Experience

andros

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Senior Provider Outreach Specialist

  • Jun 2022 - Present

  andros is the healthcare industry’s first singular solution that combines rich data and AI to power provider network management. With the nation’s richest resource of provider data, andros digitally transforms provider network management and helps healthcare organizations build and manage the strongest provider networks imaginable. andros is the healthcare industry’s first singular solution that combines rich data and AI to power provider network management. With the nation’s richest resource of provider data, andros digitally transforms provider network management and helps healthcare organizations build and manage the strongest provider networks imaginable.



CareCentrix

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Senior Credentialing Specialist

  • Sep 2017 - Jun 2022



Quality Health Plans of New York, Inc.

• Ronkonkoma, NY

• Project Coordinator

  • Dec 2014 - Sep 2017

  ● Organize workloads, assign tasks to employees, as well as involve myself into every step to be sure the assignments are completed in a timely fashion for each department as needed. ● Strong knowledge of credentialing process for members and providers. ● Verify provider’s eligibility using CAQH. ● Audit, data enter, and preform primary source verifications in accordance with various regulatory agencies for credentialing. ● Maintain and update existing providers, their individual, demographic data and billing information. ● Processing member enrollment using MARX and GENTRAN. ● Verify Credible Coverage and rescind LEP’s if applicable. ● Conduct member outbound verification via telephone contact. ● Handle and evaluate customer service inquiries and complaints. ● Generate reports for enrollment and PNWS departments as requested. ● Created DLP and updated existing P&P’s for Enrollment Department. ● Other various tasks including scheduling meetings, setting up conference rooms, ordering office supplies, distribute mail throughout the company, mail outgoing packages via FedEx account, and greeting walk-in visitors (members, agents and vendors) and assisting them with their inquiries. Show less



IVCi

• United States
• Information Technology & Services
• 100 - 200 Employee

• Conference Coordinator

  • Feb 2014 - Feb 2015

  ● Book video conference appointments for Coca-Cola using Outlook, TMS, and Lotus Notes ● Reply to various inquiries about video conferences through Outlook ● Answer phone calls regarding meetings and/or scheduling issues Coca-Cola encounters, in a professional and polite manner ● Book video conference appointments for Coca-Cola using Outlook, TMS, and Lotus Notes ● Reply to various inquiries about video conferences through Outlook ● Answer phone calls regarding meetings and/or scheduling issues Coca-Cola encounters, in a professional and polite manner



IVCi

• United States
• Information Technology & Services
• 100 - 200 Employee

• Conference Coordinator

  • Jul 2012 - Sep 2013

  ● Book video conference appointments for Coca-Cola using Outlook, TMS, and Lotus Notes ● Reply to various inquiries about video conferences through Outlook ● Answer phone calls regarding meetings and/or scheduling issues Coca-Cola encounters, in a professional and polite manner ● Book video conference appointments for Coca-Cola using Outlook, TMS, and Lotus Notes ● Reply to various inquiries about video conferences through Outlook ● Answer phone calls regarding meetings and/or scheduling issues Coca-Cola encounters, in a professional and polite manner



Personal Woman's Care

• Smithtown, New York

• Medical Records Clerk

  • Jun 2009 - Aug 2012

  ● Responsible for all medical records, which includes copying, faxing and mailing patient’s records with official records release forms ● Filing and maintaining charts for efficiency ● Preparing patient’s charts for next day appointments ● Proficient in using the software Sage Intergy for inputting medical records and scheduling appointments ● Track patients’ lab results so doctors can call patients with their results ● Create and maintain Microsoft Excel and Word documents for the doctors ● Simple desktop support for the office, such as malware and virus removal and calling technical support ● Preparing monthly pre-natal records for St. Catherine’s Hospital labor and delivery department Show less



CVS Pharmacy

• United States
• Pharmaceutical Manufacturing
• 700 & Above Employee

• Retail Pharmacy Technician

  • Oct 2008 - Oct 2009

  ● Making phone calls for patients who require refills ● Cashier responsibilities ● In charge of receiving and filling prescriptions ● Maintaining, organizing and stocking shelves of prescriptions to insure efficiency ● Organizing filled prescription for a speedy and easy pickup ● Customer service representative, providing prompt and polite support to all store customers ● Making phone calls for patients who require refills ● Cashier responsibilities ● In charge of receiving and filling prescriptions ● Maintaining, organizing and stocking shelves of prescriptions to insure efficiency ● Organizing filled prescription for a speedy and easy pickup ● Customer service representative, providing prompt and polite support to all store customers



Personal Woman's Care

• Smithtown, New York

• Medical Receptionist

  • Aug 2003 - Apr 2007

  ● Taking messages for the doctor frompatients over the phone ● Answering general medical questions ● Scheduling, rescheduling and canceling appointments ● Calling and confirming appointments the day before ● Writing out prescriptions for mammograms and ultrasounds and faxing themto associated radiology businesses ● Following up with patients’ future appointments ● Taking messages for the doctor frompatients over the phone ● Answering general medical questions ● Scheduling, rescheduling and canceling appointments ● Calling and confirming appointments the day before ● Writing out prescriptions for mammograms and ultrasounds and faxing themto associated radiology businesses ● Following up with patients’ future appointments