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Skills

  • Document management
  • HIPAA Compliance Expertise
  • Patient relationship management
  • Invoice generation
  • Performance metrics analysis
  • Credentialing process refinement
  • Claim discrepancy resolution
  • Planning and coordination
  • Team management
  • Interdisciplinary teamwork

Work Experiences

  • Achieved a 100% pass rate on provider regulatory audits.
  • Site evaluations, customer surveys, and team audits were all things I did.
  • Kept meticulous and accurate records of program activities and participant progress.
  • Achieved Top Performer for exceptional performance in maintaining high provider retention rates over 17 consecutive quarters.
  • Administered provider training programs.
  • Assisted in the implementation of social service programs for program and category individuals.
  • Jira was delivered to customer locations by me.
  • Addressed gaps in provider service delivery.
  • Collaborated closely with team members to meet project deadlines, develop solutions, and deliver project requirements.
  • Achieved a 52% retention increase.

Summaries

  • Dedicated Social and Human Service Assistant with a track record of assisting clinical teams in the implementation of care plans.
  • Communicative and team-oriented, with SAP expertise.
  • Provider Services Coordinator with workflow optimization and process improvement abilities.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Performance reporting Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Miscellaneous student seeking hands-on experience through an internship in budget management.
  • Accomplished in provider education.
  • Well-versed in team leadership and always looking for new ways to improve strategies and help.
  • Provider Services Coordinator who is compassionate and has 15 years of experience coordinating community programs and allocating resources.
  • With a team-oriented mentality, highly organized, proactive, and punctual.

Accomplishments

  • Streamlined communication channels with providers, leading to a 30% decrease in miscommunication rates and faster problem resolution.
  • Implemented a comprehensive provider feedback system, achieving a 20% faster resolution rate of escalated provider cases within the first quarter.
  • Collaborated with the billing and compliance departments to mitigate provider claim rejections, improving overall claims payment accuracy by 61%.
  • Played a key role in the training of new department team members, improving team efficiency and client satisfaction ratings by 58%.
  • Implemented a comprehensive queuing system for provider inquiries increasing team response time efficiency by 83% and improving overall satisfaction.
  • Organized quarterly webinars to inform providers of policy changes, which helped decrease policy confusion and repeat inquiries by 34%.
  • Developed and documented training materials to support providers in using new system features, reducing onboarding time and improving usability by 26%.
  • Optimized the complaint resolution system, achieving a 24-hour turnaround for provider cases and reducing escalations by 33%.
  • Led efforts in drafting and revising standard operating procedures for provider services, improving service consistency and reducing inquiries by 45%.
  • Developed and monitored provider performance dashboards, enabling data-driven decision-making and reducing complaints by 13% over two years.

Affiliations

  • Facilitator, Provider Satisfaction Survey Improvement Workshop, Seattle, 2019
  • Collaborator, Provider Network Expansion Seminars – Columbus, 2016
  • Committee Member, Healthcare Innovation & Expansion Institute, method
  • Certified Healthcare Compliance Professional (CHPC), program, 2016
  • Attendee, Annual Conference on Provider Relations and Network Management, 2019
  • Member, National Association of Healthcare Access Management, process
  • Member, National Committee for Quality Assurance (NCQA), standard
  • Participant, American Health Lawyers Association (AHLA), procedure
  • Certified Webinar Facilitator, Provider Relations initiative, 2015
  • Board Member, Healthcare Providers Directory Management Council, procedure

Certifications

  • Certified Professional in Health Care Quality (CPHQ)
  • Healthcare IT Technician Certification (CompTIA HIT)
  • Certified Education Trainer (CET) for Provider Orientation
  • Association for Project Management (APM)
  • Accredited Health Care Fraud Investigator (AHFI)
  • Certified Electronic Health Record Specialist (CEHRS)
  • Certified Healthcare Access Manager (CHAM)
  • American Academy of Financial Management (AAFM)
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Health Insurance Executive (CHIE)

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