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Provider Relations Specialist Resume Example

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PROVIDER RELATIONS SPECIALIST
Professional Summary

Manages high-volume loan paperwork in dynamic environments with high production, approval and customer relations targets. Excellent communicator and decision maker with a strong eye for detail and a proactive nature. Expertise includes reviewing and validating personal, employment and financial histories for each applicant. Self-motivated and reliable with excellent teamwork, problem-solving and organizational skills.

Skills
  • Professional telephone demeanor
  • Customer Service
  • Case Management
  • Data Processing
  • Good listening skills
  • Workflow Analysis
  • DU/LP Automated and Manual Underwriting
  • Loan Processing
  • Financial transactions expertise
  • MS Office: Word, Excel, PowerPoint, Teams, & Outlook
  • File and Database Management
  • WISE Solutions Software
  • PeopleSoft Software
  • Quickbooks for Accounting
  • Medical terminology knowledge
Work History
Provider Relations Specialist05/2020 to 07/2020
Georgia Dept. Of Rehabilitation Agency – Atlanta, Georgia
  • Assisted with physician recruitment by identifying specific providers within designated territories, negotiating rates for new physicians and distributing provider agreements, successfully recruiting 10 new physicians per month.
  • Researched and resolved disputes, billing discrepancies and claims efficiently to maintain customer satisfaction.
  • Developed, reviewed and prepared Service Agreements and Customized/Traditional Service Agreements.
  • Updated, proofed and distributed provider directories, using AWARE and PEOPLESOFT.
  • Answered provider inquiries per day via email, telephone and written correspondence.
  • Completed in-depth investigations into issues pertaining to discipline and grievance management and recommended strategies.
  • Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
Housing Counselor/NACA Loan Processor 08/2014 to 03/2020
Fulton Atlanta Community Action Authority – Atlanta, GA
  • Interviewed clients regarding loan needs and financial histories and conveyed information regarding application processes.
  • Work with NACA's software to accurately complete documentation and data entry for efficient and paperless qualification.
  • Reviewed all loan documents, income, personal references, employment backgrounds for each applicant.
  • Collected and compiled paperwork such as title abstracts, insurance paperwork, loan files and tax histories.
  • Familiar with Fannie Mae (DU) and Freddie Mack (LP) automated underwriting system (AUS).
  • Write narrative analyses and action plans to document next steps after each counseling session.
  • Provide clear direction for a path towards homeownership. Work with Members to improve their financial management.
  • Examine and process documents, addressing issues as needed.
  • Keep excellent communication with customer on status of loan.
  • Handled home loan modifications
  • Input proper loan information into system for processing.
  • Maintain database, client's file, and manage hard copies.
  • Answered over 30 customer communications per day via telephone and email.
  • Processed conventional mortgage loans for, purchase, rate terms and lines of credit
  • Handled any conditions sent from underwriting departments.
Loan Processor02/2009 to 05/2014
Bank Of America/Randstad Contract – Atlanta, GA
  • Worked with customers in person and via telephone to answer questions, process transactions, and resolve issues.
  • Verify and process data on checks: route numbers, account numbers and written amounts.
  • Managed and processed 20-30 loan in my pipeline.
  • Ordered and gathered current documents as needed.
  • Handled any conditions sent from underwriting departments.
  • Interviewed clients regarding loan needs, financial histories, and conveyed information regarding application processes.
  • Keep customer abreast on status of loan
  • Provided quick turnaround times to maintain fast-past schedule.
  • Reviewed loan files for completeness, identified missing documentation and generated condition lists for applicants.
  • Processed loans within various departments to achieve timely, accurate and fair proceedings.
  • Communicated acceptance or rejection to applicants via mail, email, telephone or personal consultations.
  • Knowledge of Fannie Mae, Freddie Mack, and automated underwriting system is plus.
  • Worked with underwriters to fix application problems and resolve issues.
  • Collected and compiled paperwork such as title abstracts, insurance paperwork, loan files and tax histories.
  • Maintained databases and client files.
Scholarship Administration Specialist03/2005 to 12/2008
GA Dept. Of Early Care & Learning – Atlanta, GA
  • Processed assigned electronic and hard copy initial applications for CAPS scholarships to determine program eligibility.
  • Verified eligibility through appropriate documents and contact with consumer's employer, education institution, and any other third-party entity that may verify eligibility.
  • Entered data from forms, records, reports, and/or other sources into data systems for purposes such as maintaining databases.
  • Conducted research using variety of sources to complete, prepare, assemble, process, and/or generate reports and other documentation, or to respond to inquiries, questions or requests.
  • Provided resolution to customer concerns and issues that arise.
  • Processed referrals from Department of Family and Children Services (DFCS) and/or partner agencies for CAPS scholarships to determine eligibility.
  • Collaborated with program administration and family support sections of CAPS division to ensure seamless service delivery to all families and providers, and exemplary customer service
Education
Master of Arts: PsychologyExpected in 03/2021Ashford University- San Diego, CA
Bachelor of Arts: Human Services 10/2017Ashford University- San Diego, CA
Certification: Medical Administration/Billing & Coding08/2008MCED Career College- Fresno, CA
High School Diploma07/2000Booker T. Washington High School- Atlanta, GA
Highlights
  • Excellent critical thinking/problem-solving skills
  • Attentive to details
  • Excellent customer service skills
  • Excellent oral and written communication skills
  • Ability to lead and perform at top efficiency levels
  • Excellent organizational management of employees and vendor.
  • Adapt quickly to new technology
  • Proven ability to deliver high quality products and sale methods with exceptional customer service
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Resume Overview

Companies Worked For:

  • Georgia Dept. Of Rehabilitation Agency
  • Fulton Atlanta Community Action Authority
  • Bank Of America/Randstad Contract
  • GA Dept. Of Early Care & Learning

School Attended

  • Ashford University
  • MCED Career College
  • Booker T. Washington High School

Job Titles Held:

  • Provider Relations Specialist
  • Housing Counselor/NACA Loan Processor
  • Loan Processor
  • Scholarship Administration Specialist

Degrees

  • Master of Arts : Psychology Expected in 03/2021
    Bachelor of Arts : Human Services 10/2017
    Certification: Medical Administration/Billing & Coding 08/2008
    High School Diploma 07/2000

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