CHELSEA GORDON
Salt Lake City,UT
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Detail oriented, dependable, and an enthusiastic team-player.
Overview
9
9
years of professional experience
Work History
Provider Network Administrator, Specialist
Molina Healthcare
03.2025 - Current
Provider Network Administrator, Assoc Specialist
Molina Healthcare
05.2023 - 03.2025
- Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
- Manage the Molina Healthcare of Idaho PNA email; review and process all inquiries, requests, and issues as they are received in a timely manner.
- Review and analyze provider information in provider databases.
- Manage the Idaho PNA SharePoint and Salesforce for provider credentialing submissions, and new contract/provider affiliations.
- Validate ID Medicaid or UT Medicaid registration as well as review CAQH for each provider to ensure accurate information and licensure is available.
- Perform daily audits on provider load and contract affiliation as well as ensure tickets that were submitted to the Provider Data Management (PDM) team were processed accurately.
- Collaborate with other departments on issues related to provider including Contracting, Provider Services, Configuration, and Credentialing.
- Review Salesforce tickets and provider affiliation on claim issues; review claim impact reports and analyze billing trends.
- Assist with training new hires in all databases that are used daily, including Salesforce, QNXT, CAQH, NPPES, and SharePoint.
- Assist on projects and other areas of PNA (such as Molina Healthcare of Utah PNA mailbox) as needed.
Client Service Advisor
Silicon Valley Bank
11.2021 - 04.2023
- Assist clients in all banking needs and navigate through the online platform.
- Research transaction cases, submit wire recalls, amendments, and traces.
- Train clients in using both the old and new online platform and how to change permissions from an administrative standpoint.
- Provide excellent customer service to each client and get all inquiries resolved with first interaction.
- Partner with internal teams to investigate transaction inquiries and technical issues.
- Train both clients and new employees on the online banking platform as well and how to process payments/pull reports/assist on complex issues.
Ophthalmic Technician
Moran Eye Center
04.2021 - 10.2021
- Perform diagnostic tests such as manifest refractometry, pachymetry, intermediate lens skills including measuring base curve, vertex distance, etc.
- Perform automated visual fields tests and some imaging for assessment.
- Assist with other ophthalmic procedures such as obtaining consent and assisting with laser procedures, intraocular injections, and minor office procedures.
- Assist in patient phone calls for appointment scheduling, medication refills, and medical questions.
- Ensure each exam room is fully stocked with all medical supplies needed such as gloves, sanicloth wipes, syringes, needles, issues, surgical instruments, alcohol swabs, etc.
- Keep count of inventory and assist in ordering products as well as organizing the inventory daily.
Certified Sterile Processing Technician
St. Marks Hospital
03.2019 - 08.2020
- Thoroughly cleans and decontaminates surgical instruments and ensure all biofilm and bioburdens are removed after each use.
- Inspect and assemble each set/tray of surgical instruments in a timely fashion with no errors.
- Sterilize each instrument/equipment according to the IFU and per standard guidelines.
- Completes requests to dispense equipment and supplies as well as assist in maintaining and processing patient charge records and department inventory.
- Assist in training new hires and taking on-call shifts.
- Ensure clear communication with the OR nurses and technicians for emergency and non-emergency needs of instruments.
- Run diagnostic tests each morning for all sterilization machines to ensure they are in working order and function properly.
- Assist the OR materials/inventory department with pulling orders for surgeries and assisting on inventory duties such as scanning inventory, replenishing stock, or pulling inventory back.
- Monthly inventory control on surgical instruments and reporting for leadership, communicates any concern for supply and replacements of instruments/supplies.
- Deliver/rotate supplies to departments throughout hospital.
- Assist on consignment supplies and vendors inventory.
Payroll Coordinator
CHG Healthcare
01.2016 - 04.2018
- Process and document physician payroll on a weekly basis via the online database; PeopleNet.
- Process physician reimbursements, adjustments, pay deductions, and invoices in a timely manner.
- Call physicians and/or facility administrators regarding time entry or payroll questions.
- Communicate payroll standards and processes to all physicians and the physician recruiters.
- Assist with obtaining documents for physician direct deposit.
- Track and document payroll items processed and combine payroll report status for the sales teams weekly.
- Partner and support the sales team (recruiters), accounting department, and the finance teams.
Education
High School Diploma -
Hillcrest High School
Medical Billing and Coding Certificate -
Salt Lake Community College
Salt Lake City, UT01-2024
Skills
- Proficient in Microsoft Office
- Excellent Customer Service
- Schedule Management
- Physician Assistance/Scribing
- Call Center Experience
- Inventory Control
- Auditing and Data Analysis
- Patient Care
- Medical Terminology Knowledge
- HIPAA Certified
Timeline
Provider Network Administrator, Specialist
Molina Healthcare
03.2025 - Current
Provider Network Administrator, Assoc Specialist
Molina Healthcare
05.2023 - 03.2025
Client Service Advisor
Silicon Valley Bank
11.2021 - 04.2023
Ophthalmic Technician
Moran Eye Center
04.2021 - 10.2021
Certified Sterile Processing Technician
St. Marks Hospital
03.2019 - 08.2020
Payroll Coordinator
CHG Healthcare
01.2016 - 04.2018
High School Diploma -
Hillcrest High School
Medical Billing and Coding Certificate -
Salt Lake Community College