Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy and with a positive attitude. Willingness to take on added responsibilities to meet team goals; team player. Exceptional abilities in accurate recordkeeping and maintaining Provider confidentiality. Individual looking to expand knowledge into the credentialing field.
Overview
13
13
years of professional experience
Work History
Provider Enrollment Specialist
Northern Light Health - Home Office
08.2021 - Current
Streamlined provider enrollment processes by implementing efficient data management systems (ECHO and CAQH).
Reduced errors in provider applications with meticulous attention to detail and thorough review procedures.
Collaborated with cross-functional teams for timely resolution of enrollment issues, improving overall provider and patient satisfaction.
Managed high-volume caseloads (up to 5 at a time) effectively, prioritizing tasks to meet strict deadlines consistently (ARG and MERCY)
Established strong relationships with providers through clear communication and prompt assistance during enrollment process; assist with navigating provider with enrollment process.
Audited provider information regularly to ensure accuracy and completeness of documentation, reducing potential risks associated with noncompliance.
Contributed towards policy updates by sharing insights from hands-on experience dealing with unique or challenging enrollment scenarios (Directive Updates).
Participated actively in inter-departmental meetings to discuss enrollment strategies and share best practices, fostering collaborative work environment (Huddles).
Consistently met or exceeded departmental performance targets (18 days prior to start) through diligent management of workload and effective collaboration with team members.
Prepared and processed provider enrollments with Medicare in Maine.
Monitored credentials and contacted practitioners when expiration dates were nearing (Locums).
Procedure Schedular
Northern Light AR Gould Hospital
08.2019 - 08.2021
Enhanced patient scheduling efficiency by streamlining appointment booking procedures for pain injections.
Assisted in improving overall patient satisfaction through timely and accurate schedule management and follow-up phones after procedure.
Coordinated with medical professionals to ensure seamless communication regarding patient appointments and procedures.
Developed organized filing system to facilitate easy access to important documents and records pertaining to scheduled procedures.
Contributed to revenue growth by efficiently filling procedure slots, minimizing cancellations, and reducing no-shows with pre-procedure phone calls.
Provided consistent support to physicians by managing their schedules, ensuring availability for necessary procedures, and prioritizing urgent cases when needed.
Administrative Assistant
Northern Light AR Gould Hospital
06.2015 - 08.2019
Enhanced office efficiency by streamlining administrative processes and implementing organizational systems.
Supported executive staff through scheduling meetings, documentation of meeting minutes and preparation of meeting documents.
Ensured accurate record-keeping with diligent data entry and database management for Maine State required EMS Reporting.
Audit Maine State EMS reports daily, submitted correct billing of report on daily bases.
Reconciliation of charges with submission of appeals; as needed; overall debt reduction for department.
Scheduling of shift work by Union Guidelines of Emergency Medical Techniques.
Prior Authorizations from insurance for transports outside of normal guidelines.
Public Relations appearances for Crown Ambulance at local sporting events
Participation of Medical Staff on Area Biathlons.
Certified Ambulance Coder (CAC)
Advanced EMT / Paramedic
Northern Light AR Gould Hospital
05.2011 - 06.2015
Enhanced patient care by providing advanced life support and administering medications in emergency situations.
Collaborated with medical professionals to ensure accurate assessments and appropriate treatments for patients.
Delivered high-quality pre-hospital emergency care, reducing hospital admission times and improving patient outcomes.