Cynthia Pena
Automated Health Systems
Brockton,MA
15
years of professional experience
Experienced healthcare administrative professional with over 10 years in fast-paced medical and insurance settings. Skilled in provider enrollment, customer service, and healthcare administration. Proven ability to build relationships, resolve complex issues, and maintain compliance with organizational policies while delivering high-quality service.
Work History
Provider Enrollment Specialist
1 Year 10 Months- Process provider enrollment applications while ensuring accuracy, completeness, and compliance with Medicare requirements.
- Serve as the primary point of contact for healthcare providers, resolving enrollment questions and explaining application requirements.
- Provided support to providers to ensure clear communication throughout the enrollment process.
- Review documentation for accuracy and follow established procedures to maintain data integrity.
- Manage multiple priorities while consistently meeting productivity and quality expectations.
Customer Service Representative
3 Years 5 Months- Managed customer inquiries through multiple channels, ensuring timely and accurate responses.
- Resolved complex customer complaints by collaborating with internal departments to find effective solutions.
- Developed process improvements that enhanced overall customer satisfaction ratings.
Provider Enrollment Specialist
9 Years 10 Months- Facilitated provider enrollment processes to ensure compliance with regulatory standards.
- Analyzed and verified documentation for accuracy in provider applications.
- Coordinated communication between internal teams and healthcare providers to streamline onboarding
Billing Clerk
2 Years- Processed patient billing transactions and maintained accurate financial records.
- Reconciled daily cash and credit payments with attention to detail.
- Supported front-office operations and provided administrative coverage during employee absences.
- Assisted in maintaining organized billing documentation and efficient office workflow.
Education
Bachelor of Arts - Management
Associate of Arts - Liberal Arts (Mathematics & Computer Science)
Skills
Provider Enrollment & Credentialing Support
Provider Enrollment Support
Dental Office Operations
Patient & Provider Relations
HIPAA Awareness
Data Entry & Record Management
Data Entry
Electronic Documentation
Administrative Support
Microsoft Office (Word
Excel
Outlook)
Customer Issue Resolution
Problem Solving
Attention to Detail
Team Collaboration
Multitasking
Leadership
Communication
Multitasking
Timeline
Provider Enrollment Specialist
NGS
10.2024 - CurrentRead More
Customer Service Representative
Automated Health Systems
03.2023 - CurrentRead More
Provider Enrollment Specialist
NHIC Medicare
12.2014 - 10.2024Read More
Billing Clerk
Franklin Park Family Dental
01.2012 - 01.2014Read More
Curry College
Bachelor of Arts from Management
Read More
Quincy College
Associate of Arts from Liberal Arts (Mathematics & Computer Science)
Read More