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Skills

  • Conflict resolution
  • Credentialing discrepancy reduction
  • TCP/IP
  • Data entry process improvement
  • Technical issues analysis
  • Data quality management
  • Data entry
  • Quality assurance
  • Operational improvement
  • First Aid/CPR

Work Experiences

  • Achieved results within the first 6 months.
  • Collaborated with external auditing firms to ensure that provider data met PMP standards at all times.
  • Completed resolution within the past year.
  • Analyzed reports to guide organizational decisions.
  • Documented all transactions and support interactions in the system for future reference and addition to the knowledge base.
  • Developed and tested new product offerings to assist the development team in finding bugs prior to release.
  • Assisted with the integration of Microsoft Excel and Workday.
  • Led a support team that assisted an average of 17 users globally in a 24/7 support environment as a level-three supervisor.
  • Addressed workflow bottlenecks.
  • Avoided penalties of up to $6.

Summaries

  • Achieved 55% first-contact resolution.
  • Specializes in category and method product troubleshooting.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Adept at cutting down provider onboarding time by 13 weeks through innovative training solutions, enhancing team flexibility and operational readiness.
  • When working with customers to identify and deploy solutions, I've earned a reputation as a sharp technology expert.
  • Quickly resolves issues, resulting in high levels of customer satisfaction.
  • Achieved a metric% improvement in data accuracy.
  • Excellent Provider Maintenance Specialist with 4 years of experience providing exceptional support to users at all levels.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.

Accomplishments

  • Collaborated with team of 4 in the development of program.
  • Implemented a continuous process improvement methodology, reducing provider data entry errors by 66% and completing updates within 17 days.
  • Optimized revenue recovery efforts by identifying and fixing discrepancies in provider billing codes, resulting in an additional $16 in reclaimed funds.
  • Analyzed trends in provider complaints and implemented proactive measures, reducing overall complaints by 65% in 2024.
  • Developed a comprehensive provider feedback system, which reduced the gap between issue identification and resolution to an average of 18 days.
  • Designed a comprehensive audit system for provider records to ensure continued adherence to CPA standards, achieving a 73% compliance rate.
  • Improved the provider update cycle by 73% by implementing an automated tracking solution.
  • Documented and resolved standard which led to category.
  • Collaborated across departments to enhance the provider self-service portal, improving user satisfaction scores by 57% over 11 months.
  • Resolved product issue through consumer testing.

Affiliations

  • State Association of Medical Assistants and Credentialing Specialists
  • Accreditation Association for Ambulatory Health Care (AAAHC)
  • International Association of Administrative Professionals
  • Healthcare Business Management Association (HBMA)
  • American Society of Safety Professionals
  • State Medical Board Licensing Committee Collaborator
  • Toastmasters
  • Association for Supply Chain Management (APICS)
  • Association for Healthcare Administrative Professionals (AHCAP)
  • URAC Accreditation Evaluator

Certifications

  • Six Sigma Yellow Belt certification
  • Certified Professional in Healthcare Quality (CPHQ)
  • Healthcare Financial Management Association (HFMA) Revenue Cycle Certification
  • Cisco Certified Internetwork Expert (CCIE)
  • Cisco Certified Network Associate (CCNA)
  • Health Informatics Certification
  • Health Information Technology Certified Professional (HITCP)
  • Certified Provider Credentialing Specialist (CPCS) by NAMSS
  • Health Care Credentialing Specialist (HCC)
  • Certified Healthcare Access Manager (CHAM)

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