• Configures software applications/solutions using customer requirements and providing guidance on industry best practices, standards, and methodologies.• Prepares and leads multiple implementation meetings/presentations and customer training calls. Presents pre and post go-live assessments to management team members incorporating operational recommendations.• Works cross-functionally with Technical Account Managers, Project Coordinators and Managers, Customer Success Managers, and other resources, to ensure all customer requirements are scoped and delivered.• Maintains task plans and timelines in workflow management system and customer success platform supporting customer business objectives.• Troubleshoots and escalates as appropriate onboarding and/or functional issues arising from implementations.

• Re-enrolled and re-credentialed 500+ healthcare providers including 10+ clients who request provider enrollment and PSV services.• Partnered with healthcare providers and Medical Staff Management to obtain required documentation necessary for processing enrollments, PSV, contracting and other related purposes. Followed up with insurance carriers (commercial, government, TPA) based on documentation submitted.• Prepared and lead multiple meetings/presentations. Presented overall enrollment updates and/or contract status including plans and projects to management team members incorporating operational recommendations.• Collaborated with Practice Managers to track status and facilitate updates and completion of payor contracts, including amendments/addendums, as needed for maximizing reimbursement to ensure a smooth revenue cycle.

• Oversaw, coordinated, and managed all aspects of the Specialty Services Division for 8+ clients and served as the single point of client contact developing and implementing future business opportunities.• Partnered with Executive Management, Operations Management, Specialty Services support team and healthcare providers to ensure optimum productivity and performance.• Prepared and lead multiple implementation meetings/presentations. Presents overall productivity including plans, programs and projects to management team members incorporating operational recommendations.• Directly supervised 15+ associates responsible for patient care, billing, administrative and scheduling activities.

• Oversaw, coordinated, and managed all aspects of insurance credentialing and facility privileging processes for new and 100+ existing healthcare providers and served as the single point of contact during the three-month enrollment/onboarding process.• Partnered with healthcare providers, Hospitalist and Medical Staff Coordinator(s) to obtain required documentation necessary for processing enrollments, establishing privileges, contracting and other related purposes.• Designed and implemented an Enrollment Status Tracker Tool for maintaining considerable insurance and facility enrollment issues and resolutions for all healthcare providers which impacts revenue. Reports on action taken for resolution to CEO and Operations Management team.• Collaborated with Business Analyst to track status and facilitate updates and completion of payor contracts, including amendments/addendums, as needed for maximizing reimbursement to ensure a smooth revenue cycle.

• Oversaw, coordinated, and managed all aspects of the implementation process for 10+ clients and served as the single point of client contact during the three- to five-month onboarding process.• Partnered with Executive Management, Operations Management, Compliance and Audit teams to ensure a smooth onboarding process.• Prepared and lead multiple implementation meetings/presentations. Presents pre and post go-live assessments to management team members incorporating operational recommendations.• Hired, trained, and directly supervised 20+ associates responsible for medical billing processes and/or provider enrollment activities.• Designed and implemented a client-wide Aging Analysis Tool for billing verification which monitors each insurance carrier (commercial, government, TPA) behavior for submitted claims.• Designed Policy & Procedure Manual for Provider Enrollment and Implementation departments.

• Re-enrolled and re-credentialed 400+ healthcare providers including 10+ clients who request provider enrollment services.• Partnered with healthcare providers and Implementation Manger to obtain required documentation necessary for processing enrollments, contracting and other related purposes. Follows up with insurance carriers (commercial, government, TPA) based on documentation submitted.• Designed and implemented a client-wide Enrollment Status Tracker Tool for maintaining considerable enrollment issues and resolutions for all healthcare providers/clients which impacts revenue. Reports on action taken for resolution to Operations Management team.• Successful and promoted after 16 months.

• Performed daily billing activities, including charge entry, patient benefits verification, eligibility and coverage and auditing accuracy to ensure successful processing and payment of claims for 10+ clients.• Reported all billing changes, issues and corrective action plan accomplishments to Billing Manager.• Successful and promoted after 8 months.

• Assisted with care of patients from the adolescent through the geriatric years under the direction and supervision of a RN.• Provided administrative support for all aspects of daily responsibilities including admitting, scheduling, order-entry, and related clerical duties.

• Introduced to the healthcare industry with basic knowledge of patient care.• Assisted technicians in all aspects of daily responsibilities to deliver timely and quality patient care.