Julia DiGiacomo
Canon,GA
Summary
Reliable and personable healthcare management professional with a solid background as a Customer Service Representative in the healthcare industry. With eight years of progressive experience in managed care contracting, health plan negotiations, and provider relations, I bring a proven track record of establishing rapport with clients and ensuring customer satisfaction. A dedicated team player with an upbeat, positive attitude, I am motivated to contribute to company success by maintaining strong customer relationships and fostering partnerships. I possess comprehensive knowledge of the healthcare market and excel in identifying strategic objectives for managed care contract negotiations. Experienced in formulating negotiating strategies, I execute all aspects of the negotiation process, ensuring clear reimbursement rate structures and efficient adjudication.
Overview
4
4
years of professional experience
Work History
Senior Client Representative
Strategic Healthcare Partners
Savannah, GA
12.2023 - Current
- Experienced in governmental and commercial contracting across various healthcare sectors, including facility, ASC, physician, psychiatric facility, messenger model, and CIN.
- Comprehensive knowledge of healthcare market.
- Proven ability to monitor contract performance, conduct financial reporting, and resolve operational issues.
- Possesses strong organizational, time management, and communication skills, coupled with a keen attention to detail. Master’s degree preferred.
- Conducted regular status meetings with internal teams and external partners to track progress against established milestones.
- Ability to organize, plan, and prioritize activities with specific attention to details.
- Coordinated resources across multiple departments and teams as needed for successful completion of projects.
- Maintained 40+ client accounts successfully
- Organized meetings between stakeholders to discuss project details and timelines.
- Developed and implemented customized strategies to meet client needs.
- Conducted research and analysis of market trends, customer behaviors, and competitive landscape.
- Provided advice on operational processes, business development initiatives, organizational changes and other areas of improvement.
Client Representative
Strategic Healthcare Group
Savannah, GA
08.2021 - 12.2023
- Developed strong relationships with customers by responding promptly to their inquiries and concerns.
- Resolved customer complaints in a timely manner, escalating issues when needed.
- Maintained accurate records of customer interactions and transactions.
- Coordinated team activities and delegated tasks to ensure efficient completion of projects.
- Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions.
- Established clear expectations for employees, providing guidance when needed.
- Motivated and empowered team members to build customer satisfaction and loyalty to support retention and growth.
Provider Enrollment Specialist
Strategic Healthcare Partners
Savannah, Georgia
01.2020 - 08.2021
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Maintained detailed records of provider data in the credentialing database system.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Developed reports related to provider demographic information, status changes, verifications completed, as requested by management or external customers.
- Interacted regularly with representatives from health plans and commercial payers regarding credentialing matters.
- Researched discrepancies between submitted provider data and verified sources when necessary.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
- Set up NPI numbers for providers and facilities and updated current profile information.
- Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
Education
Bachelor of Science - Pre-Physical Therapy
Armstrong State University
Savannah, GA05-2020
Skills
- Account Management
- Excellent and Effective Communication
- Customer Relationship Management (CRM)
- Training and mentoring
- Pipeline Management
- Claims Processing
- Provider and Client Relations
- Problem-Solving
- Team Collaboration
- Adaptability
- Data Interpretation
- Strategic Thinking
- Time Management
- Cross-Functional Collaboration
- Customer Retention Strategies
- Self Motivation
Timeline
Senior Client Representative
Strategic Healthcare Partners
12.2023 - Current
Client Representative
Strategic Healthcare Group
08.2021 - 12.2023
Provider Enrollment Specialist
Strategic Healthcare Partners
01.2020 - 08.2021
Bachelor of Science - Pre-Physical Therapy
Armstrong State University
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