Brittany Yancey
Pinehurst,NC
Overview
15
15
years of professional experience
1
1
Certification
Work History
Provider Relations Coordinator
FirstCarolinaCare
Southern Pines, NC
01.2023 - Current
- Initiating and maintaining effective channels of communication with providers and clients.
- Gathering, reviewing, and verifying all pertinent information relating to participating providers.
- Develops communications, education materials, and conducts and/or participates in education programs for providers and their staff.
- Maintain the provider database to ensure the accuracy and completeness of provider/group records.
- Oversees the quarterly audit of the Provider Directory.
- Prepares and distributes notifications to providers regarding credentialing, re-credentialing requirements, and status.
- Participates in the development and implementation of policies and procedures related to provider relations, contract maintenance, and credentialing that are compliant with all regulatory agencies.
- Assures that credentialing policies and procedures adhere to NC rules and statutes.
- Develops, reviews, and maintains the provider manual.
- Assists in the annual evaluation of provider network availability, accessibility standards, and provider satisfaction surveys. Monitors provider satisfaction through written surveys and on-site visits.
- Identifies the needs of providers and their staff, and coordinates with additional departments as necessary to provide appropriate support and initiate improvement opportunities.
- Participates in community activities representing First Carolina Care.
- Prepares and submits reports as needed or required by the FCC, the Department of Insurance, and other regulatory agencies. Oversees the distribution of systems reports to providers.
- Participates on committees where expertise can be best utilized.
- Determined best methods to meet research objectives and produce useful data.
- Resolved provider inquiries and issues related to reimbursement, claims processing and other operational matters.
Secretary II
Pinehurst Surgical Clinic
Pinehurst, North Carolina
05.2021 - 01.2023
- Oversaw management of patient consent documentation.
- Facilitated communication channels with referring offices for new patient referrals.
- Verifying insurances and following ABN and VA claims for new patients.
- Submitting authorizations for Medicaid, Medicare, and private insurances, including First Carolina Care, Humana, Aetna, and various BCBS policies.
- Managed final checkout process with correct data.
- Various tech duties include ensuring that the patient is following the correct form for the physical therapy exercises under the direct supervision of the attending therapist.
- Administering VASO and STIM machines, as well as sanitizing equipment after use.
Office Manager
Van Scoyoc’s Periodontal Clinic
Southern Pines
07.2020 - 05.2021
- Coordinated inter-office education and training programs.
- Arranged skill enhancement programs featuring visiting educators and digital courses.
- Maintained all currency for American General Dentistry (AGD) standards, OSHA, and Basic Life Support.
- Maintained detailed financial records for incoming and active patients.
- Managed the scheduling of routine, surgical, and follow-up appointments for all patients.
- Coordinated all appointments with insurance, and inter-office referrals.
- HIPPA Officer for the office
- Maintained regulatory standards across every communication channel.
- Delegated work to staff, setting priorities and goals.
- Elevated customer satisfaction ratings by promptly resolving client and case issues.
- Used judgment and initiative in handling confidential matters and requests.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Treatment Coordinator
Carolina’s Dentist
Aberdeen, North Carolina
04.2018 - 09.2019
- Conducted confirmation of all presented dental insurance plans.
- Coordinated care plans for patients by collaborating closely with healthcare professionals and specialists.
- Worked with the Veterans Administration (VA) to ensure that all treatments were pre-approved through the VA.
- Compiled and maintained medical charts and reports in complex digital databases.
- Facilitated communication between patients and healthcare teams, acting as a primary point of contact.
- Provided guidance to patients about their financial responsibility for services rendered.
Medical Technician
Air National Guard
Jacksonville, Arkansas
04.2010 - 04.2013
- Basic Military Training Course completed October 26, 2012
- EMT certification completed February 8, 2013
- Collected and processed specimens from patients for laboratory analysis.
- Implemented safety measures within the clinical environment per OSHA standards.
- Provided patient and family health education focusing on self-management, prevention and wellness.
Education
Phlebotomy Technician -
Carolina Central Community College
Sanford01.2018
Medical transcription with billing and coding -
meditec
Austin, Texas01.2015
Diploma -
Niceville Highschool
Niceville, Florida01.2009
5-Star Certification -
Scheduling Institute
Continuing Education in regards to dental treatment financial planning and office growth through Sandhills Symposium
Seattle Study Club
Skills
- Provider database management
- Credentialing processes
- Customer service
- Provider education
- Relationship building
- Inter-department coordination
- Financial Planning
- Workflow Analysis
- Problem-solving
- Multitasking capacity
- Competitive analysis
Certification
- Phlebotomy Technician PBT(ASCP), 07/21
- Basic Life Support (BLS), 10/28/20
- Medical Transcription with Billing and Coding, 01/28/15
References
- Tara Floyd, Provider Relations Coordinator, (910) 638-3902
- Jennifer Dunlap-Lopez, Patient Relations Coordinator (910)585-4545
Timeline
Provider Relations Coordinator
FirstCarolinaCare
01.2023 - Current
Secretary II
Pinehurst Surgical Clinic
05.2021 - 01.2023
Office Manager
Van Scoyoc’s Periodontal Clinic
07.2020 - 05.2021
Treatment Coordinator
Carolina’s Dentist
04.2018 - 09.2019
Medical Technician
Air National Guard
04.2010 - 04.2013
Phlebotomy Technician -
Carolina Central Community College
Medical transcription with billing and coding -
meditec
Diploma -
Niceville Highschool
5-Star Certification -
Scheduling Institute
Continuing Education in regards to dental treatment financial planning and office growth through Sandhills Symposium
Seattle Study Club
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