Successful experience working in both team and self-directed settings in order to reach established goals. Strong communication and interpersonal skills with the ability to act as a resource for customers, providing excellent customer service in a courteous manner. Ability to work effectively with diverse groups of people at various levels within an organization.
Overview
25
25
years of professional experience
Work History
Provider Enrollment/Credentialing Specialist
Keystone Rural Health Center
Chambersburg, PA
10.2022 - Current
Maintained accurate records regarding all aspects of the enrollment process in a secure database.
Responded promptly to inquiries from providers regarding their status within the network.
Assisted providers with the completion of their application packages, including obtaining all necessary documents.
Reviewed and updated provider enrollment applications to ensure accuracy and completeness of information.
Performed verification checks for new provider enrollments in accordance with company policies and procedures.
Provided guidance to providers on the enrollment process, timelines, and requirements.
Collaborated with internal departments to ensure proper processing of enrollment applications.
Conducted audits of existing providers' records to verify continued eligibility for participation in network programs.
Developed system processes to streamline the provider enrollment process and improve efficiency.
Unit Secretary
WellSpan Waynesboro Hospital
Waynesboro, PA
04.2022 - 10.2024
Greeted visitors and patients in a courteous and friendly manner.
Assisted nursing staff with administrative tasks such as scheduling appointments, ordering supplies and preparing charts.
Answered telephone calls promptly and directed them to appropriate personnel or departments.
Prepared documents for signature by physicians or other authorized personnel.
Executed clerical tasks and assisted with unit duties to keep departments running smoothly.
Credentiler and Accounts Receivable Representative
AdvantEdge Healthcare Solutions
Chambersburg, USA
08.2012 - 04.2022
Monitored customer accounts to ensure payment terms are met.
Researched and resolved discrepancies in customer accounts.
Communicated with customers regarding payment status of their invoices.
Maintained detailed records of provider data in the credentialing database system.
Assisted providers with the completion of their application packages, including obtaining all necessary documents.
Performed verification checks for new provider enrollments in accordance with company policies and procedures.
Resolved discrepancies between provider applications and available data sources.
Provided guidance to providers on the enrollment process, timelines, and requirements.
Collaborated with internal departments to ensure proper processing of enrollment applications.
Conducted audits of existing providers' records to verify continued eligibility for participation in network programs.
Responded promptly to inquiries from providers regarding their status within the network.
Reviewed and updated provider enrollment applications to ensure accuracy and completeness of information.
Order Processor
Ingram Book Company
Chambersburg, USA
08.2010 - 12.2010
Processed and picked book orders efficiently and in a timely manner
Assisted in making daily and weekly production goals while working in a team environment
Helped with other job duties as requested by management
Assistant Manager
Uni-Mart
Mercersburg, USA
04.2000 - 08.2002
Assisted with daily operations, such as inventory, scheduling, nightly deposits, and customer service
Managed and trained employees to ensure store rules and regulations were being followed
Handled customer inquiries and complaints while also performing loss prevention duties
Education
ASSOCIATE OF APPLIED SCIENCE - MEDICAL OFFICE MANAGEMENT
Kaplan University
Hagerstown, MD, USA
01.2012
Timeline
Provider Enrollment/Credentialing Specialist
Keystone Rural Health Center
10.2022 - Current
Unit Secretary
WellSpan Waynesboro Hospital
04.2022 - 10.2024
Credentiler and Accounts Receivable Representative
AdvantEdge Healthcare Solutions
08.2012 - 04.2022
Order Processor
Ingram Book Company
08.2010 - 12.2010
Assistant Manager
Uni-Mart
04.2000 - 08.2002
ASSOCIATE OF APPLIED SCIENCE - MEDICAL OFFICE MANAGEMENT
Public Health Dental Hygienist Practitioner at Keystone Rural Health ConsortiaPublic Health Dental Hygienist Practitioner at Keystone Rural Health Consortia