Provider Relations Representative with strong attention to detail, professional telephone etiquette and organization skills. Organized Provider Relations Representative with the ability to readily adapt to changing environments and demands in the Health Care Industry.
Understands insurance benefits
Composed and professional demeanor
Excellent verbal communication
Excellent problem solver
Resourceful and reliable worker
Close attention to detail
Provider Relation Representative, 05/2016 to Current Cypress Benefit Administrators – Clackamas, OR Provider Relations Representative provides exceptional customer service to the claims department providers. Answering providers inquires regarding verification of benefits and claims status for medical and dental claims. Some of the duties include: entering precertifications into the claims processing system, working misc. claims queues,sending out correspondence, outbound provider call projects, and reviewing claims spreadsheets and plan documents.
Data Information Analyst, 03/2007 to 05/2016 Reddaway Trucking – Tualatin, Oregon
Successful experience in Data Management, Customer Service, and support with recognized strengths in account maintenance, problem-solving and trouble-shooting, staff support. Respond to and assist with complex customer interactions and transactions, record details of inquiries, and create forthcoming resolutions to help benefit each party. Ability to train, motive and supervise customer service employees. A team play,self-motivated, and multi-tasking abilities.
Research Assistant, 01/2002 to 03/2005 Synarc, Inc – Portland, Oregon Assist Research Associates with daily faxing and data entry for new systems. Assist Research Associates with collecting study start-up information. Create DXA binders for site during start up or when new sites/scanners are added to a study. Assist Research Associates in following up fax requests to sites. Assist Research Associates in monitoring study start-up materials received from sites. Provide assistance whenever possible.
Associate of Arts: Health Care Administration, November 2014 University of Phoenix - Tigard, Oregon
Coursework in Business, Accounting and Healthcare Administration
Billing Specialist Certificate: Billing & Coding, March 2007 Pioneer Pacific College - Wilsonville, Oregon
Emphasis in Medical Billing & Coding
Certificate in Receptionist/Office Assistant Certificate: June 1993 Columbia College of Business - Clackamas, Oregon