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<pre>Array ( [var] => cut_url ) </pre> Resume for Tiffany M. for Other / Healthcare & Social Assistance in Lithonia, Georgia. Search More Resumes for Other on Resumark.com #2U2CIR7Q4
 

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Resume for Tiffany M. for Other / Healthcare & Social Assistance in Lithonia, Georgia




Occupation: Other Industry: Healthcare & Social Assistance
Country: United States City: Lithonia
State: Georgia ZIP: 30038



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Summary * More than four years direct experience in physician recruitment and relationship management, contracting, reimbursement and insurance claim processing, and customer service * Demonstrated effectiveness in needs assessment, process improvement, and change implementation * Proficient in use of Microsoft Office Enterprise, Coventry Provider Database, IDX, Provider Contract Manager, SharePoint and Navigator software applications Professional Experience Coventry Health Care of Georgia, Inc. Feb. present Contract Implementation Specialist * Reduced inaccurate loading of contracts and provider changes by % via process improvement * Research and resolve escalated claim issues * Implement physician group, ancillary service, and hospital contracts * Conduct file and batch audits of providers, contracts, fee schedules, and rate packages * Identify, research, and resolve contract implementation issues * Manage provider relationships, including data management, issue resolution, and annual audits * Complete signoffs for new implementation or rate changes of ancillary service and physician group contracts * Supervise team of three data entry professionals Coventry Health Care of Georgia, Inc. Apr Feb. Provider Contracting Coordinator * Processed new contracts, ensuring submission of provider information and compensation * Reviewed provider network membership applications * Served as primary contact for new provider contracting and credentialing process * Assisted with physician group and ancillary recruitment * Managed provider relationships, including data management, issue resolution, and annual audits * Responded to provider information requests and contractual inquiries * Performed data entry tasks supporting update of Georgia provider network database Coventry Health Care of Georgia, Inc. Feb. Mar General Clerk Provider Relations * Provided administrative and operational support to departmental personnel * Provided customer service to current and prospective network physicians * Input updates to demographic, contract, and NPI data * Maintained accuracy and currency of provider database via continual updates * Assisted with physician and facility credentialing process * Responded to provider inquiries and contacted providers to obtain missing information Education Clayton State UniversityMORROW, GA Bachelor of Science, Healthcare Management May

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