Summary
Overview
Work History
Education
Skills
Star Awards
Timeline
Generic

Cheryl Rendflesh

South Milwaukee,WI

Summary

Dynamic Provider Engagement Professional with a proven track record at Humana, excelling in enhancing provider relationships and resolving claims issues. Known for exceptional communication and problem-solving skills, I effectively utilized Salesforce DP360 to streamline processes and improve provider retention. Committed to collaborating and delivering outstanding customer service.

Overview

14
14
years of professional experience

Work History

Provider Engagement Professional 1

Humana
04.2015 - Current

Work closely with our in-network dental providers/offices

Work DP360 cases with providers requests, concerns and issues.

Help providers/offices with claims issues.

Fee schedule requests for fee updates

Credentialing and re-credentialing providers


Dental Network Specialist

Humana
09.2011 - 04.2015

Reached out to dental providers to recruit them in the Humana Dental Network

Worked with Network Administration to credential a Dental provider I recruited in Humana Dentals Network

Worked closely with dental offices to do fee schedule increases

Helped dental offices with claims issues.

Answered the 800 line for all dental provider issues or requests

Education

No Degree - Nursing

MATC
Oak Creek, WI

High School Diploma -

Oak Creek High School
Oak Creek, WI
06-1987

Skills

  • Friendly, positive attitude
  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Retention
  • Salesforce DP360, MTV, Compbenefits, Power Bi Tool, and PMDM
  • Word and Excel
  • Guiding/helping Co-workers
  • Excellent communication
  • Organizational skills

Star Awards

I have received numerous Star Awards for my customer service skills with providers and for helping others on our dental team 

Timeline

Provider Engagement Professional 1

Humana
04.2015 - Current

Dental Network Specialist

Humana
09.2011 - 04.2015

No Degree - Nursing

MATC

High School Diploma -

Oak Creek High School

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Cheryl Rendflesh