Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
Work History
Provider Relations Coordinator
Centene/Care1st
03.2019 - Current
Work with Banner Rosters for Providers and Facilities Contracts.
Confirm that all information is correct and up to date in systems for claim submission.
Answer calls for status to include faxes and emails.
Streamlined communication between healthcare providers and the organization, resulting in improved collaboration and efficiency.
Credentialing Specialist
AKDHC, LLC
01.2015 - 03.2019
Obtained NPI numbers for providers and facilities and updated existing profiles.
Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
Enrolled providers and Medicaid, Medicare, and private insurance plans.
Enhanced credentialing processes by streamlining documentation and verification procedures.
Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Medical Assistant
Joan Bailey, MD/Endocrinology
02.2014 - 01.2015
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Sanitized, restocked, and organized exam rooms and medical equipment.
Called and faxed pharmacies to submit prescriptions and refills.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Collected pertinent data and calculations to aid physician in interpreting results.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Surgery Scheduler/Medical Assistant
Biltmore ENT
04.2010 - 02.2014
Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
Educated patients about surgeries and provided treatment plan documentation.
Acted as a liaison between patients, insurance carriers, and the surgical team to secure necessary authorizations for timely procedures.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
Documented vital signs and health history for patients in clinic and hospital environments.
Medical Assistant
Estrella Mountain Medical Group
02.2007 - 04.2010
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Sanitized, restocked, and organized exam rooms and medical equipment.
Called and faxed pharmacies to submit prescriptions and refills.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Phlebotomist
LabCorp
04.2005 - 02.2007
Tracked collected specimens by initialing, dating, and noting times of collection.
Demonstrated adaptability by effectively performing blood draws on diverse patient populations, including pediatric, geriatric, and challenging cases.
Performed laboratory tests to assist physicians in diagnosis.
Drew blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
Sr. Reinsurance Finance Analyst at Arizona Complete Health, Care1st Health Plan of AZSr. Reinsurance Finance Analyst at Arizona Complete Health, Care1st Health Plan of AZ