Summary
Overview
Work History
Education
Skills
Timeline
Generic

AMANDA QUILLMAN

Onalaska,WI

Summary

I possess a versatile skill set in credentialing, project management, problem-solving, and collaboration. Bringing a fresh perspective and strong commitment to quality and success. I have been recognized for my adaptability, proactive approach in delivering effective solutions consistently and effectively managing my employees while maintaining positive respectful relationships. I am an experienced leader with a strong background in team guidance, managing complex projects, and ability to persevere while taking on new challenges.

Overview

17
17
years of professional experience

Work History

Credentialing Supervisor

Optum Serve
La Crosse, WI
08.2021 - Current
  • Oversee credentialing retrieval, no less than 10 employees at anytime and retention of network practitioners, ensuring quality within Optums Provider Management Network.
  • Manage core duties efficiently including performance of end-to-end practitioner credentialing, retention and maintenance of Optums Provider Management Network.
  • Maximize cost-effectiveness of Optums Provider Management Network.
  • Maintain KPI compliance.
  • Develop initiatives prioritizing the department's strategic goals.
  • Offer staff support on provider and practitioner inquiries.
  • Ensure satisfaction among providers, practitioners, and customers.
  • Manage recruitment processes, conduct trainings, and facilitate employee development.
  • Develop and manage performance metrics tailored to staff duties.

Credentialing Lead

Optum Serve
La Crosse, WI
02.2021 - 08.2021
  • Facilitated communication between Credentialing Coordinators and internal/external customers in a high-volume, fast-paced environment.
  • Supported staff to fulfill departmental goals and meet organizational commitments.
  • Trained employees on effective communication techniques with customers within and outside the organization.
  • Addressed Customer Satisfaction Surveys and Contract Discrepancy reports.
  • Evaluated data to establish accurate practitioner credentialing outcomes.
  • Mentored and monitored recruitment efforts and credentialing of practitioners.
  • Overhauled procedures to streamline operations for Credentialing Coordinators.
  • Communicated daily task counts and productivity status' to the department supervisor.

Credentialing Coordinator

Optum Serve
01.2017 - 08.2021
  • Identify and document credentialing, compliance, and contract requirements
  • Monitor accurate credentialing and re-credentialing between the practitioner/provider and internal departments
  • Processing of background checks
  • Additional Duties include:
  • Maintaining credentials of staff for onsite events
  • Working directly and diligently with staffing agencies in order to have events fully compliant and staffed
  • Compliance monitoring for appropriate insurance documents and insurance retrieval

Property manager

Mvp property management
05.2015 - 08.2018
  • Responsible for managing 50+ rental properties which entails creating lease and financial documents, billing, bookkeeping, filing records, collecting payments and maintaining a well-organized environment

MANAGER

Aunt Bea At Your Service
01.2008 - 05.2015
  • Responsible for managing a team of up to 4 people
  • Driving company vehicle to and from locations, collecting payments, general cleaning, customer service

Education

Associate in Applied Science -

MINNESOTA STATE COLLEGE SOUTHEAST TECHNICAL
05.2015

Skills

  • Team oriented
  • Detail oriented
  • Document management
  • Audit preparation
  • HIPAA compliance
  • Accreditation standards
  • Insurance procedures
  • Employee onboarding
  • Management
  • License verifications
  • Time management
  • Team leadership
  • Effective communication

Timeline

Credentialing Supervisor

Optum Serve
08.2021 - Current

Credentialing Lead

Optum Serve
02.2021 - 08.2021

Credentialing Coordinator

Optum Serve
01.2017 - 08.2021

Property manager

Mvp property management
05.2015 - 08.2018

MANAGER

Aunt Bea At Your Service
01.2008 - 05.2015

Associate in Applied Science -

MINNESOTA STATE COLLEGE SOUTHEAST TECHNICAL
AMANDA QUILLMAN