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Skills

  • Workshop coordination
  • Communications
  • Multilingual support for provider communications
  • Negotiation with healthcare providers
  • Operational bottleneck identification
  • Organization
  • Data analysis
  • Process improvement
  • Training material development
  • Business operations

Work Experiences

  • Boosted team productivity.
  • Achieved a 22% year-over-year improvement.
  • Boosted provider satisfaction scores by 30%.
  • Collaborated with cross-functional teams.
  • Achieved an 16% improvement in service delivery times.
  • Achieved a 81% reduction in complaints.
  • Contributed to the redesign of the provider relationship management system, which improved user interface and boosted provider satisfaction scores by 39%.
  • Addressed billing inaccuracies.
  • Actively monitored provider feedback through system.
  • Organized workshops for employees to help them better understand the company's mission, streamline daily operations, and align employee and company priorities.

Summaries

  • Provider Services Associate with 3 years of successful data analysis and project management experience.
  • Audited payment terms.
  • Achieved a 80% reduction in complaints.
  • Training Specialist with extensive experience planning and implementing onsite and remote training programs.
  • An outgoing personality with a hands-on, creative approach.
  • Agile and solutions-oriented individual with 4 years of experience enhancing provider engagement and delivering streamlined service results within set SLAs.
  • Adept at identifying trends in provider performance.
  • Trained in the use of Jira and the negotiation of category.
  • With effective training programs, we aim to maximize employee performance, team productivity, and quality assurance.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.

Accomplishments

  • Expanded provider network by nurturing relationships with over 7 partners, increasing service capacity and reducing gaps in service coverage by 15%.
  • Collaborated with providers across Chicago to meet regulatory guidelines, achieving a 24% compliance rate in annual audits.
  • Implemented automated reminders for expiring provider credentials, ensuring timely renewals and increasing credential currency by 26%.
  • Created multilingual communication tools for provider support, increasing accessibility and reducing query resolution times by 65%.
  • Documented and resolved metric which led to category.
  • Monitored provider feedback loops, driving continuous improvements that led to a 62% reduction in repeated inquiries.
  • Collaborated with team of 12 in the development of program.
  • Managed relationships with over 3 providers, maintaining 32% compliance with state and federal healthcare regulations.
  • Partnered with cross-functional teams to develop and implement provider compliance audits, achieving a 62% pass rate.
  • Coordinated provider education webinars that contributed to a 77% increase in compliance and reduced the number of claims disputes.

Affiliations

  • Association for Advancing Physician and Provider Recruitment (AAPPR)
  • Healthcare Financial Management Association (HFMA)
  • Toastmasters
  • National Healthcareer Association (NHA)
  • International Association of Administrative Professionals
  • Council on Health Information Management Executives (CHIME)
  • Association for Professionals in Infection Control and Epidemiology (APIC)
  • Association for Computing Machinery
  • American Society of Safety Professionals
  • American Marketing Association

Certifications

  • Healthcare Data Analytics Certification from Asana
  • Certified Revenue Cycle Representative (CRCR)
  • First Aid/CPR Certified
  • Certified Business Analysis Professional (CBAP)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Medical Insurance Specialist (CMIS)
  • Healthcare Provider CPR Certification by Beacon Labs
  • Certified Medical Office Manager (CMOM)
  • CompTIA Network+
  • Agile Certified Practitioner (ACP) by PMI

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