● Complete audit reviews on CSRs using HCSC proprietary software, Salesforce and Power App database.● Report results to internal management and external auditors using Power BI generated reports, Excel and Word.● Train new co-workers on HCSC proprietary software, Power App, Salesforce CRM creation, Excel reporting and business rules.● Data cleaning, analysis, and reporting for NM and OK Provider Finder Audits in Excel.● Created ad-hoc… Show more ● Complete audit reviews on CSRs using HCSC proprietary software, Salesforce and Power App database.● Report results to internal management and external auditors using Power BI generated reports, Excel and Word.● Train new co-workers on HCSC proprietary software, Power App, Salesforce CRM creation, Excel reporting and business rules.● Data cleaning, analysis, and reporting for NM and OK Provider Finder Audits in Excel.● Created ad-hoc Salesforce reports to support HCSC's data integrity standards by reviewing for population completeness. Show less

● Process professional provider onboarding requests, using HCSC proprietary software and Vistar in accordance with business rules and state mandates. ● Updated provider submitted demographics change requests, using HCSC proprietary software and Vistar, in accordance with business rules and state mandates.● Claims research using HCSC proprietary software and IBM Personal Communications to complete needed information to inform claim decisions like… Show more ● Process professional provider onboarding requests, using HCSC proprietary software and Vistar in accordance with business rules and state mandates. ● Updated provider submitted demographics change requests, using HCSC proprietary software and Vistar, in accordance with business rules and state mandates.● Claims research using HCSC proprietary software and IBM Personal Communications to complete needed information to inform claim decisions like payout, info requests, or denials.● Train new co-workers on HCSC proprietary software, business rules, Vistar, and IBM Personal Communications. Show less

● Processed ADC from Provider Center, which included adding networks, terms, and demographic updates using HCSC proprietary software and Vistar in accordance with contract agreements, credentialing status, and/or state requirements.● Claims research using HCSC proprietary software and IBM Personal Communications to complete needed information to inform claim decisions like payout, info requests, or denials.