Supported healthcare operations by assisting with provider credentialing and onboarding processes. Facilitated accurate documentation and maintained HIPAA compliance. Helped build strong relationships with providers and patients by addressing inquiries and enhancing onboarding processes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Provider Services Specialist (Hybrid)
Early Learning Coalition of Palm Beach County
Boynton Beach, FL
01.2024 - Current
Serve as the first point of contact for educators, providing guidance, support, and solutions related to program services, policies, and resources.
Deliver high quality customer service by resolving educator concerns promptly and accurately, while maintain a supportive and professional tone.
Assist Educators with program enrollment, account setup, and service requests, ensuring a smooth user experience.
Support implementation of educational incentive’s by coordinating communication, materials and follow-up with educators.
Assist in creating program support materials such as FAQs, step by step guides and resources guides.
Quality Assurance Coordinator (Remote)
Travel Nurse Across America
Little Rock, AR
06.2021 - 08.2024
Created, completed, and maintained accurate patient applications in compliance with regulatory and facility standards.
Conducted benefits investigations to determine patients’ insurance coverage for medications.
Coordinated with providers via phone, email, and text to collect missing documentation and resolve inquiries.
Documented all patient and provider interactions clearly and accurately in system of record.
Audited provider files to ensure compliance with HIPAA and internal quality standards.
Onboarding Ambassador (Remote)
Cross Country Healthcare
Boca Raton, FL
12.2019 - 05.2021
Credentialed and re-credentialed healthcare providers, verifying all pre-employment and insurance documentation.
Performed benefits investigations and collaborated with healthcare teams to resolve coverage issues.
Developed onboarding processes to reduce time-to-fill by 30% and increase patient/provider satisfaction.
Provided clear, empathetic communication to address provider concerns and improve patient support outcomes.
Administrative Assistant
SHP Healthcare
Delray Beach, FL
12.2018 - 09.2019
Processed patient medical records, insurance claims, and appeals in compliance with HIPAA standards.
Prepared, logged, scanned, and filed legal and healthcare documents for accuracy and timely submission.
Supported patient and provider communications to resolve missing documentation and benefits-related inquiries.
Staff Analyst
NYC Department of Environmental Protection
New York, NY
03.2013 - 08.2018
Managed high-volume inquiries and provided timely, accurate resolutions to field staff and internal employees.
Oversaw documentation and reporting to ensure compliance and support departmental service goals.
Assisted in developing training programs to improve operational efficiency and accuracy.
Education
Bachelor of Science - Sociology, English
York College University
Queens, NY
11.2013
Skills
Achieved seamless provider onboarding through strategic support initiatives Increased provider satisfaction by delivering comprehensive training programs Enhanced service delivery by promptly resolving provider inquiries
Achieved high levels of HIPAA compliance and confidentiality through robust policy implementation Fostered a culture of privacy awareness among staff, resulting in increased organizational trust Strengthened data protection measures, effectively mitigating risks linked to sensitive information
Achieved timely completion of medical staff credentialing and re-credentialing processes, resulting in heightened staff readiness Strengthened compliance with industry regulations through diligent oversight of credentialing documentation Fostered interdepartmental collaboration, leading to optimized credentialing outcomes
Achieved operational efficiency through meticulous documentation accuracy Improved data retrieval and compliance by enhancing record keeping systems Enabled informed decision-making across teams with reliable documentation
Implemented detailed primary source verification protocols to authenticate credentials and enhance overall trust within the organization
Achieved heightened patient satisfaction by streamlining communication channels through phone, email, and portal Enhanced provider-patient interactions, resulting in quicker resolution of inquiries Strengthened communication frameworks to effectively support diverse patient needs
Achieved significant operational efficiency improvements through quality assurance audits Elevated overall quality and compliance by implementing successful process enhancements Streamlined workflows and reduced errors through impactful solutions
Achieved high customer satisfaction by effectively resolving issues Improved service delivery through strategic problem-solving initiatives Strengthened customer relationships to drive loyalty and repeat business