Amanda Manns
Summary
Talented Manager who is a collaborative leader with planning and organizational skills who is dedication to partnering with coworkers to promote an engaged and empowering work culture. Strengths in building and maintaining relationships with employees in a fast-paced settings while equipping employees to independently handle daily functions and meet patient needs. Organized and dependable candidate who is successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Licensing & Credentialing Coordinator
AmplifyMD
01.2023 - Current
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Coordinated continuing education opportunities for medical staff, promoting professional growth and development among affiliated providers.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Minimized potential legal complications by ensuring adherence to federal and state regulations governing healthcare practitioners'' licensure and certification requirements.
- Upheld strict confidentiality standards, safeguarding sensitive provider information from unauthorized access or disclosure.
- Kept informed regarding pending industry changes, trends or best practices.
Manager Rural Health Clinics
Franciscan Health Rensselaer
09.2018 - 03.2023
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Developed and implemented business strategies to achieve business goals and stay competitive.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Developed and maintained relationships with customers and suppliers through account development.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Controlled costs to keep business operating within budget and increase profits.
- Set aggressive targets for employees to drive company success and strengthen motivation.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Maximized performance by monitoring daily activities and mentoring team members.
- Maintained positive patient relations by addressing problems head-on and implementing successful corrective actions.
- Improved marketing to attract new customers and promote business.
Medical Staff Credentialing Coordinator
Franciscan Health Rensselaer
09.2018 - 03.2023
- Coordinated implementation of people-related services, policies and programs through departmental staff.
- Worked alongside global business leader to deploy new training strategies.
- Prepared records for site visits and file audits.
- Improved office efficiency by effectively managing internal communications and correspondence.
- Conducted thorough primary source verifications, ensuring accuracy and validity of physician qualifications.
- Assisted in the development of policies and procedures related to medical staff credentialing, enhancing organizational efficiency.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration.
- Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
- Managed the reappointment process for medical staff members, ensuring continuity of care for patients.
- Developed constructive relationships with medical staff members, promoting a supportive and collaborative environment.
- Maintained confidentiality of sensitive information while handling large volumes of physician applications and records.
- Coordinated with various departments to obtain necessary documentation for credentialing processes, promoting seamless collaboration.
- Stayed current with industry trends and regulations through regular participation in relevant workshops and webinars, enhancing overall competency as a Medical Staff Credentialing Coordinator.
- Received and evaluated applications to look for missing and inaccurate information.
- Successfully managed high volume of workload while maintaining attention to detail and accuracy in all tasks performed as Credentialing Coordinator.
- Utilized strong problem-solving skills when faced with complex situations or challenges during the course of daily operations as a Medical Staff Credentialing Coordinator.
Denial Management
Franciscan Health Rensselaer
06.2016 - 09.2018
- Increased revenue recovery by efficiently resolving coding disputes with insurance carriers.
- Streamlined denial management processes by identifying areas of improvement and implementing corrective actions.
- Collaborated with billing department to ensure accurate invoicing and timely payment from clients.
- Maintained up-to-date knowledge of changes in medical coding standards and regulations, ensuring compliance across the organization.
- Utilized Internet and other resources to research newly identified diagnoses and procedures.
- Reviewed chart documentation to support ICD-10 and CPT codes and took action if documentation was not coded appropriately.
- Prepared and performed written reports of audits.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Resolved medical claims by approving or denying documentation, calculating benefit due and initiating payment or composing denial letter.
- Identified root cause of denials to provide plans for denial resolution.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
Rural Health Center Billing Coordinator
Jasper County Hospital
10.2014 - 09.2016
- Optimized billing processes by implementing efficient invoicing and payment tracking systems.
- Reduced billing errors through consistent review and reconciliation of account discrepancies.
- Streamlined workflow for faster invoice processing, improving overall efficiency in the department.
- Coordinated with clients to resolve outstanding balances, resulting in a higher percentage of on-time payments.
- Collaborated with cross-functional teams to ensure accurate and timely billing for all products and services provided.
Receptionist Clerk
Jasper County Hospital
09.2012 - 10.2014
- Monitored and screened visitors to verify accessibility to inter-office personnel.
- Facilitated smooth office operations with diligent mail sorting and distribution efforts.
- Confirmed appointments, communicated with clients, and updated client records.
- Maintained visitor log for entering and leaving facility for security purposes.
- Routed incoming mail and messages to relevant personnel without delay.
- Maintained confidentiality of information regarding clients and company.
- Organized, maintained and updated information in computer databases.
- Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
- Updated company database regularly, ensuring accurate contact information was available for internal use and external communications efforts.
- Handled incoming and outgoing package deliveries, working with vendors to complete special requests and track missing packages.
- Managed inventory levels for office supplies, placing orders when necessary to avoid shortages or delays.
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Answered phone promptly and directed incoming calls to correct offices.
- Corresponded with clients through email, telephone, or postal mail.
- Restocked supplies and submitted purchase orders to maintain stock levels.
- Consistently met deadlines for report submissions, contributing to overall team efficiency and productivity levels.
- Supported administrative staff with accurate data entry, filing, and document management tasks.
- Expedited visitor check-in process by maintaining an updated sign-in sheet and issuing visitor badges as needed.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Handled cash transactions and maintained sales and payments records accurately.
- Managed multiple tasks and met time-sensitive deadlines.
- Handled assignments independently with good judgement and critical thinking skills.
Education
BBA - Business Administration
Indiana Wesleyan University
Marion, IN08.2020
Skills
- Compliance Monitoring
- Operations Management
- Litigation Support
- Appeals processing
- Performance review
- Data entry proficiency
- Insurance procedures
- Leadership Techniques
- Performance Evaluation
- HIPAA Compliance
- Conflict Management
- Critical Thinking
- Documentation workflows
- Credentialing Software
- Quality Control
Certified Rural Health Center Professional
Have been a member of the NARHC (National Association of Rural Health Clinics) since 2019 and became a CRHCP (Certified Rural Health Clinic Professional) in March 2020.
Timeline
Licensing & Credentialing Coordinator
AmplifyMD
01.2023 - Current
Manager Rural Health Clinics
Franciscan Health Rensselaer
09.2018 - 03.2023
Medical Staff Credentialing Coordinator
Franciscan Health Rensselaer
09.2018 - 03.2023
Denial Management
Franciscan Health Rensselaer
06.2016 - 09.2018
Rural Health Center Billing Coordinator
Jasper County Hospital
10.2014 - 09.2016
Receptionist Clerk
Jasper County Hospital
09.2012 - 10.2014
BBA - Business Administration
Indiana Wesleyan University