Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
Generic
Anita McCullough
Open To Work

Anita McCullough

Provider Relations Specialist
Centennial,CO

Work Preference

Job Search Status

Open to work
Desired start date: 2 weeks notice

Desired Job Title

Provider Relations SpecialistHealth Information ManagerExecutive AssistantHealth Information Service Tech IIROI Specialist

Work Type

Full TimeContract Work

Location Preference

HybridRemote
Location: Centennial, CO, US
Open to relocation: No

Salary Range

$60000/yr - $200000/yr

Important To Me

Career advancementWork-life balanceCompany CulturePersonal development programsHealthcare benefitsWork from home optionPaid time offPaid sick leave401k match

Summary

Seasoned in navigating labor relations complexities, with strong background in negotiating collective bargaining agreements and resolving workplace disputes. Skilled in fostering positive relationships between management and employees, ensuring compliance with labor laws. Effective communicator, adept at mediating conflicts and implementing strategies that enhance organizational efficiency. Have contributed to creating harmonious work environments and improving employee satisfaction through proactive engagement and policy development.

Overview

11
11
years of professional experience

Work History

Provider Relations Specialist

Mines and Associates
Littleton, CO
09.2023 - Current
  • Lead provider credentialing, network development, and contract negotiation across multiple facilities.
  • Audit insurance claims and repricing processes to ensure regulatory compliance.
  • Conduct system testing and portal audits; assist medical staff with technical support.
  • Review HICF/UB claims and EOBs; oversee provider onboarding and contract finalization.
  • Collaborate cross-functionally with sales and client service teams via virtual and in-person channels.

Health Information Manager

Pride Healthcare
Aurora, CO
12.2022 - 06.2023
  • Coordinated audit support (payer, risk adjustment) and ensured timely record digitization.
  • Reviewed discrepancies in patient information to maintain data integrity.
  • Supported transcription and ensured accurate placement of indexed documents in EMRs.

Executive Assistant

Vitalant
Denver, CO
10.2021 - 10.2022
  • Oversaw A/P, A/R, and donor funds processing; supported HR processes including I-9 management and hiring events.
  • Managed Vice President's administrative needs, team scheduling, invoice tracking, and policy compliance.
  • Monitored DOT certification, driver eligibility, and motor vehicle reporting through IIX/VERISK systems.

Health Information Service Tech II

St. Anthony Hospital
Lakewood, CO
02.2020 - 11.2020
  • Analyzed records for accuracy; assigned deficiencies based on medical bylaws.
  • Offered technical support and enhanced document integrity through detailed scanning procedures.
  • Streamlined workflows in Release of Information (ROI) requests for patients and providers.

ROI Specialist

Denver Health Hospital
Denver, CO
06.2018 - 04.2019
  • Ensured compliance in PHI disclosures; responded to legal and care coordination requests.
  • Led patient interactions with high call volume and in-person document release.
  • Enhanced efficiency by optimizing MyChart activation, proxy access, and audit preparation.

Electronic Health Information Specialist

Denver Health Medical Center
Denver, CO
01.2015 - 06.2018
  • Audited electronic records for coding accuracy and regulatory alignment.
  • Scanned and indexed documents into EDM and EPIC with 99%+ quality standards.
  • Reduced billing discrepancies through claims analysis and provider education.

Education

GED -

Everest College
Aurora, CO
04-2011

Skills

  • Provider credentialing
  • Contract negotiation
  • Regulatory compliance
  • Claims analysis
  • Portal audits
  • Network development
  • Data integrity
  • Accounts reconciliation
  • Vendor management
  • Invoice processing
  • Financial reporting
  • Data analysis

Timeline

Provider Relations Specialist

Mines and Associates
09.2023 - Current

Health Information Manager

Pride Healthcare
12.2022 - 06.2023

Executive Assistant

Vitalant
10.2021 - 10.2022

Health Information Service Tech II

St. Anthony Hospital
02.2020 - 11.2020

ROI Specialist

Denver Health Hospital
06.2018 - 04.2019

Electronic Health Information Specialist

Denver Health Medical Center
01.2015 - 06.2018

GED -

Everest College

Similar Profiles

  • Tonya MaloneTonya Malone

    Provider Relations Specialist at MDwiseProvider Relations Specialist at MDwise

  • Sandy KnudsonSandy Knudson

    Provider Network Admin Specialist at Molina HealthcareProvider Network Admin Specialist at Molina Healthcare

  • Jenny Phan DipteeJenny Phan Diptee

    Lead Provider Enrollment Specialist at Vanderbilt University Medical CenterLead Provider Enrollment Specialist at Vanderbilt University Medical Center

  • Keli KerrKeli Kerr

    Director of Credentialing and Payer Relations at Discovery Behavioral HealthDirector of Credentialing and Payer Relations at Discovery Behavioral Health

CREATE PROFILE
Anita McCulloughProvider Relations Specialist