Provider Relations Support Representative Resume McDonough, GA - Hire IT People

EDUCATION:
Political Science

EXPERTISE:
Management/Administrative Professional, Trainer/Presenter, Marketing, Communications, Social Networking (Facebook, LinkedIn and Twitter), Non-Profit Program and Project management, Human Capital and Benefits coordination, Event/Meeting/Conference planning, Customer Relationship Management (Salesforce.com), Territory Management

EXPERIENCE:

Confidential, Georgia 2010-Present
Provider Relations Support Representative

Effectively able to monitor and resolve Provider claims issues using healthcare information technology within the GA Medicaid Management Information System (MMIS) daily
Successfully able to facilitate Provider web portal and virtual training for existing and new providers contracted with the State of Georgia Medicaid program
Planned and produced logistics of high profile statewide Medicaid Fair in conjunction with the Department of Community Health held at the Georgia World Congress Center
Able to successfully research and debunk alleged HIPAA violation to prevent federal and state violation
Able to negotiate vendor contracts to achieve cost effective pricing for HP with facilities that hold our monthly Provider workshops and biannual Medicaid Fairs
Actively assisted in the development, maintenance and monitoring of workshop database for participant electronic registration
Created spreadsheets to track monthly statistics of workshops and provider feedback for reporting purposes
Facilitated a surplus of department funds totaling over $87,000.00 in my first year

Confidential, McDonough, Georgia 2009-2010
Caseworker

Actively conducted eligibility and recertification of low income population for AFDC support in Henry County, Ga.
Proficient management of client information through use of SUCCESS operating system for the State of Georgia
Acted as referral source for additional resources for clients

Confidential, Atlanta, Georgia 2005-2009
Health Services Coordinator

Conducted daily educational workshops and presentations for senior adults on health screening services enrolling hundreds of clients for actual screening to increase company sales
Networked with community organizations, corporations, churches and health systems to plan successful health fair events in southern territory of Georgia to broaden company visibility
Autonomously managed designated territory effectively with limited supervision
Submitted weekly and monthly reports to communicate achieved goals in field
Entered customer information in client relationship management (CRM) database (Salesforce.com)

Skills/Certifications/Licenses

Certified Foodstamp and Medicaid Caseworker (Department of Human Resources, Georgia)
Licensed Life, Health and Sickness Insurance Agent #2661100
Microsoft Word, Outlook, Excel, Powerpoint

We provide IT Staff Augmentation Services!

Provider Relations Support Representative Resume

Mcdonough, GA

We'd love your feedback!

Resume Categories

Client Services

Job Seekers

Visa Sponsorship