Cindy Stoll
1621 HIGHWAY 92, KNOXVILLE,IA
Summary
Professional with in-depth experience in healthcare operations and provider enrollment. Skilled in navigating complex regulatory requirements, ensuring compliance, and streamlining processes for efficiency. Strong focus on team collaboration and achieving results, adaptable to changing needs. Known for exceptional organizational skills, problem-solving abilities, and effective communication.
Experienced with managing provider enrollment processes, ensuring timely and accurate credentialing. Utilizes strong communication and organizational skills to enhance workflow.
Overview
42
42
years of professional experience
Work History
Network Administration
Wellmark Blue Cross And Blue Shield Of Iowa
01.2015 - Current
- Developed strong referral network through exceptional service quality and relationship building efforts.
- Assisted with network administration tasks.
- Managed provider enrollment processes to ensure compliance with regulatory standards.
- Assisted providers with navigating online portal systems, enhancing user experience and expediting application submissions.
- Used Cactus & Facets to enter provider effective dates into enrollment database.
- Established strong relationships with providers through clear communication and prompt assistance during the enrollment process.
- Handled escalated enrollment cases with professionalism and tact, ensuring positive outcomes for both providers and the organization.
- Managed provider inquiries, ensuring timely and accurate responses to enhance service quality.
Provider Directories
Wellmark Blue Cross And Blue Shield Of Iowa
03.2013 - 01.2015
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Strengthened communication skills through regular interactions with others.
- Adaptable and proficient in learning new concepts quickly and efficiently.
Provider Records
Wellmark Blue Cross And Blue Shield Of Iowa
09.2008 - 03.2013
- Excellent communication skills, both verbal and written.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Worked flexible hours across weekend, and holiday shifts.
- Paid attention to detail while completing assignments.
Suspense Coordinator
Wellmark Blue Cross And Blue Shield Of Iowa
04.2002 - 09.2008
- Coordinated suspense activities to ensure timely resolution of discrepancies.
- Analyzed and prioritized outstanding items to enhance operational efficiency.
- Developed standard operating procedures for suspense management processes.
Internal QA
Wellmark Blue Cross And Blue Shield Of Iowa
02.1998 - 04.2002
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
Pharmacy/DME
Wellmark Blue Cross And Blue Shield Of Iowa
08.1985 - 02.1998
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Medical Claims Analyst
Wellmark Blue Cross And Blue Shield Of Iowa
11.1983 - 08.1985
- Analyzed claims data to identify trends and discrepancies for process improvement.
- Reviewed medical insurance claims, ensuring accuracy and compliance with company policies.
- Analyzed claims data to ensure compliance with regulatory standards.
Education
Ankeny High School
Ankeny, IASkills
- Provider Network experience
- Effective written and verbal communication
- Physician enrollment
- Data entry skills
- Provider Record Maintenance skills
- Healthcare
Timeline
Network Administration
Wellmark Blue Cross And Blue Shield Of Iowa
01.2015 - Current
Provider Directories
Wellmark Blue Cross And Blue Shield Of Iowa
03.2013 - 01.2015
Provider Records
Wellmark Blue Cross And Blue Shield Of Iowa
09.2008 - 03.2013
Suspense Coordinator
Wellmark Blue Cross And Blue Shield Of Iowa
04.2002 - 09.2008
Internal QA
Wellmark Blue Cross And Blue Shield Of Iowa
02.1998 - 04.2002
Pharmacy/DME
Wellmark Blue Cross And Blue Shield Of Iowa
08.1985 - 02.1998
Medical Claims Analyst
Wellmark Blue Cross And Blue Shield Of Iowa
11.1983 - 08.1985
Ankeny High School
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