career objective                              

results-driven operations specialist eager to contribute sharp business acumen, strategic planning, and internal team-building skills toward supporting the employer in optimizing performance

profile                                                

ø  offer numerous years of progressive operations experience with expertise in customer service,  information management, sales, and personnel training and supervision

ø  demonstrated ability to perform a broad range of concurrent functions in deadline-driven, highly competitive industries

ø  compile and analyze complex data to generate performance reports and develop solutions; ensure accurate documentation and compliance with all regulations

ø  strategically plan and coordinate workflow and human resources for optimal coverage while containing labor costs; train and direct top-performing support teams

ø  dynamic communication, presentation, negotiation, and relationship management skills; consistently achieve outstanding levels of customer satisfaction and retention

ø  hold commercial driver s license

professional experience                

unitedhealthcare, westerville, oh                                                                                                                      3/01 c 7/08

project analyst

• in recognition of outstanding performance, steadily progressed within this leading managed health care company to attain ultimate position responsible for managing all aspects of the data transfer process between proprietary and client/partner databases
• proficiently implemented transfer process, conducted audits for accuracy, and created process improvements resulting in substantially reduced error levels and need for manual follow-up

senior supervisor of credentialing

• cost- and time-effectively coordinated credentialing operations; established call center to deliver provider support

credentialing supervisor

• staffed and oversaw credentialing verification, credentialing request, and credentialing receiving teams; ensured compliance with all federal and state regulatory guidelines and maintained health plan accreditation with national committee for quality assurance

provider systems specialist

• selected to serve as credentialing department verification team leader entrusted with training new and experienced credentialing specialists and reviewing team work

credentialing specialist

• verified practitioner education and training credentials, conducted background and criminal history checks, and diligently updated nationwide database

 

united behavioral health, columbus, oh                                                                                                           11/99 c 3/01

intake coordinator ii

• quickly promoted to role assigned with a range of duties, including initial and ongoing training of intake coordinators, accurately maintaining information for large provider groups, executing administrative functions, and providing provider and member support

intake coordinator i

• knowledgably responded to mental health and substance abuse treatment queries and provided member information in a high volume call center environment

 

~ prior background ~

account representative, household international, lancaster, oh                                                                       9/98 c 11/99

customer service representative / outside sales, km distributors, columbus, oh                                           4/98 c 9/98

customer service / install coordinator, media one, lancaster, oh                                                                    1/96 c 4/98

customer service / inside sales representative, cerro copper products company, cleveland, oh                    1/90 c 1/95

education                                           

truck driving academy, southern state community college, insert campus, oh                                                          2009