Miriam Greene

Results-driven healthcare operations leader with 15+ years of progressive experience within large physician networks and healthcare systems, advancing from frontline operations to supervisory leadership roles. Expertise in provider enrollment, credentialing, provider relations, and revenue cycle support, with a proven ability to streamline workflows, resolve complex operational challenges, and lead high-performing teams. Skilled in regulatory compliance, payer enrollment management, provider onboarding, and cross-functional collaboration to support operational efficiency, provider satisfaction, and organizational growth.

Provider Enrollment Supervisor at Revere Medical (formerly Steward Health Care) (2019-01 – 2026-03)

• Supervise and support provider enrollment and credentialing operations across multiple health plans and physician practices
• Lead and develop a high-performing team responsible for provider enrollment, credentialing compliance, and payer communication
• Oversee end-to-end enrollment processes to ensure timely provider network participation and compliance with payer requirements
• Serve as senior escalation point for complex provider enrollment, credentialing, and payer-related issues
• Partner with internal departments, physician practices, and external payers to resolve operational challenges and improve workflow efficiency
• Drive process improvement initiatives that streamline operations, reduce delays, and enhance overall departmental performance
• Monitor enrollment metrics, reporting, and processing timelines to ensure operational efficiency and compliance standards are met
• Maintain compliance with HIPAA regulations and organizational policies while managing sensitive provider and patient information
• Oversee provider terminations, provider data updates, and credentialing documentation management
• Support CAQH maintenance and ongoing provider compliance requirements
• Played a key role in maintaining operational continuity during organizational restructuring and transition to Revere Medical

Referral Management Care Coordinator at Revere Medical (formerly Steward Health Care) (2017-01 – 2019-12)

• Managed high-volume referral workflows to support timely patient access to specialty care and treatment services
• Coordinated scheduling and referral processing across multiple physician practices and EMR systems
• Verified insurance eligibility, referral requirements, and payer authorizations to support accurate processing and reimbursement
• Maintained referral tracking systems and ensured compliance with organizational and payer guidelines
• Collaborated with patients, providers, and administrative teams to resolve referral and scheduling issues efficiently
• Supported patient outreach and engagement initiatives to improve continuity of care and service utilization

Provider Relations Coordinator at Revere Medical (formerly Steward Health Care) (2011-01 – 2017-12)

• Served as primary liaison between healthcare leadership and affiliated physician practices across the provider network
• Coordinated onboarding and integration of new providers, ensuring compliance with organizational workflows and operational standards
• Supported physician practices with credentialing, claims resolution, fee schedule inquiries, and operational issue resolution
• Partnered with leadership and physician boards on operational initiatives, workflow improvements, and provider support strategies
• Assisted with implementation of IT systems and process enhancements across multiple practices
• Facilitated communication between providers, leadership, and cross-functional administrative departments
• Prepared operational reports, provider communications, and data summaries for leadership review and decision-making
• Built strong provider relationships and served as a trusted resource for resolving complex operational concerns

Registration Service Representative at Boston Medical Center (2006-01 – 2011-12)

• Coordinated payer audit requests and maintained accurate documentation for compliance reviews and reimbursement support
• Verified insurance coverage, patient demographics, and registration accuracy to support revenue cycle operations
• Managed electronic work queues and maintained timely processing of patient registration and insurance updates
• Scheduled appointments and ensured required referrals and authorizations were obtained prior to services
• Delivered high-quality customer service in a fast-paced, high-volume healthcare environment
• Maintained organized and accurate patient records in compliance with HIPAA and organizational standards

Medical Assistant Diploma

College-Level Coursework (Currently Enrolled) in Healthcare Administration / Healthcare Operations

High School Diploma