Amber Rowe
Des Moines,IA
Summary
Experienced with credentialing processes and regulatory compliance. Utilizes effective communication and meticulous documentation to manage credentialing for healthcare providers. Knowledge of industry standards and best practices ensures thorough and efficient credentialing operations.
Overview
14
14
years of professional experience
Work History
Credentialing and Contracting Specialist I
Wellmark Blue Cross And Blue Shield Of Iowa
06.2023 - Current
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted primary source verifications such as background checks and board certifications.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Liaised with healthcare providers to address and resolve any credentialing issues promptly, maintaining strong professional relationships.
Customer Experience Advocate III
Wellmark Blue Cross And Blue Shield Of Iowa
07.2017 - 06.2023
- Review and accurately advise members and providers of patients benefits
- Provide accurate, prompt, courteous, and professional responses to customers
- Keep records of customer interactions, record details of inquiries, complaints, or comments, as well as actions taken
- Reviewed and explained insurance plans to patients to guarantee full understanding of payment policies and procedures.
- Reviewed claims for accuracy and adjusted as needed
Nanny
Plasier Family
04.2015 - 05.2017
- Physically and verbally interacted with customers throughout day
- Offered detailed daily reports that outlined each child's day.
Childcare Worker
Apple Tree Children's Center
11.2012 - 03.2015
- Monitored educational progress by keeping detailed individual charts and files
- Openly exchanged ideas and materials with coworkers
- Used clear communication and professionalism to develop relationships with families
Data Entry/Cashier
New 2 U Treasures
07.2011 - 11.2012
- Assisted with payroll preparation and entered data into cumulative payroll documents
- Worked as a team member to provide highest level of service to customers
Education
High School Diploma -
Norwalk High School
Norwalk, IA2011
Skills
- Proficient in task management
- Clear and concise communication
- Effective time management
- Experienced in Microsoft Office applications
- Adaptable learner
- Client support
- Privacy standards adherence
- Healthcare provider relations
- Analytical problem solving
- Experienced in Cactus and FACETS applications
- Effective multitasking
- Experience with insurance credentialing
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Credentialing and Contracting Specialist I
Wellmark Blue Cross And Blue Shield Of Iowa
06.2023 - Current
Customer Experience Advocate III
Wellmark Blue Cross And Blue Shield Of Iowa
07.2017 - 06.2023
Nanny
Plasier Family
04.2015 - 05.2017
Childcare Worker
Apple Tree Children's Center
11.2012 - 03.2015
Data Entry/Cashier
New 2 U Treasures
07.2011 - 11.2012
High School Diploma -
Norwalk High School
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