Provider Engagement Network Specialist at WellCare of North Carolina (2022-08 – 2026-03)
- Strategic Relationship Management: Orchestrated and maintained high-priority relationships with regional healthcare providers, serving as the primary executive contact for network satisfaction and operational excellence.
- Data-Driven Problem Solving: Leveraged advanced analytical skills to diagnose and resolve systemic issues regarding provider loads, complex claims discrepancies, and data inaccuracies.
- Operational Optimization: Identified and routed processing inaccuracies in claim payments to appropriate operations teams, reducing payment cycles and improving financial accuracy.
- Provider Education & Training: Developed and facilitated provider education initiatives to ensure network alignment with billing codes, managed care policies, and new system implementations.
- Cross-Functional Leadership: Led collaborative efforts with internal departments (Claims, Legal, and IT) to execute cross-functional projects and resolve multifaceted operational challenges.
- System Navigation: Managed high-volume data workflows across multiple enterprise systems within the Centene and WellCare ecosystem, maintaining high attention to detail and accuracy.
Data Entry Clerk at Atrium Health at Home (2019-06 – 2022-08)
- Data Integrity & Compliance: Managed the ingestion and validation of sensitive patient demographics and medical histories into EHR systems while maintaining 100% HIPAA compliance.
- Quality Assurance: Audited digital and physical medical records for completeness and consistency, correcting data entry errors to prevent billing delays or care plan inaccuracies.
- Process Improvement: Optimized the scanning and digital organization of physical documents, streamlining the retrieval process for healthcare teams and physicians.
- Communication & Collaboration: Acted as a central communication hub for healthcare teams, ensuring accurate relay of treatment plans and visit notes in a fast-paced environment.
Clerical Support Clerk at Atrium Healthcare System – Mobile Medicine (2008-01 – 2019-06)
- Medical Document Coordination: Streamlined the organization of patient charts and referral forms, ensuring physicians had real-time access to up-to-date care plans.
- Productivity Optimization: Coordinated workflows with teammates to maximize service quality, consistently meeting high-volume department needs through cross-training and adaptability.
- Information Management: Maintained high attention to detail in handling critical medical documentation, ensuring zero loss of data during patient transfers.
Aviation Ordnance at United States Navy
Demonstrated discipline, teamwork, and technical proficiency in high-pressure environments, managing complex inventory and safety protocols.
