve standard.
  • Individual who is enthusiastic and capable of working in both a team and independently.
  • Framework, method, and initiative are among the development languages in which I am proficient.
  • Achieved a 80% improvement in update speeds.
  • Achieved a 14 hour reduction in resolution time.

Accomplishments

  • Executed high-quality provider data cleaning in HubSpot, reducing duplication rates by 69%.
  • Championed and implemented data governance protocols impacting over 16 provider records, resulting in improved compliance with industry standards.
  • Guided the adoption of new provider database software, achieving a successful transition with minimal disruption.
  • Reduced system lag time by 18% through process optimization, enhancing provider database search speeds.
  • Collaborated cross-functionally to improve data compliance rates, achieving a 22% recognition in Medicare/Medicaid standards.
  • Contributed to the automation of data entry workflows, cutting down manual effort by 58%.
  • Cross-referenced databases with payer systems, identifying and solving 17 mismatches, fostering seamless provider billing processes.
  • Facilitated recurring provider data audits, identifying 7 critical data discrepancies and implementing corrective measures.
  • Developed custom reports to track provider data changes, resulting in greater data transparency and audit readiness.
  • Enabled the rollout of a new provider data platform, reducing manual data entry tasks by 74%.

Affiliations

  • Attended Medicaid/Medicare Data Compliance Webinar, 2017
  • Speaker, Training Workshop on Data Extraction in Healthcare, 2019
  • Founder, Provider Data Accuracy Task Force, Harbor & Co.
  • Participant, Provider Data Management Certification Program, 2017
  • Attendee, Payer-Provider Relations Training, 2020
  • Member, National Provider Enrollment Association (NPEA)
  • Member, Healthcare Data Resources Working Group, Vantage
  • Certified Healthcare Quality Professional (CHQP), standard
  • Active Member, Healthcare Quality Improvement Committee, Austin
  • Certified Specialist in Healthcare Data Management (CSHD), process

Certifications

  • Project Management Professional (PMP)
  • Certified Health Data Analyst (CHDA)
  • Certified Public Accountant (CPA)
  • CompTIA Network+
  • Lean Six Sigma Green Belt Certification
  • CompTIA A+ Technician
  • Credentialing & Enrollment Certification Lakeside Partners
  • Certified Analytics Professional (CAP)
  • Certified Documentation Improvement Practitioner (CDIP)
  • SHRM Senior Certified Professional (SHRM-SCP)

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