Summary
Overview
Work History
Education
Skills
Timeline
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Brian D Pierce

Elgin,SC

Summary

Bringing strong analytical abilities and positive, upbeat attitude. Knowledge of compliance regulations and healthcare industry standards, paired with skills in data management and attention to detail. Dedicated to ensuring accurate credentialing processes that enhance organizational efficiency and maintain regulatory compliance.

Overview

9
9
years of professional experience

Work History

Managed Care Credentialing & Licensing Liaison

Medical Services of America, Inc.
08.2024 - Current
  • Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
  • Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
  • Gathered, organized and input information into digital database.
  • Collaborated closely with department heads to identify opportunities for process improvement initiatives.

Network Data Specialist I & II

Anthem Inc / Elevance Health (Remote)
08.2021 - 04.2024
  • Consistently met deadlines and delivered high-quality work, demonstrating a strong commitment to excellence in data management.
  • Maintained files, records, and chronologies of entry activities.
  • Reviewed and updated client correspondence files and database information to maintain accurate records.
  • Facilitated knowledge sharing by creating detailed documentation on data handling procedures.

Provider Contract Specialist I

Anthem Inc / America’s 1st Choice
03.2018 - 01.2021
  • Ensured timely fulfillment of contractual requirements by closely monitoring progress and addressing potential issues proactively.
  • Reviewed subcontractor agreements to ensure compliance with all relevant regulations, minimizing risk exposure.
  • Created and prepared specific contracts to present to senior management.
  • Provided exceptional customer service to diverse clientele even in high-stress environments.

Customer Care Representative I

Anthem Inc / America’s 1st Choice
03.2016 - 03.2018
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Managed high call volume with exceptional professionalism and efficiency.
  • Built rapport with customers through active listening and empathetic responses, fostering positive relationships.
  • Maintained a high level of product knowledge to provide accurate information and support to customers.

Education

GED - Required

Richland Northeast High School
Columbia, South Carolina
05.1986

Skills

  • Project management
  • Data analysis
  • Database management
  • Regulatory compliance
  • Quality assurance
  • Customer service
  • Process improvement
  • Documentation skills
  • Time management
  • Team collaboration
  • Verbal and written communication
  • Proficient in Microsoft Office

Timeline

Managed Care Credentialing & Licensing Liaison

Medical Services of America, Inc.
08.2024 - Current

Network Data Specialist I & II

Anthem Inc / Elevance Health (Remote)
08.2021 - 04.2024

Provider Contract Specialist I

Anthem Inc / America’s 1st Choice
03.2018 - 01.2021

Customer Care Representative I

Anthem Inc / America’s 1st Choice
03.2016 - 03.2018

GED - Required

Richland Northeast High School

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Brian D Pierce