Miriam Greene

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

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