Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
16
16
years of professional experience
Work History
Managed Care & Physician Relations Analyst
Greater Baltimore Medical Center, GBMC
03.2022 - 05.2025
Coordinated credentialing efforts with Medical Staff Office and Physician Practices assuring that all payer and NCQA requirements were met.
Investigated physician and payer billing and/or contractual service problems with GBMC Medical Providers, Facility, and Payers.
Managed and monitored the contract software of Physician employment dates, issue resolution, and reporting.
Processed Medicare, Railroad Medicare, and Maryland Medicaid Provider and Facility Applications. Reviewed for completeness, entering data, and obtaining appropriate signatures.
Maintained a working knowledge of Medicare, Maryland Medicaid, and CAQH credentialing policies, procedures, and on-line credentialing tools.
Represented the Managed Care Department at GBMC in meeting with Insurance Payers and other GBMC Departments.
Patient Service Associate
Greater Baltimore Medical Center, GBMC
03.2021 - 05.2025
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Trained new staff on filing, phone etiquette and other office duties.
Compiled and maintained patient medical records to keep information complete and up-to-date.
Engaged with patients to provide critical information.
Responded to inquiries by directing calls to appropriate personnel.
Facilitated communication between patients and various departments and staff.
Provided excellent customer service to patients and medical staff.
Customer Service Agent
Department of Transportation
08.2009 - 12.2022
Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously.
Delivered prompt service to prioritize customer needs.
Registered Nurse, Medical-Surgical Unit at Greater Baltimore Medical Center, GBMCRegistered Nurse, Medical-Surgical Unit at Greater Baltimore Medical Center, GBMC
Registered Nurse, Labor and Delivery at Greater Baltimore Medical Center, GBMCRegistered Nurse, Labor and Delivery at Greater Baltimore Medical Center, GBMC