Maria Kobelo
Columbus,OH
Summary
Results-driven healthcare professional with background in provider services. Known for strong problem-solving abilities and effective communication, leading to improved provider satisfaction and streamlined operations. A reliable team collaborator, adaptable to dynamic work environments, and focused on achieving optimal results.
Overview
23
23
years of professional experience
Work History
Provider Services Specialist
Quantum Health
01.2013 - 02.2025
- Generate providers’ reports needed by other working groups.
- Support activities of other working groups within the company.
- System administration of company external website. Troubleshooting user access and admin tech issues.
- Maintain provider network files.
- Liaison between Call Center Associates, Physicians and IT department
- Maintained accurate provider database information for efficient access and updates.
- Collaborated with cross-functional teams to enhance provider service processes.
- Responded to inquiries regarding provider services, ensuring timely resolution of issues.
Provider Services/Member Services
Molina Healthcare
05.2008 - 12.2012
- Act as liaison between Molina and physicians and hospital staff.
- Resolve inquiries such as claims, benefits, provider contracting and credentialing status.
- Recorded and logged all pertinent communication including inquiries and concerns.
- Research problems to provide the best solutions available within policy and guidelines.
- Reviewed and route claims and correspondence for reprocessing or adjustment.
- Trained and mentored new hires as assigned.
- Helped with member services department whenever there was call overflow,
- Adhered to regulatory requirements related with Medicare, Medicaid and Healthcare admin
- Conduct member satisfaction assessment services based on business needs
Collection Specialist
Alliance Data
06.2002 - 04.2008
- Contacted customers by phone or mail to collect on delinquent accounts.
- Responsible for maintaining collection database input.
- Maintained FDCPA regulation and compliantly collect and maintain goals.
- Performed skip tracing for location of debtors.
- Eliminated account charge-offs due to delinquency.
Education
Business Administration
University of Phoenix
Tempe, AZ01-2012
Bachelor of Science - Business Administration
Franklin University
Columbus, OH08-2005
Skills
- Effective multitasking
- Strong negotiation
- Healthcare industry
- Data analysis proficiency
Timeline
Provider Services Specialist
Quantum Health
01.2013 - 02.2025
Provider Services/Member Services
Molina Healthcare
05.2008 - 12.2012
Collection Specialist
Alliance Data
06.2002 - 04.2008
Business Administration
University of Phoenix
Bachelor of Science - Business Administration
Franklin University
Similar Profiles
Tiffany MooreTiffany Moore
Care Coordinator at Quantum HealthCare Coordinator at Quantum Health
Jasmine PylesJasmine Pyles
Personal Service Representative at Quantum HealthPersonal Service Representative at Quantum Health
Michelle CambonIMichelle CambonI
Nurse Care Coordinator at Quantum HealthNurse Care Coordinator at Quantum Health
Trey BuehlerTrey Buehler
Customer Account Specialist at Total Quality Logistics Inc.Customer Account Specialist at Total Quality Logistics Inc.
ROY JONESROY JONES
Volunteer Lead Alumni Group Facilitator at Lifepoint Health, Columbus SpringsVolunteer Lead Alumni Group Facilitator at Lifepoint Health, Columbus Springs