NANCY DORVAL
Lake Mary,FL
Summary
Dedicated and professional individual with a proven track record of consistently delivering exceptional service and efficiently resolving issues. Experienced in building positive relationships and ensuring customer satisfaction. Adept at identifying customer needs and providing appropriate solutions. Committed to maintaining high standards of professionalism and exceeding expectations in all interactions.
Overview
17
17
years of professional experience
Work History
NETWORK DATA SPECIALIST SR
Elevance Health
07.2021 - 12.2023
- Analyzed large volumes of raw data to identify trends, patterns, and insights that informed strategic planning initiatives.
- Collaborated with cross-functional teams to resolve data discrepancies and enhance data intergrity.
- Improved team productivity with introduction of automated data processing tools.
CLINICAL OPERATIONS REP
Turningpoint Healthcare
04.2020 - 06.2021
- Participated continuous improvement initiatives aimed at enhancing overall organizational effectiveness.
- Reviewed portal system usability and ease of navigation; assist with testing and support
- Performed outbound calls to members, providers and clients
- Responded to inbound calls
NETWORK DATA SPECIALIST
Anthem
05.2012 - 06.2019
- Maintained files, records, and chronologies of entry activities.
- Assisted with QA and UAT testing
- Validated provider credentialing information to ensure accuracy and compliance with regulations
REFERRAL SPECIALIST/MDPA
American Imaging Management
01.2007 - 05.2012
- Initiated prior authorization for radiology procedures Via phone, FAX
- Processed referrals, documents communications, and other data in system
- verified insurance coverage for radiology
Education
PSYCHOLOGY - 100 Credit Hours
Chicago State University
Chicago, IL06.1998
High School Diploma -
Chicago Vocational High School
Chicago, IL01.1998
Skills
- Active listener
- Problem solving
- Multitasker
- Team player
- Time management
- Phone queue experience
- Microsoft Office proficiency
Languages
Haitian Creole
Native or Bilingual
Timeline
NETWORK DATA SPECIALIST SR
Elevance Health
07.2021 - 12.2023
CLINICAL OPERATIONS REP
Turningpoint Healthcare
04.2020 - 06.2021
NETWORK DATA SPECIALIST
Anthem
05.2012 - 06.2019
REFERRAL SPECIALIST/MDPA
American Imaging Management
01.2007 - 05.2012
PSYCHOLOGY - 100 Credit Hours
Chicago State University
High School Diploma -
Chicago Vocational High School
Similar Profiles
Brittany OwensBrittany Owens
Customer Service Representative at Elevance HealthCustomer Service Representative at Elevance Health
Arthur LeeArthur Lee
Data Entry Specialist at Elevance HealthData Entry Specialist at Elevance Health
Rikki RamirezRikki Ramirez
Prior Authorization Specialist at Elevance HealthPrior Authorization Specialist at Elevance Health
Ibukun AkinadeIbukun Akinade
NA at Elevance HealthNA at Elevance Health
Janiece NobleJaniece Noble
Customer Service Representative at FH CannCustomer Service Representative at FH Cann