Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Marissa Mestas

Burbank,IL

Summary

Detail-oriented professional with a proven track record at BCBS of Illinois, excelling in data management and provider relations. Leveraged expertise in healthcare industry knowledge to enhance database integrity, achieving a significant improvement in network quality. Demonstrates exceptional problem-solving abilities and teamwork, driving results and exceeding expectations. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

8
8
years of professional experience

Work History

PROVIDER DATA SPECIALIST

Blue Cross Blue Shield of Illinois
08.2015 - 01.2024

Apply knowledge/skills to activities that often vary from day to day. Maintain current provider data to ensure the quality of the network, extract data for various reports and for database integrity and quality assurance to meet deadlines.


  • Supported providers with accurate data entry and maintenance, fostering positive relationships between providers and the organization.
  • Maintained strong relationships with external stakeholders such as medical groups and health plans to ensure seamless collaboration on provider-related matters.
  • Assisted in the development of automated systems for improved provider data management, reducing manual input errors.
  • Served as a subject matter expert on the Provider Data Specialist team, providing guidance and support to colleagues when needed.
  • Facilitated effective communication between internal departments regarding updates or changes to provider information for seamless operations.
  • Managed a large volume of records efficiently while maintaining strict attention to detail in a fast-paced environment.
  • Implemented quality control measures to identify discrepancies in provider data, ensuring timely resolution of issues.
  • Provided exceptional customer service by promptly resolving provider inquiries and concerns related to their data.
  • Managed multiple projects simultaneously, ensuring all deadlines were met while maintaining a high level of accuracy and professionalism in the work produced.

Education

Cetificate of Medical Billing - Healthcare Management

Northwest College, Bridgeview
Bridgeview, United States
2008

Skills

  • Data entry
  • Administrative support
  • Work well independently
  • Documentation
  • Client-Focused
  • Results-Oriented
  • Quick Learner
  • Healthcare Industry Knowledge
  • Microsoft Excel
  • Medicaid knowledge
  • Medicare knowledge
  • Data Management
  • Provider Relations
  • Teamwork and Collaboration
  • Problem-Solving
  • Time Management
  • Multitasking
  • Attention to Detail
  • Self Motivation
  • Team Collaboration

Accomplishments

  • Collaborated with team of 30 in the development of different Projects while up keeping my Delegated Groups

Timeline

PROVIDER DATA SPECIALIST

Blue Cross Blue Shield of Illinois
08.2015 - 01.2024

Cetificate of Medical Billing - Healthcare Management

Northwest College, Bridgeview
Marissa Mestas