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Skills

  • Inspection reviews
  • Hardware evaluation
  • Cross-functional team collaboration
  • Escalation management
  • Team Leadership
  • Staff development
  • User interface understanding
  • Security systems
  • Extremely organized
  • Product testing

Work Experiences

  • Achieved a 26% reduction in contract review time.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.
  • Conducted an initial client assessment and analysis to begin the research process.
  • Created boardroom and courtroom multimedia presentations that included video and text-synced depositions for better understanding.
  • Increased customer satisfaction by coming up with new ways to solve problems.
  • Collaborated closely with team members to meet project deadlines, develop solutions, and deliver project requirements.
  • Created a new employee evaluation process that resulted in significant performance improvements.
  • Implemented marketing strategies that resulted in a 12% increase in the number of customers.
  • Kept my category knowledge up to date by doing project management and data analysis.
  • Achieved results over several months.

Summaries

  • Hardworking Provider Relations Specialist with 9 years of telecommuting experience meeting customer needs.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • With 8 years of experience and a willingness to take on any challenge, I'm ready to take on any challenge.
  • Employees, managers, and union representatives are able to work together and communicate effectively.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • Standard, category, and method are all available.
  • Ability to recognize process issues and integrate framework solutions to achieve method.
  • Experienced metric Insurance Specialist with a track record of managing large caseloads in high-pressure situations.
  • Communicative and team-oriented, with QuickBooks expertise.
  • Workflow optimization Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.

Accomplishments

  • Achieved a 67% increase in compliance adherence by implementing an updated provider education program on healthcare regulations.
  • Developed strong provider relationships that led to a 46% increase in satisfaction scores within three years, improving overall network performance.
  • Led initiatives to foster provider engagement through quarterly review meetings, increasing participation by 45% over three years.
  • Documented and resolved system which led to program.
  • Provided technical support for electronic billing issues, cutting provider-related downtime by 24%.
  • Resolved 16 provider-related service issues, increasing trust and retention within the provider network.
  • Executed data-driven strategies to inform provider relations improvements, resulting in 7 new contracts signed within 6 months.
  • Executed proactive outreach initiatives that reduced response times to provider requests by 58% over three years.
  • Facilitated smooth provider transitions during system changes by conducting hands-on training with providers, seeing a 61% reduction in system-related errors.
  • Analyzed fee schedules and identified cost-saving opportunities, resulting in a 38% increase in provider retention.

Affiliations

  • Affiliate, International Association of Provider Network Development - Engaged in learning opportunities to improve contract negotiations and build better provider networks.
  • Participant, National Provider Retention Initiative - Engage with tools and research aimed at improving provider retention and alignment with healthcare standards.
  • Member, Medical Group Management Association (MGMA) - Gain professional development in healthcare provider relations and billing systems management techniques.
  • Certified Medical Reimbursement Specialist (CMRS), 2016 - Completed certification focused on streamlining claim management and reducing payment discrepancies.
  • Affiliate, Healthcare Financial Management Association (HFMA) - Collaborate with peers to drive the development of innovative provider payment strategies and stay updated on changing financial structures.
  • Attendee, Annual Healthcare Compliance Conference - Gained insights and updates on federal and state healthcare regulations affecting provider contracts.
  • Participant, Claim Analysts and Provider Relations Collective - Worked alongside industry experts to explore new methodologies in reducing claim turnaround times.
  • Provider Relations Council Member, Austin - Served as part of a collective that developed policies to enhance provider satisfaction and performance measurement.
  • Certified Associate, National Association for Healthcare Quality (NAHQ) - Completed training on healthcare quality standards relevant to provider relations management.
  • Member, National Healthcare Contract Specialist Association - Focused on developing legally sound and mutually advantageous provider contracts tailored to current market standards.

Certifications

  • Certified Professional in Training Management (CPTM) by Training Industry
  • Conflict Management Certification by method
  • Certified in Healthcare Compliance (CHC) by Healthcare Compliance Association (HCCA)
  • Customer Relationship Management (CRM) Certification for ServiceNow by program
  • Certified Revenue Cycle Specialist (CRCS) by AAHAM
  • Chartered Wealth Manager (CWM), certified by the American Academy of Financial Management (AAFM)
  • Salesforce
  • Microsoft Office Specialist (MOS)
  • CompTIA A+ Technician
  • Cisco Certified Internetwork Expert (CCIE)

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