Quality-driven administrative professional with solid background smoothly handling high-volume workloads. Prepares documents, mails packages and organizes schedules to support team needs. Good database administration and customer relations abilities. Driven and resourceful administrative professional with 5+ years of experience assisting with work of high-achieving executives. Track record supporting professional needs with well-organized precision. Successfully manages high-volume workloads in rapidly changing environments.
Overview
13
13
years of professional experience
Work History
Remote Credentialing Specialist
Oregon Health and Science University
03.2022 - 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.
Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Conducted primary source verifications such as background checks and board certifications.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
Received and evaluated applications to look for missing and inaccurate information.
Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
Prepared records for site visits and file audits.
Liaised with healthcare providers to address and resolve any credentialing issues promptly, maintaining strong professional relationships.
Physician Support Coordinator
Hannibal Regional Hospital
07.2021 - 03.2022
Served as a liaison between departments to facilitate effective communication throughout the company.
Handled confidential and sensitive information with discretion and tact.
Managed executive calendars, scheduling meetings and appointments and coordinating travel arrangements to optimize time.
Organized and coordinated conferences and monthly meetings.
Managed office inventory, tracking supplies and placing orders to ensure smooth daily operations.
Screened calls and emails and responded accordingly to support executive correspondence.
Provided professional administrative support during board meetings, including agenda preparation and minute-taking duties.
Updated spreadsheets and databases to track, analyze, and report on performance and sales data.
Credentialing Specialist
Hannibal Regional Hospital
05.2018 - 07.2021
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.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Received and evaluated applications to look for missing and inaccurate information.
Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Developed strong relationships with external organizations, leading to increased cooperation during verification processes.
Supported transition to electronic credentialing systems, facilitating more efficient and paperless process.
Coordinated credentialing committee meetings, ensuring productive discussions and decision-making.
Medicare Biller
Hannibal Regional Hospital
05.2015 - 05.2018
Ensured compliance with HIPAA and other relevant regulations through diligent record-keeping practices.
Managed accounts receivable aging reports, minimizing outstanding balances through prompt follow-up efforts with patients or responsible parties when necessary.
Reduced claim denials, maintaining thorough knowledge of Medicare regulations and guidelines.
Improved billing accuracy by diligently reviewing Medicare claims and identifying discrepancies.
Maximized reimbursement rates by staying current on Medicare policies, fee schedules, and changes in coverage.
Handled sensitive patient information responsibly, adhering strictly to privacy regulations while working efficiently.
Collaborated with medical coders to ensure proper diagnosis and procedure codes were used on all claims.
Provided exceptional customer service, addressing patient inquiries about their Medicare bills in a professional manner.
Communicated with insurance providers to resolve denied claims and resubmitted.
Teacher
Hannibal Regional Hospital
01.2012 - 05.2015
Developed strong relationships with students, parents, and colleagues by maintaining open lines of communication and fostering a supportive learning environment.
Managed classroom behavior effectively by establishing clear expectations, modeling appropriate conduct, and consistently enforcing established rules and consequences.
Enhanced classroom engagement through the use of interactive teaching methods, such as group projects and hands-on activities.
Education
General - General Studies
MOBERLY AREA COMMUNITY COLLEGE
Hannibal
High School Diploma -
Hannibal High School
Hannibal
05-2011
Skills
Executive Support
Administrative Support
Office Management
Meticulous attention to detail
Information confidentiality
Customer Service-Oriented
Timeline
Remote Credentialing Specialist
Oregon Health and Science University
03.2022 - Current
Physician Support Coordinator
Hannibal Regional Hospital
07.2021 - 03.2022
Credentialing Specialist
Hannibal Regional Hospital
05.2018 - 07.2021
Medicare Biller
Hannibal Regional Hospital
05.2015 - 05.2018
Teacher
Hannibal Regional Hospital
01.2012 - 05.2015
General - General Studies
MOBERLY AREA COMMUNITY COLLEGE
High School Diploma -
Hannibal High School
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