Customer Service Project Manager
Resume:
Nikki S. Pooshs
Oakland. CA 94611
*******@***.***
QUALIFICATIONS:
Over 20 years of experience in HMO/Managed Care, office administrative and
management activities. Scope of responsibilities and areas of expertise include:
Oral, written, communication and presentation skills
Project Management
Extensive physician, staff and customer training and contact
Orientations and problem solving
Contracting with outside vendors, and physician offices
Data base management
Network development and management
Superior customer service
PROFESSIONAL EXPERIENCE
CURVES (out of business at the location I assigned to))
On site trainer for safe use on the equipment
Balanced the ledgers each evening
Registered new members
Ensured that all equipment was maintained in working order
Courteous and professional customer service
ALLIANCE FOR HEALTH CARE, San Francisco, Ca
Managed a PPO physician contracting office on a part time basis
Coordinated conversion to a new database
Credentialed/re-credentialed physician providers
Organized informational seminars for health care professionals
HEALTHNET, OAKLAND, CA
Various positions held while during my 15 year tenure at Healthnet including but not
limited to: Project Manager, Manager of Provider Network Management, Regional
Network Development Coordinator
Responsibilities Included:
Providing cohesive customer service to our internal and external customers
Development of a referral process which resulted in the enhancement of the utilization
Management Department
Responsible for rolling out our PPO product to the statewide network
Coordinated the re-write and revision of the Provider Appeals and Grievance Policies
Conducted many educational and orientation seminars for all levels of health care
professionals
EDUCATION, CLASSES AND AWARDS
Attended numerous seminars in Office Management at various locations throughout the
state
Received a Microsoft Project Management Certificate
Received a Medical Assistant Degree from Merritt College
Earned a Total Quality Management Award from Helathnet
Received the ‘Heart And Soul’ award from Healthnet for providing
Excellent Customer Service
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