Joseph williams
Redlands,CA
Summary
Knowledgeable Provider Relations Representative offering more than 2 years of experience in field. Successfully optimizes services, resolves billing inquiries and reviews data quality.
Overview
8
8
years of professional experience
Work History
Provider Relations Representative
Inland Empire Health Plan
01.2023 - 05.2024
- Maintained professional relationships with healthcare providers
- Handled more than 50 calls each day with consistently high satisfaction ratings from callers
- Served as a liaison between healthcare organizations and insurance companies to ensure seamless communication regarding claims processing and payment matters.
- Assisted providers in navigating through various reimbursement processes, resulting in timely payments and reduced financial disputes between parties.
Provider Relations Representative
United Health Share Ministries
05.2022 - 11.2022
- Maintained professional relationships with healthcare providers
- Investigated concerns such as billing and claims questions on behalf of providers
- Reviewed complex and unusual claims to determine coverage restrictions
- Stayed current on available policies and plans
- Handled more than 60 calls each day with consistent high satisfaction ratings from callers
Records Retrieval Specialist
ABI Documents
07.2021 - 05.2022
- Performed basic administrative duties by answering calls, taking messages, data entry, typing tasks, and locating files upon request
- Assisted in the implementation of digital recordkeeping systems, contributing to a more streamlined retrieval process.
- Reduced processing time for record requests through proactive anticipation of client needs based on historical trends.
Insurance Specialist
Automobile Club Of Southern California
06.2019 - 08.2020
- Counseled policyholders on vehicle coverages, Annual premium billing, updating drivers, miles, all vehicle modifications/changes
- 40-50 Inbound calls daily
- Renew annual memberships, and Upgraded memberships
Medical Records Specialist
Advantmed
02.2016 - 05.2019
- Maintained accurate documentation of all activities related to medical records.
- Collaborated with multiple departments to coordinate the release of information requests from patients, legal representatives, and insurance companies.
- Ensured that all required forms were completed accurately and completely prior to storage or release.
- Adhered to HIPAA guidelines when handling protected health information.
- Performed data entry into electronic health record systems.
Education
Associate of Science - Information Technology
Chaffey College
Rancho Cucamonga, CA06-2026
Technical Diploma -
UEI College
Ontario, CA12.2008
GED -
San Bernardino Adult School
San Bernardino, CA06.2008
Skills
- Customer Service
- Problem-Solving
- Communication
- Attention to Detail
- Time Management
- Critical Thinking
- Interpersonal Skills
- Conflict Resolution
Timeline
Provider Relations Representative
Inland Empire Health Plan
01.2023 - 05.2024
Provider Relations Representative
United Health Share Ministries
05.2022 - 11.2022
Records Retrieval Specialist
ABI Documents
07.2021 - 05.2022
Insurance Specialist
Automobile Club Of Southern California
06.2019 - 08.2020
Medical Records Specialist
Advantmed
02.2016 - 05.2019
Technical Diploma -
UEI College
GED -
San Bernardino Adult School
Associate of Science - Information Technology
Chaffey College
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