Ashley Snyder
Corona,CA
Summary
Experienced Credentialing Specialist with twelve years in provider credentialing services. Knowledgeable about application requirements for government and private insurance plans. Organized and dedicated Medicare Compliance Specialist with proven track record of providing exceptional monitoring and oversight in fast-paced environments. Offering keen attention to details and strong presentation skills to manage and lead multiple projects.
Overview
10
10
years of professional experience
Work History
Credentialing Specialist
Aya Healthcare
11.2021 - 02.2024
- Managed independently and collaboratively compliance process
- Review credentialing files and work with healthcare providers to obtain missing, incomplete, and expiring items
- Establish and maintain long-term working relationships with healthcare providers to ensure customer satisfaction and retention
- Maintain consistent contact with healthcare providers to ensure that expectations are clear, and requirements are completed in a timely manner
- Utilize advanced problem-solving skills to resolve issues and conflicts that may arise.
Medicare Compliance Specialist
Capital Blue Cross
08.2020 - 05.2021
- Manage reimbursement related issues and policies/procedures
- Evaluate financial analysis for projects, budgets, and other finance-related transactions
- Enhance and foster organizational and departmental compliance approach
- Provide support for subsidiary Medicare compliance needs including documentation, policies, procedures, and oversight activities related to exclusion scanning
- Maintain Compliance oversight of first tier, downstream and related entities consistent with industry compliance practices and requirements
- Refine and enhance exclusion scanning processes for federal agencies
- Analyze and complete Capital Blue Cross, VIBRA, and Dominion National exclusion and preclusion scanning process
- Refine and enhance exclusion scanning processes reporting to drive efficiencies and accuracy.
- Conducted thorough research to identify trends and inform decision-making for business growth initiatives.
- Spearheaded innovative product development initiatives that increased market share and profitability margins.
EXECUTIVE ASSISTANT
UPMC Pinnacle
10.2013 - 02.2020
- Responded to emails and other correspondence to facilitate communication and enhance business processes
- Financial analysis experience strongly preferred
- Allocated executive tasks and managed complex calendars and administrative functions
- Carried out projects using Office suites, Presentation software and people soft
- Supported full contract administration process in yearly service and material purchases
- Sustained service, IT, and maintenance contracts current with supervision of contract administrator
- Carried out invoice reconciliation activities to insure compliance of Orthopedic and Spine pricing matrix with supervision of contract administrator
- Supported full buyer administration process and capitalized on opportunities to make significant cost saving to areas of supplies and services.
Education
Associate of Arts - Health Care Management
Harrisburg Community College
Harrisburg, PABachelor of Science - Business Administration with Health Administration
Central Penn College
Summerdale, PASkills
- Strong decision-making skills
- Excellent written and verbal communication
- Microsoft Word and Excel
- Project Management
- Procurement to pay process
- Strong interpersonal skills
- Critical thinker
- Excellent presentation skills
- Contract Analytics
- Excellent detailed orientation
Volunteer Experience
Attended the UPMC Pinnacle United way volunteer day. There were about 12 folks who spent the day at Capital Area Therapeutic Riding association (CATRA).
Timeline
Credentialing Specialist
Aya Healthcare
11.2021 - 02.2024
Medicare Compliance Specialist
Capital Blue Cross
08.2020 - 05.2021
EXECUTIVE ASSISTANT
UPMC Pinnacle
10.2013 - 02.2020
Associate of Arts - Health Care Management
Harrisburg Community College
Bachelor of Science - Business Administration with Health Administration
Central Penn College