Mary Catherine Vial
Hammond,LA
Summary
Seasoned Provider Relations Representative possessing in-depth knowledge of various insurance plans and policies. Expertise in handling high volume of calls, efficiently resolving disputes and identifying ways to improve processes. Communicative and detail-oriented individual with excellent interpersonal abilities.
Overview
10
10
years of professional experience
Work History
Associate Provider Relations Representative
Louisiana Blue
12.2023 - Current
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Answered provider inquiries via email, telephone and written correspondence.
Associate Provider Relations Representative
Primewell Health Services
12.2023 - Current
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Answered provider inquiries via email, telephone and written correspondence.
Network Maintainer
Blue Cross Blue Shield of Louisiana
01.2023 - 12.2023
- Provided Data Management for the Vantage/Primewell Networks.
- Answer emails timely and efficiently.
Registered Diagnostic Cardiac Sonographer
North Oaks Medical Center
09.2014 - 12.2021
- Performs 2D echocardiograms on both adults and pediatric patients in a hospital setting.
- Performs adult pharmacological and exercise stress echocardiograms, as well as transesophageal echocardiograms.
- Differentiated normal and abnormal sonographic anatomy and presented data to cardiologist to interpret.
Education
Associate of Science - Cardiac And Vascular Ultrasound
Carvas College
Lacombe08-2014
Bachelor of Arts - Business Management
Southeastern Louisiana University
Hammond, LA12-2010
Skills
- Provider relationship management
- Contract negotiation expertise
- Claims reviewing
- Claims resolution
- Educational presentations
- Provider support
- Provider orientations
Timeline
Associate Provider Relations Representative
Louisiana Blue
12.2023 - Current
Associate Provider Relations Representative
Primewell Health Services
12.2023 - Current
Network Maintainer
Blue Cross Blue Shield of Louisiana
01.2023 - 12.2023
Registered Diagnostic Cardiac Sonographer
North Oaks Medical Center
09.2014 - 12.2021
Associate of Science - Cardiac And Vascular Ultrasound
Carvas College
Bachelor of Arts - Business Management
Southeastern Louisiana University
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