Summary
Work History
Education
Skills
Accomplishments
Certification
Timeline
Hi, I’m

Lisa Samet

Network Operations Specialist
Marlton,NJ

Summary

Organized, dependable, Lean Six Sigma Black Belt certified candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Work History

Enlyte
San Diego, CA

Network Operations Specialist
7 2022 - Current

Job overview

Process Improvement

  • Lean Six Sigma Black Belt certified
  • Rehabilitated and simplified department user guides
  • Conducted root cause analyses to pinpoint underlying problems within existing processes, enabling targeted improvements.
  • Identified and analyzed project risks and developed mitigation strategies.

Reporting & Analysis

  • Produced documentation outlining process improvement solutions.
  • Designed process models to provide clear, understandable tools for presenting complex business processes to individuals with minimal knowledge on topic.
  • Developed excel-based organizational filing systems for confidential records, resulting in improved accessibility and efficiency.
  • Organized, maintained, and updated large sets of data.
  • Collected and analyzed data to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Generated and analyzed reports to track status and progress of open requests.
  • Calculated descriptive statistics as well as performance trends.

Auditing & Work Distribution

  • Conducted performance reviews and provided feedback to managers on employee performance
  • Assessed staff performance using metrics for both production and quality.
  • Responsible for assigning work to 9 employees and ensuring that TAT met departmental standards.

Credentialing

  • Conducted primary source verifications such as background checks and board certifications.
  • Inspected applications for inaccurate or missing information.
  • Ensured applications met both organizational and NCQA standards.

RWJBarnabas Health
New Brunswick, New Jersey

Patient Access Representative
5 2021 - 7 2022

Job overview

  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Obtained patient's insurance information and determined eligibility and coordination of benefits for services rendered.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Transcribed ICD 10 and CPT codes to ensure accurate building.
  • Communicated with payors to secure payment for services rendered.

Education

Rutgers, The State University of New Jersey
Newark, NJ

Master of Arts from Public Administration
01.2017 - 05.2019

University Overview

  • 4.0 GPA
  • Capstone Project: An Evaluation of the Impact of Pet-Unfriendly Housing on Feline Euthanasia Rates in NJ, [Conducted research to determine if a statistically significant relationship existed between rentals' no-pet policies and the high prevalence of feline euthanasia rates throughout New Jersey]
  • Relevant Coursework: Computer Applications and Systems | Performance Measurement and Reporting | Applied Research Design | Applied Statistics | Evidence-Based Management | Technology and Administration
  • Awards and Honors: Summa Cum Laude, Golden Key Honors Society, Departmental Honors

Skills

Process Improvement

Accomplishments

  • DEC 2022: Spot award for exceptional efficiency in provider credentialing and recredentialing.
  • MAY 2023: Awarded Q1 MVP for construction and management of department's performance measurement system.
  • JUN 2023: Achievements featured in company newsletter

Certification

Lean Six Sigma-Black Belt

Timeline

Lean Six Sigma-Black Belt

10-2024

Rutgers, The State University of New Jersey

Master of Arts from Public Administration
01.2017 - 05.2019

Network Operations Specialist

Enlyte
7 2022 - Current

Patient Access Representative

RWJBarnabas Health
5 2021 - 7 2022
Lisa SametNetwork Operations Specialist