Gwen Clark
Gwenievereclark@gmail.com
Clarkston
Summary
Dynamic Credentialing Specialist with a proven track record at Regence Healthcare Insurance, excelling in provider enrollment and document review. Recognized for enhancing collaboration and expediting onboarding processes, while delivering exceptional customer service. Strong organizational skills and attention to detail ensure timely and accurate credentialing, fostering trust among healthcare providers.
Overview
41
41
years of professional experience
Work History
Credentialing Specialist
Regence Healthcare Insurance
09.2006 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted thorough background checks and primary source verifications to uphold high standards of care.
- Contributed positively to team dynamics by fostering a collaborative and supportive work environment.
Dental Claims Specialist
Regence Healthcare Insurance
04.1995 - 08.2006
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Claims Processor
Regence Healthcare Insurance
03.1988 - 03.1995
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reduced claim processing time for faster customer service and improved satisfaction rates.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Developed strong relationships with healthcare providers and insurance agents to facilitate seamless communication during the claims process.
- Bolstered client trust and confidence, providing empathetic and knowledgeable support throughout claims process.
Receptionist
Ruddell Chiropractic Clinic
09.1984 - 02.1988
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
- Handled cash transactions and maintained sales and payments records accurately.
- Front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
- Maintained confidentiality of information regarding clients and company.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
Education
Associate of Applied Science - Medical Secretary
Lewis Clark State College
Lewiston, United States 05.2001 -
High School Diploma -
Lewiston High School
Lewiston ID 05.2001 -
Skills
Excellent communication skills
Outstanding team player
Willingness to learn
Adjusts to change
Timeline
Credentialing Specialist
Regence Healthcare Insurance
09.2006 - Current
Associate of Applied Science - Medical Secretary
Lewis Clark State College
05.2001 -
High School Diploma -
Lewiston High School
05.2001 -
Dental Claims Specialist
Regence Healthcare Insurance
04.1995 - 08.2006
Claims Processor
Regence Healthcare Insurance
03.1988 - 03.1995
Receptionist
Ruddell Chiropractic Clinic
09.1984 - 02.1988
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