Kellie A. Cook
Jacksonville,FL
Summary
Adept at streamlining operations and enhancing efficiency, I leveraged SQL and relationship-building skills at First Coast Energy to develop profit-maximizing promotions, demonstrating a keen ability for performance monitoring. My background includes a diverse range of roles, from Provider Enrollment Representative to Price Book Manager, showcasing continuous learning and provider enrollment expertise.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Provider Enrollment Representative
First Coast Service Options
04.2024 - Current
- Meet weekly numbers of processing Medicare applications
- Follow up with development with providers and stay on schedule, with correspondence letters and handles incoming/outbound documents for my group
- Customer service skills is a plus while working with providers/doctors
- Assist with other PE Reps outstanding applications
- Work from home and able to meet my duties and schedules
Procurement Clerk
WestRock
02.2022 - 01.2024
- Compile requests for materials
- Prepare purchase orders or follow up on outstanding purchase orders
- Keep track of purchases and supplies
- Take on-call as scheduled
- Assisted vendors with outstanding invoices or discrepancies with Payables department
- Respond to questions from customers and suppliers about the status of orders
- Ensure purchases arrive on schedule and meet the purchaser's specifications
Provider Relations Specialist
One Call Care Management
Jacksonville, FL
01.2020 - 07.2022
- Company Overview: Provider Relations Specialist (Group Health Contract Negotiator)
- Supports the division and departmental cost savings and revenue enhancement goals by managing the full life cycle of contract negotiations with One Call in network providers
- Analyzes and leads in the negotiation of provider contracts
- Disseminates healthcare contract information throughout the organization and updates applicable systems as contracts are updated or changed
- Familiar and comfortable with a variety of healthcare concepts, practices, and procedures
- Locates and works Network development in target market to obtain new providers to make this process more cost efficient
- Develops and implements effective and innovative recruiting strategies to grow the network
- Participate as one of the key team members on the Triage Team for Provider Relations
- Serve as Lead Triage resource, fielding issues, addressing deficiencies in team Triage duties, facilitate contracts for Provider Relations including researching requests, ongoing provider communications and negotiations
- Serve as Trainer and Backup for other Associate Contract Negotiators
- Assisted with onboarding and training of new employees
- Works independently and as a team member on contract negotiations, renegotiations, contract preparation, and provider relations
- Issues contracts with pricing and contract language for potential providers
- Obtains required credentials on each provider and ensures Credentialing process is adhered to with respect to Provider Relations role in the process
- Assist with the Compliance department to make sure One Call stays in compliance with the State and Health Plan with Audits on the data
- Daily duties start from reaching out to the potential providers, contracting, gathering credentialing, billing, invoicing, trips, and staffing trips that Operations has not been able to complete
- Manage completing of priorities and deliver quality information and analysis while adhering to strict deadlines for many different requests
- Maintains status and associated documentation in appropriate electronic location on a timely basis to support departmental reporting requirements and timeframes
- Completion of any projects requested by the division Executive Direction
- Provider Relations Specialist (Group Health Contract Negotiator)
Office Manager
UF Health (Formerly Shands Jacksonville)
Jacksonville, FL
12.2014 - 07.2015
- Responsible for providing day-to-day office leadership for fast-paced, high-volume Perioperative Services/Operating Room Administration department of a 695-bed Academic Health Center
- Provide daily support for the Director of Perioperative Services and Director of Business Operations
- Adhere to all departmental and organizational policies and procedures
- Facilitate payroll for 12 hospital cost centers in Kronos/Ansos timekeeping system
- Assisted employees with benefits/payroll questions
- Assisted with Payables with outstanding invoices or discrepancies due to contracts
- Help fill in when scheduling and billing department needed help and learn to do audits in EPIC
- Track contracts on Excel spreadsheets, review discrepancies, and pay vendor invoices
- Prepare check requests and assist vendors with invoice issues by communicating with various hospital departments
- Monitored all purchase orders, assuring the delivery dates meet all deadlines
- Tracked all Purchase orders with detailed information and processes and assured invoices were paid accordingly assuring the Purchasing Orders terms and conditions had been met
- Worked with Buying Groups and Contracts to assure best was always obtained
- Track audits for contracted hospital employees to ensure that they meet JCAHO standards
- Partner with Human Resources and HRIS team to ensure associate terminations and position reporting are handled in a timely manner, schedule interviews, updated spreadsheet of open positions and worked closely with HR to fill
- Facilitate contracts for Perioperative Services including researching requests, ongoing vendor communications, and vendor negotiations
- Assist leadership team with preparing capital and operating budgets
- Monitor monthly budget numbers from EPSI to identify and monitor budget variances
- Develop and document new office and process improvements that save time and money
- Assist internal team with assigning classes in HealthStream learning management system to all department associates
Price Book Manager
First Coast Energy, Inc.
