Efficient professional with25+ years of experience and a proven knowledge of customer service, operations management, and data entry. Aiming to leverage my skills to successfully fill the Operations/Data Entry/Credentialing role at your company.
Overview
22
22
years of professional experience
Work History
Business Office Representative/Credentialing Coordinator
Arise Vascular
04.2022 - Current
Facilitate and manage the credentialing and enrollment process from start to finish in multiple states.
Auditing payor directories.
Enroll and Revalidate providers/facilities with payers.
Review and process insurance claims.
Analyze claim details to determine appropriate payout amount based on policy terms.
Contact customers with outstanding balances to discuss payment options and arrange payment plans.
Office Manager
Hill Country OBGYN Associates
08.2002 - 02.2022
Responsible for staff of35+ including but not limited to performance reviews, disciplinary actions and all aspects of hiring
Facilitated hospital privileges, credentials for insurance and professional licenses for8 providers
Processed and collected data to calculate wages, prepare paychecks and maintain accurate payroll records
These records included401k funding, payroll liabilities, payroll taxes and reconciliations
Created and implemented marketing strategies to bring in new patients
Planned events in community to promote doctors and managed social media activity
Maintained office efficiency by planning and implementing office systems, layouts and equipment procurement
Served as building manager to facilitate building safety compliance, maintained emergency exits, supervised security systems, and coordinated maintenance staff and daily cleaning services
Managed front desk operations to ensure friendly and efficient transactions at check in and check out
Fostered an environment in which patients enjoyed high levels of service; addressed patient complaints often de escalating issues with tact and diplomacy
Education
BSN Prerequisite
Trinity Valley Community College
Athens, Texas
01.1995
High School Diploma - undefined
Malakoff High School
Malakoff, Texas
05.1994
Skills
QuickBooks
Microsoft Office
CAQH Database
PECOS
HCA/Ascension Healthcare
Availity
Athena
STRENGTHS
Leadership skills
Effective communication
Multitasking
Self-motivated
Organization
Teamwork
Project management
Conflict Resolution
Timeline
Business Office Representative/Credentialing Coordinator
REGISTERED NURSE / CLIN III / CHARGE RN / INTERVENTIONAL RADIOLOGY at LIFELINE VASCULAR / LOS ANGELES VASCULAR / PEDESREGISTERED NURSE / CLIN III / CHARGE RN / INTERVENTIONAL RADIOLOGY at LIFELINE VASCULAR / LOS ANGELES VASCULAR / PEDES
Ultrasound Tech / RVS at BRG Vascular Associates Formerly Known As Vascular Specialty CenterUltrasound Tech / RVS at BRG Vascular Associates Formerly Known As Vascular Specialty Center