Open To Work
Stephanie Callas
Aiken,SC
Work Preference
Summary
Assertive Provider Enrollment Specialist proudly offering many years of managing credentialing for government payor applications. Structured and business-minded professional known for analyzing reports for physician enrollment. Detail-oriented and smart with great decision-making skills.
Reliable Provider Enrollment Specialist with background in streamlining provider enrollment processes. Familiarity with both Medicaid and Medicare rules, regulations, and guidelines stands out as strength. Professional skills include strong communication, understanding of database systems and processing applications for healthcare providers. Previous work has brought about enhanced operational efficiency and improved regulatory compliance.
Overview
17
17
years of professional experience
Work History
Provider Enrollment Specialist
AU Medical Center
Augusta, GA
05.2023 - Current
- Processed provider enrollment applications for various healthcare professionals.
- Coordinated with insurance companies to ensure timely enrollment approvals.
- Maintained accurate records in provider database systems.
- Communicated effectively with providers regarding enrollment status updates.
- Assisted in resolving enrollment issues and discrepancies promptly.
- Collaborated with internal teams to streamline enrollment processes.
- Supported members through navigation of enrollment process to facilitate optimal decisions.
- Responded to requests for information about enrollment process.
- Utilized effective active listening, interpersonal and communication skills in collaborating with different individuals on daily basis.
- Performed verification checks for new provider enrollments in accordance with company policies and procedures.
- Collaborated with internal departments to ensure proper processing of enrollment applications.
- Reviewed and updated provider enrollment applications to ensure accuracy and completeness of information.
- Processed re-enrollment requests for terminated providers who wish to be reinstated into the network.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Surgery Scheduling Coordinator
AU Medical Center
Augusta, MI
06.2018 - 05.2023
- Coordinated surgical schedules with physicians and nursing staff for efficient patient flow.
- Managed patient appointment inquiries through phone and electronic communication systems.
- Reviewed insurance information to verify coverage for surgical procedures.
- Communicated with patients regarding pre-operative instructions and post-operative follow-ups.
- Assisted in training new staff on scheduling software and office protocols.
- Collaborated with surgical teams to resolve scheduling conflicts and optimize resources.
- Maintained accurate records of surgeries and patient interactions in the electronic health system.
- Scheduled follow-up appointments according to post-operative protocols.
- Facilitated communication between surgeons, nurses, technicians and other healthcare professionals involved in the care of patients undergoing surgery.
- Reviewed incoming requests from physicians regarding potential surgeries, confirming that they meet eligibility criteria.
- Resolved any discrepancies between patient records and pre-surgery documentation.
- Assisted in the scheduling of surgeries for patients, ensuring accuracy and timeliness.
- Maintained an up-to-date list of available operating rooms and equipment for surgical teams.
- Created a database to track patient information, surgery dates and other relevant data.
- Managed patient check-in and check-out procedures and processed payments.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Communicated with patients with compassion while keeping medical information private.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
Patient Access Representative
AU Medical Center
Augusta, MI
05.2009 - 05.2018
- Greeted patients and families upon arrival at AU Medical Center.
- Collected and verified patient information for accurate registrations.
- Assisted patients in understanding their insurance benefits and coverage.
- Coordinated appointment scheduling to optimize clinic workflow.
- Answered phones promptly in a professional manner.
- Scanned documents into electronic medical records system.
- Greeted patients and visitors in a courteous and professional manner.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Managed incoming faxes related to patient registration processes.
- Actively participated in team meetings and training sessions.
- Responded to patient inquiries regarding billing or financial matters.
- Assisted with preparing daily cash reports for accounting department.
Education
BBA - Business Administration
Strayer University
Aiken, SC 04.2026 - 05.2026
Aiken High School
Aiken, ScSome College (No Degree) - Business
Aiken Technical College
Aiken, ScSkills
- Provider enrollment
- Effective communication
- Database management
- Team collaboration
- Process improvement
- Attention to detail
- Team meeting participation
- Goal setting
- Strong communication skills
- Ethical conduct standards
- Validation of discrepancies
- Data entry proficiency
- Physician enrollment
- Relationship building
- HIPAA compliance awareness
- Innovation and creativity
- Practitioner enrollment
- Provider enrollment expertise
- Results-driven approach
- Healthcare regulations
- Effective written and verbal communication
Timeline
BBA - Business Administration
Strayer University
04.2026 - 05.2026
Provider Enrollment Specialist
AU Medical Center
05.2023 - Current
Surgery Scheduling Coordinator
AU Medical Center
06.2018 - 05.2023
Patient Access Representative
AU Medical Center
05.2009 - 05.2018
Aiken High School
Some College (No Degree) - Business
Aiken Technical College