Jacksonville, FL
01.2005 - 01.2012
- Provided daily supervision to one employee and led day-to-day office operations
- Supported leadership team daily
- Responsible for planning analysis and annual budgeting process
- Served as the liaison for retail store — vendor relationships, ensuring win-win solutions for both parties
- Communicated expectations, options, and solutions regarding promotions
- Developed new promotional analysis reports in SQL/Crystal that allowed the company to determine maximum profit-making promotions
- Prepared and analyzed monthly data for numerous complex reports
- Assisted Payables with outstanding invoices or discrepancies
- Entered company vendor and retail store pricing data into system
- Interfaced with the IT Department to identify and recommend process improvements for streamlining data from multiple locations
- Scheduled travel arrangements and booked venues for company meetings
- Provided best practices implementation strategies that addressed people, processes, and technology
- Facilitate contracts which include researching item requests, ongoing vendor communications, and vendor negotiations, accounts payables and receivables, inventory, update data and invoices
- Attended and assisted in arranging community functions, maintain records and filings for documents
Executive Administrative Assistant/B2B Assistant
Bi-Lo (formerly Winn Dixie Inc.)
Jacksonville, FL
01.2000 - 01.2005
Court Clerk
R. Craig Hemphill and Associates
Jacksonville, FL
01.1996 - 01.2000
Office Clerk | Cashier
Publix Supermarkets
Jacksonville, FL
01.1993 - 01.1996
Education
Master of Business Administration -
University of Phoenix
Jacksonville, FL05.2014
Bachelor of Arts - Business Management
University of North Florida (UNF)
Jacksonville, FL12.1999
Skills
- Microsoft Office
- Kronos Timekeeping System
- ANSOS
- PeopleSoft
- QuickBooks
- Structured Query Language (SQL)
- OMI
- JD Edwards
- HAMi
- Fuse
- Phoenix
- BLS
- Compass
- Smartsheets
- Healthcare
- Performance monitoring
- Relationship building
- Healthcare regulations
- Data entry proficiency
- Continuous learning attitude
- Provider enrollment expertise
Certification
- Notary for the State of Florida
Timeline
Provider Enrollment Representative
First Coast Service Options
04.2024 - Current
Procurement Clerk
WestRock
02.2022 - 01.2024
Provider Relations Specialist
One Call Care Management
01.2020 - 07.2022
Office Manager
UF Health (Formerly Shands Jacksonville)
12.2014 - 07.2015
Price Book Manager
First Coast Energy, Inc.
01.2005 - 01.2012
Executive Administrative Assistant/B2B Assistant
Bi-Lo (formerly Winn Dixie Inc.)
01.2000 - 01.2005
Court Clerk
R. Craig Hemphill and Associates
01.1996 - 01.2000
Office Clerk | Cashier
Publix Supermarkets
01.1993 - 01.1996
Master of Business Administration -
University of Phoenix
Bachelor of Arts - Business Management
University of North Florida (UNF)
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