Adriana Granados
Overview
6
6
years of professional experience
Work History
Provider Relations Coordinator
Optum
Long Beach
02.2018 - Current
- Coordinated provider network meetings, events and trainings.
- Conducted regular outreach activities to promote services offered by the organization (Flu clinics, diabetic eye exams and mammograms etc).
- Prepared reports on utilization of services for internal management review.
- Maintained records of all correspondence between the organization and its providers.
- Submits provider adds/changes, practice location adds/changes, and referral status changes ensuring data integrity in internal systems (IDX, Curo, etc.) and health plan websites.
- Performed on-site visits to assess quality assurance standards at contracted facilities.
- Worked collaboratively with other departments within the organization on various projects related to provider relations.
- Cultivated strong relationships to maintain provider network knowledge and implement corrective actions for ongoing issues.
Education
Certificate - Medical Assisting
Downey Adult School
Downey, CA06-2017
Skills
- Reviewing data quality
- 2 years of experience as a Medical Assistant
- Knowledge of ICD-10 and CPT coding
- Customer Service
- Quality Assurance (Improve QI Clinical Metrics)
- Experience interfacing with all levels of management; professional verbal and written communication skills
- Experience in the healthcare industry
- Proficiency with MS Word, Excel, PowerPoint and Adobe
Languages
Spanish
Native/ Bilingual
Affiliations
- Cricut Design Space-To enhance my creativity.
References
References available upon request.
Timeline
Provider Relations Coordinator
Optum
02.2018 - Current
Certificate - Medical Assisting
Downey Adult School