CYNTHIA GUTHRIE

McHenry, MD ***** 240-***-**** ad3ta8@r.postjobfree.com

PROFESSIONAL SUMMARY

Coordinates credentialing data needed for enrollment, contracting, and other related purposes. Credentialing data includes but not limited to medical degree, (DEA) number, state license, board certifications, CV, malpractice insurance and state insurance form. SKILLS

Health Insurance, Communication Skills, Database and Documentation, Detail Oriented, Collaboration, Facilitation, Accuracy, Data Entry, Excel, Outbound Calling, Compliance

EDUCATION

Associate of Applied Science Office Management /Bryant & Stratton College June 2019 Office Administrative Assistant/Bryant & Stratton College May 2017 WORK HISTORY

Provider Enrollment Specialist July 1, 2021, to Present WVU Medicine/Specialty Physicians of Garrett County, LLC Oakland, MD

• Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner. Handles highly sensitive and confidential information regarding professional providers.

• Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insures and other as identified.

• Performs follow ups with Health Plans to expedite participation approval by each health plan.

• Develop and maintain good working relationships with numerous providers and support staff to obtain necessary and timely information to facilitate the provider enrollment/re-enrollment process.

• Accurately maintain all internal systems with appropriate provider and network participation information.

• Maintain detailed provider enrollment files in electronic format.

• Ensure licensure and certifications are accurate and active among all markets.

• Develops, manages, and utilizes a standard set of reports to track the registration process and communicate the status and successful enrollment to appropriate Vice President, Administrators, Directors, and Managers. Administrative Specialist 11, Office Processing Clerk Lead 2004-2021 State of Maryland/Garrett County Health Department Dental Care Center

• Consulted with program heads and administrative officials regarding policies, trends, and interpretation of data and program needs.

• Assisted in the administration of an assigned program, the supervision of an operation al unit with an agency, and in the preparation of final reports and suggested recommendations for the improvement of the agency and its programs.

• Provided assistance to a higher-level administrator in the formulation and preparation of the department budget.

• Ensured licensure and certifications are accurate and active among all markets.

• Accurately maintained all internal systems with appropriate provider, and patient and network participation information.

• Typed, formated and edited correspondence, reports, charts, grapsh, schedules and other doucments.

• Trained lower-level Office Personal to use Dental software, coding, faxing, phones, etc.

• Posted and filed insurance claims, payments, co-payments, etc.