Renate Smits

• Supported program and workflow execution across 12 clinical sites, ensuring accurate documentation, eligibility verification, and Epic data integrity.
• Partnered with leaders on redesigning workflows and improving processes, resolving issues, and preparing for operational readiness.
• Collected and analyzed KPIs related to volume, accuracy, payments, and operational trends to inform decision-making.
• Develop workflow guides, SOP-aligned materials, tip sheets, and user documentation to standardize processes.
• Deliver testing, validation, and training support for system and workflow changes.

• Interpreted policy, benefits, claims, and operational rules for providers across Commercial, Medicare, and Medicaid lines.
• Enhanced first-contact resolution and service accuracy by clarifying documentation and workflows.
• Coordinated cross-functional efforts to address systemic issues and improve provider experience.

Billing Coordinator, CHERRY HEALTH

May 2021 - Jul 2021

• Analyzed CRM and claims data to identify errors and implemented corrective workflows in Salesforce to enhance billing accuracy.
• Cleared 6-month Medicare/Medicaid backlog and documented billing processes to streamline operations.

Network Operations Specialist, ANSWER HEALTH PHYSICIAN ORGANIZATION Jan 2021 - May 2021

• Led provider credentialing workflows for 100+ providers using Salesforce; ensured data accuracy and compliance.
• Documented onboarding workflows and coordinated with Informatics/IT teams to ensure system configuration met provider credentialing requirements.

• Translated business requirements into actionable operational plans for major clients.
• Analyzed workflows to reduce delivery times by 20–25%.
• Developed performance metrics and reporting tools to enhance quality dashboards.

• Facilitated donor engagement and communication between board and church leadership to strengthen partnerships.
• Coordinated program activities and relationship management workflows to enhance operational effectiveness.
• Facilitated community engagement initiatives to enhance local support programs.
• Coordinated volunteer efforts to strengthen organizational outreach and impact.
• Managed communication strategies to promote awareness of humanitarian projects.

• Recruited and trained 50 volunteers, enhancing support for school partners through effective stakeholder communication.
• Planned events and developed program workflows and training materials to ensure program success.
• Led strategic planning initiatives to align church vision with community needs.
• Developed and implemented programs to enhance member engagement and participation.
• Oversaw administrative functions to ensure smooth church operations and governance.

• Oversaw Michigan PPO program for General Motors/UAW populations, ensuring alignment with organizational goals.
• Executed cost/utilization analysis and provider performance reviews to enhance regulatory compliance.
• Created executive-level reports, presentations, and workflows to support multi-site initiatives and improve program documentation.