Dominique Ragsdale
Jacksonville,FL
Summary
Provider Services Representative with a goal-oriented mindset at AmeriHealth Caritas, adept at enhancing provider relations and resolving complex claims issues. Proven analytical thinker skilled in data entry and Microsoft Office, ensuring timely payment resolutions and improving operational efficiency. Committed to delivering exceptional service in fast-paced environments.
Overview
14
14
years of professional experience
Work History
Provider Services Representative
AmeriHealth Caritas Family of Companies
07.2023 - Current
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance for claims.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Investigating denied or unpaid claims, resolving issues with providers and insurers, and ensuring claims are processed correctly.
Credentialing Specialist
DispenseDoc
06.2021 - 06.2023
- 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.
- Ensured the collection of necessary documents for providers to dispense medications in office.
- Worked on behalf of practice to assist in licensing and contacting with 40+ Pharmacy Benefit Managers.
Data Entry Operator
Reed Technology & Information Services Inc, RTIS
04.2011 - 04.2020
- Adhered to specific procedures and standards for data entry.
- Reproduced Chemistry, Table, Art and Equation Data from source to text.
- Accurately input, updated and maintained data within computer systems and databases. Including identifying and fixing inconsistencies or inaccuracies in the data.
- Ensured that sensitive data was handled with care and that security protocols were followed.
Education
W. B Saul High School of Agricultural Sciences
Philadelphia, PA06.2010
Skills
- Goal-Oriented Mindset
- Call Center Experience
- Provider Relations
- Microsoft Office
- Medical Terminology
- Analytical Thinking
Timeline
Provider Services Representative
AmeriHealth Caritas Family of Companies
07.2023 - Current
Credentialing Specialist
DispenseDoc
06.2021 - 06.2023
Data Entry Operator
Reed Technology & Information Services Inc, RTIS
04.2011 - 04.2020
W. B Saul High School of Agricultural Sciences
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