Dakotah Colechia
Summary
Experienced administrative professional with 10+ years in the healthcare industry. Works productively with facilities, provider groups and individual professionals. Knowledgeable about application requirements for government and private insurance plans. Effective at customizing recruitment strategies to meet different needs. Proficient in measuring success, documenting actions, and reporting on progress in closing workforce gaps. Dedicated professional eager to create and implement successful strategies to improve organizational efficiency. Adept at utilizing data analysis to provide insights into HR initiatives. Strong communication and interpersonal skills and committed to pursuing best practices related to employee development and retention. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Insurance Credentialing Specialist
Thundermist Health Center
02.2020 - Current
- 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.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Achieved greater accuracy in database management by regularly updating provider records and tracking status changes.
- Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Prepared records for site visits and file audits.
- Optimized workflow efficiency within the department through regular process evaluations and implementation of best practices.
Front Desk Manager
Wood River Health Services
03.2015 - 03.2017
- Assisted in the recruitment process, interviewing potential candidates, and selecting top performers.
- Coordinated successful community events, managing logistics, budgeting, and volunteer recruitment.
- Prepared weekly employee work schedules to meet operational needs.
- Mentored and trained new hires, fostering a supportive work environment that facilitated professional growth.
- Kept accounts in balance and ran daily reports to verify totals.
- Worked independently to investigate and resolve issues related to billing disputes and billing inquiries.
- Facilitated prompt resolution of billing disputes, ensuring patient satisfaction and loyalty.
- Liaised between staff, patients and third parties to handle billing issues.
- Trained department employees in proper billing and accounting procedures.
Front Desk Manager
Wood River Health Services
07.2016 - 01.2020
- Assisted in the recruitment process, interviewing potential candidates, and selecting top performers.
- Coordinated successful community events, managing logistics, budgeting, and volunteer recruitment.
- Prepared weekly employee work schedules to meet operational needs.
- Mentored and trained new hires, fostering a supportive work environment that facilitated professional growth.
- Kept accounts in balance and ran daily reports to verify totals.
- Worked independently to investigate and resolve issues related to billing disputes and billing inquiries.
- Facilitated prompt resolution of billing disputes, ensuring patient satisfaction and loyalty.
- Liaised between staff, patients and third parties to handle billing issues.
- Trained department employees in proper billing and accounting procedures.
Education
Vocational Program - Hospitality Administration And Management
Chariho Regional High School
Wood River Junction, RI06.2012
Skills
HIPAA Compliance
Provider enrollment
Data Management
Provider Relations
Document Review
Microsoft office expertise
Documentation and Recordkeeping
Decision-Making
Analytical and Critical Thinking
Conflict Resolution
Human Resources Support
Affiliations
- Cleft Community Advisory Council - Board Member
- Wood River Health Advisory Committee - Board Member
- Notary for the State of Rhode Island - Current
- Richmond Elementary School PTO - Treasurer
Timeline
Insurance Credentialing Specialist
Thundermist Health Center
02.2020 - Current
Front Desk Manager
Wood River Health Services
07.2016 - 01.2020
Front Desk Manager
Wood River Health Services
03.2015 - 03.2017
Vocational Program - Hospitality Administration And Management
Chariho Regional High School