Summary
Overview
Work History
Education
Skills
Timeline
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Carol Clancy

Massapequa

Summary

A dynamic professional with a proven track record at Optum, adept in documentation management and fostering client relationships. Excelled in enhancing customer service and streamlining credentialing processes, achieving significant improvements in client satisfaction and operational efficiency. Skilled in multitasking and problem-solving, I bring a blend of analytical prowess and interpersonal skills to drive success.

Overview

2025
2025
years of professional experience

Work History

Enrollment Specialist

Optum
  • Updated and reviewed customer data for accuracy.
  • Communicated effectively via telephone, email, and in person with prospective customers.
  • Enhanced customer service by promptly addressing inquiries and resolving issues in a timely manner.
  • Completed remits and electronic enrollments for many large clients outside of the US and payers in numerous states.

Account Analyst

PerSe Technologies /Optum
03.1989 - 02.2025
  • Interacted professionally with clear, intentional communication, and set appropriate expectations on timeline of deliverables.
  • Managed multiple accounts simultaneously while adhering to strict deadlines and maintaining attention to detail.
  • Implemented effective risk management strategies that protected company assets from potential threats or vulnerabilities within accounts monitored closely over time.
  • Improved client satisfaction by providing timely and accurate financial insights and recommendations.
  • Reduced discrepancies in financial reports through thorough account reconciliation and data verification.
  • Evaluated financial processes to identify areas of improvement, recommending actionable solutions for optimization.
  • Forecasted account needs and metrics based on market and product data.
  • Collaborated with cross-functional teams to ensure seamless integration of financial data for comprehensive reporting.
  • Developed strong relationships with clients through excellent customer service skills and consistent follow-up on inquiries or concerns.
  • Developed and maintained successful business partnerships to address and proactively manage service issues.
  • Partnered with Account Manager to support preparation of client materials to educate, train and inform on benefits, services, and self-administration tools.
  • Participated in regularly scheduled feedback and information exchange sessions with key business partners.

Credentialing Specialist

Change Healthcsre/Optum
03.1989 - 02.2025
  • Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
  • Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
  • Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
  • Enrolled providers and Medicaid, Medicare, and private insurance plans.

Education

Associates - Business Administration

SUNY, Farmingdale
Farmingdale, NY
06.1985

Skills

  • Documentation management
  • Reporting and analytics
  • Data entry s

  • Confidentiality handling
  • Interpersonal relations
  • Workflow optimization
  • Record maintenance
  • Time management proficiency
  • Telephone and email skills
  • Enrollment verification
  • Customer follow-up
  • Billing procedure
  • Teamwork
  • Teamwork and collaboration
  • Time management
  • Problem-solving
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Organizational skills
  • HIPAA compliance
  • Active listening
  • Adaptability and flexibility
  • Verbal and written communication
  • Decision-making
  • Customer engagement
  • Client needs analysis
  • Task prioritization
  • Data entry
  • Self motivation

Timeline

Account Analyst

PerSe Technologies /Optum
03.1989 - 02.2025

Credentialing Specialist

Change Healthcsre/Optum
03.1989 - 02.2025

Enrollment Specialist

Optum

Associates - Business Administration

SUNY, Farmingdale

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Carol Clancy