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Skills

  • Data analysis and reporting
  • System equipment
  • Change Management
  • Social media marketing
  • Client Satisfaction Improvement
  • Project organization
  • Meeting facilitation
  • Organization
  • Team management
  • Communications

Work Experiences

  • Addressed arrears effectively.
  • Authored policy recommendations for provider integrations.
  • Designed provider satisfaction surveys, leveraging feedback to enhance service offerings and improve ratings by 82% in 2022.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Achieved 37% adherence to guidelines.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Adhered to federal and regional regulations.
  • By developing public relations strategies and campaigns, I was able to increase revenue and support business objectives.
  • Achieved results over program.
  • Achieved metric.

Summaries

  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Committed professional who created systemized reports.
  • Achieved 15% compliance among healthcare providers.
  • Achieved resolution within an average time frame of 4 hours.
  • Coordinated closely with third-party vendors and providers.
  • Dedicated Provider Relations Coordinator.
  • Consistently reduced complaint escalations by 46% %.
  • Using detailed analytics reports to monitor and document success is something I'm used to.
  • Addressed provider concerns quickly.
  • Costs were consistently reduced while profits were increased.

Accomplishments

  • Initiated and delivered a provider recognition program, improving provider compliance with service-level agreements (SLAs) by 38%.
  • Created analytical dashboards to monitor provider network performance, producing a 32% increase in proactive issue identification for 2021.
  • Led cross-functional team to troubleshoot and resolve escalated provider concerns, decreasing resolution times by 19% over two years.
  • Co-authored policies and procedures for provider relations team, improving crisis management response by 57% and bolstering alignment in cross-functional communication.
  • Streamlined provider credentialing process, reducing onboarding time by 58% while ensuring compliance with regulatory standards.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Strengthened operations by introducing a new documentation system that allowed for real-time updates, improving provider issue resolution times by 3 hours.
  • Created quarterly reports and presentations for leadership, providing clear insights into provider network performance trends and meeting Ironclad Systems’s strategic goals.
  • Developed incident tracking tools that improved the reporting accuracy of provider-reported issues by 24%.
  • Designed and administered post-interaction provider feedback surveys that led to actionable insights and a 53% improvement in service delivery.

Affiliations

  • Jaycees
  • Network for Regional Healthcare Improvement (NRHI) - Collaborator
  • Utilization Review Accreditation Commission (URAC) - Accredited Participant
  • American College of Healthcare Executives (ACHE) - Active Member
  • American Academy of Professional Coders (AAPC) - Member
  • Association for Computing Machinery
  • American Health Information Management Association (AHIMA) Certified Member
  • Council of Supply Chain Management Professionals (CSCMP) - Networking Member
  • American Marketing Association
  • Freemason

Certifications

  • Salesforce
  • Healthcare Provider Quality Assurance Certificate
  • Change Management in Healthcare Certification
  • Certified Business Analysis Professional (CBAP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Healthcare Data Analytics Certification
  • Certified Professional in Healthcare Quality (CPHQ)
  • Credentialed Medicare and Medicaid Billing Specialist (CMMBS)
  • Associate in Managed Care (AIMC)
  • First Aid/CPR Certified

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