Results-oriented Provider Enrollment Specialist with expertise in healthcare compliance and operational efficiency. Strong background in data analysis and conflict resolution, ensuring accurate records and cultivating provider relationships to enhance enrollment processes and improve access to network services.
Overview
17
17
years of professional experience
Work History
Provider Enrollment Specialist
Noridian Healthcare Solutions
Fargo
07.2024 - Current
Reviewed and verified provider applications for regulatory compliance and accuracy, ensuring adherence to industry standards.
Coordinated provider enrollment processes for healthcare professionals across diverse settings, enhancing access to network services.
Updated provider information in the enrollment database system, maintaining data integrity and supporting operational efficiency.
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.
Executive office case specialist
Wells Fargo
Des Moines
07.2017 - 04.2024
Facilitated ongoing communication with clients throughout case duration via telephone and email to ensure clarity and support.
Created comprehensive reports on case progress and outcomes for management review.
Maintained precise records of client interactions and case statuses in various databases to support case management and reporting.
Utilized interpersonal communication skills to effectively engage customers, colleagues, and stakeholders in the organization.
First Assistant Manager
McDonald's
Cedar Falls
01.2009 - 07.2017
Led and motivated team of 20+ employees to achieve store goals.
Oversaw daily store operations, coordinating staff and managing inventory.
Performed regular performance evaluations to enhance employee development.
Resolved customer complaints and handled refunds and returns to promote satisfaction.
Maintained accurate inventory records utilizing computer software programs.