Mary Waite
Bernalillo
Summary
Dynamic healthcare professional with over eleven years at United Healthcare, excelling in provider services supervision and team development. Proven expertise in metrics tracking and conflict resolution, driving performance improvements. Adept at training staff on compliance and enhancing customer satisfaction through effective communication and support.
Overview
12
12
years of professional experience
Work History
PROVIDER SERVICES SUPERVISOR
United Healthcare
Albuquerque
05.2016 - 05.2025
- Company Overview: Eleven years experience in the Healthcare industry.
- Eleven years of data entry, Prior Authorizations, claim research and education specific to Medicaid and special needs programs.
- Nine years coaching and mentoring Advocate's.
- Expert level metrics tracking, trending, and reporting.
- Intermediate proficiency with excel.
- Eight years experience creating presentations.
- Eight years supervisory experience in the Healthcare industry.
- Eleven years experience in the Healthcare industry.
- Supervised daily operations of provider services team at United Healthcare.
- Trained staff on compliance and regulatory requirements for healthcare providers.
- Resolved provider inquiries and issues with a focus on customer satisfaction.
- Monitored performance metrics to identify areas for team development and support.
- Conducted regular audits of provider files to verify accuracy and completeness of data entry.
PROVIDER SERVICES ADVOCATE
United Healthcare
Albuquerque
09.2013 - 05.2016
- Company Overview: Provider Services phone Advocate for NM Centennial Care Medicaid.
- Used soft skills along with rapport and empathy to provide excellent customer service.
- Provided education to medical professionals regarding the UHC Centennial Care plan, HCBS benefits as they pertain to our members plan and level of care. Any Value added services, and IHS program.
- Provided information on benefits, Prior Authorizations, claim status and payments made.
- Subject matter expert on claim research to determine denial reasons.
- Answered Provider questions concerning contracting and network status.
- Assisted team members with questions, and complex claim research.
- Provider Services phone Advocate for NM Centennial Care Medicaid.
Education
HIGH SCHOOL DIPLOMA -
Bernalillo Independent Baptist Academy
Bernalillo05.1986
Skills
- HCBS Services
- Candidate Interview and Hiring
- Corrective Action and Termination
- Employee Support and Supervision
- Staff Development and Training
- Review and Approve Timecards
- Written and Verbal Communication
- Professional Outlook
- Email Skills
- Organize and Deliver Team Meetings
- Monitor and Manage Quality
- Performance management
- Team development
- Conflict resolution
- Remote work capabilities
Timeline
PROVIDER SERVICES SUPERVISOR
United Healthcare
05.2016 - 05.2025
PROVIDER SERVICES ADVOCATE
United Healthcare
09.2013 - 05.2016
HIGH SCHOOL DIPLOMA -
Bernalillo Independent Baptist Academy
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