Providence Health & Services

• Manages the insurance enrollment for a network of over 1,000 Primary Care Physicians and Specialists in the Los 
Angeles area. Improved department turn-around time from 2 weeks to 2 days
• Coordinates with 10 insurance companies to enroll, disenroll, update, and validate data to ensure clean provider 
enrollment data for stakeholders
• Insurance enrollment includes HMO commercial, Medicare and Medi-Cal Medicaid 
• Maintains projects and initiatives that support workflow improvement, reporting and data tracking
• Produces and distributes regular provider rosters and PCP ID data based on stakeholders’ requirements
• Generates several weekly, monthly, and ad hoc query reports for upper management
• Conducts research to ensure data-validation integrity for provider network
• Interfaces with contracting and credentialing to consolidate and clean relational database
• Collaborates with team members to develop and communicate data-improvement initiatives
• Works closely with PR team to update network of employed providers in Epic Tapestry
• Manages back-end updates to Provider Network Find-A-Doctor directory
• Resolves enrollment discrepancies for insurances and provider offices
• Takes initiative to identify problems and solutions proactively
• Trains new PR team members in provider enrollment and best practices

Provider Relations Representative

Wexford Physician Hospital Organization, Cadillac, MI

• Co-lead on database development and planning to improve outdated credentialing system
• Managed new PHO membership credentialing, enrollment, maintained files
• Built and maintained database of network of 400 PCP’s and Specialists and 8 insurance companies
• Enacted new processes and requirements from Centers for Medicare and Medicaid to increase database and 
practice and payer directory accuracy
• Coordinated and managed Accountable Care Organization (ACO), Clinically Integrated Network (CIN) and CMSmandated programs
• Updated budget spreadsheets and resolved accounting discrepancies with Finance department
• Coordinated check distribution to Finance, provider offices, and 2 weekly bank deposits
• Provided administrative support for 3 executives, including Director and Medical Director, 3 Boards of Directors, 
and Finance Committee
• Dissemination of monthly Board meeting materials, agendas, and took minutes
• Organized and coordinated board meetings, including set-up, technology, and supplies
• Handled Accounts receivable, incoming check coding & processing for admin & PHO fees
• Updated budget spreadsheets and resolved accounting discrepancies with Finance department
• Coordinated check distribution to Finance, provider offices, and 2 weekly bank deposits
• Provided office support with supply orders, equipment repairs, business card & signage
• Provided staff support with interview packages, timesheets, database & contact lists
• Managed Employee Payroll and Timekeeping for staff of 7
• Coordinated Special Projects with caters, design invitation, R.S.V.P. and A/V equipment
• Collaborated with the Finance department to implement new, secure cash receipts process

Project Coordinator Provider Services

Meijer

•	Processed approximately 100 daily prescriptions, and counted and bottled pills
•	Provided excellent customer service to approximately 400 customers and patients daily
•	Handled point-of-sale retail sales, stocking shelved and inventory and cash register

Pharmacy Technician

Cadillac Area YMCA

•	Managed lifeguard crew of 15 staff as Head Lifeguard | Managed timekeeping
•	Interviewed and hired lifeguards and performed onboarding process
•	Managed Pool office | Streamlined office procedures
•	Purchased supplies with cost-savings in mind 
•	Researched and implemented best practices to achieve zero safety incidents
•	Supported swimming lesson program | Updated lesson schedule on website
•	Performed maintenance on 200,000-gallon pool and 20,000-gallon spa tub
•	Provided crowd management for an average of 100 swimmers per day
•	Taught water fitness classes 3 times per week

Aquatic Coordinator

Data Management
Provider Network Coordinator
 >Administrative and Project Management
>Providing clean data and reporting
>Provider HMO, PPO enrollment
>Provider Credentialing
>Strong writing skills.
>Critical thinking; problem-solving
>Excel 
>Microsoft
>Google Docs
>Sharepoint

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