Analytical professional with extensive experience in provider enrollment and credentialing. Skilled in data management and document review and demonstrating accuracy and reliability in healthcare provider documentation.
Work History
Credentialing Specialist
2 Years 11 Months
United Healthcare, UHG | 09.2023 - Current
Analyzed provider applications to verify conformity with established regulations and internal protocols.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Analyzed and improved credentialing workflows through cross-functional collaboration with multiple departments.
Managed daily provider inquiries, resolving issues efficiently and supporting a seamless credentialing and onboarding process.
Claims Adjuster
4 Years 2 Months
Progressive Insurance | 06.2019 - 08.2023
Assessed insurance claims promptly to guarantee adherence to company standards.
Conducted comprehensive investigations into claims, collecting essential documentation for precise evaluations.
Managed comprehensive records of claims and communications within custom software systems.
Collaborated with policyholders and third parties to gather necessary documentation for accurate claim processing.
Audit & Tax Associate
5 Years 4 Months
Hardin Tax Service | 01.2014 - 05.2019
Contributed to the preparation and analysis of financial statements for client audits.
Collaborated with audit teams to ensure compliance with regulatory standards.
Conducted detailed reviews of client financial records to identify discrepancies.
Streamlined audit processes by implementing improved documentation practices.