Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
12
12
years of professional experience
Work History
Provider Schedule Manager
QTC Medical Services
07.2022 - Current
Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
Answered provider inquiries via email, telephone and written correspondence.
Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
Contributed to and enhanced audit processes to maximize quality management standards.
Identified network gaps and collaborated with recruiters to fill deficiencies.
Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Established team priorities, maintained schedules and monitored performance.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Front Desk Receptionist
QTC Medical Services
02.2020 - 07.2022
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Scheduled, coordinated and confirmed appointments and meetings.
Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Answered multi-line phone system and transferred callers to appropriate department or staff member.
Completed data entry and filing to keep records updated for easy retrieval.
Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
Completed all tasks in compliance with company policies and procedures.
Maintained confidentiality of sensitive data to protect customer and business information.
Trained new team members on company procedures, customer service and issue resolution.
Sorted and delivered mail and packages upon arrival to correct staff members and departments.
Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
Resolved customer problems and complaints.
Insurance Verification Specialist
Sentara Health Care System
10.2018 - 02.2020
Complied with HIPAA guidelines and regulations for confidential patient data.
Assisted patients with understanding personalized insurance coverage and benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Achieved insurance pre-authorizations to enable timely patient procedures.
Updated patient records with accurate, current insurance policy information.
Trained new staff on current, correct insurance verification procedures.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Front Desk Manager
Inova Health Systems
08.2011 - 07.2016
Trained new staff on correct procedures, compliance requirements, and performance strategies.
Controlled cash and credit card payment transactions at front desk to successfully reduce errors.
Responded to telephone, email and in-person inquiries regarding appointments.
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Kept accounts in balance and ran daily reports to verify totals.
Resolved patient complaints by addressing issues with appointment times promptly.
Attended staff meetings and brought issues to attention of upper management.
Prepared weekly employee work schedules to meet operational needs.