Project Manager Human Resources
Resume:
PROFILE
Results-oriented Project Manager
with **+ years of experience in
leading cross-functional teams to
deliver projects on time, within
scope, and under budget. Adept
at driving project success through
meticulous planning, resource
allocation, and effective
communication. Proven track
record of managing multiple
projects simultaneously in fast-
paced environments, consistently
exceeding client expectations.
Skilled in stakeholder
management, risk mitigation, and
implementing best practices to
streamline processes and optimize
project outcomes.
SKILLS & SOFTWARE
• Excellent Written and Verbal
Communication
• Human Resources and
Conflict Resolution
• Insurance Verification
• Team Player
• Leadership
• Integrity (EMR)
Pro HER/ProPM
CPT & ICD-10 Coding
Microsoft Word, Excel, and
PowerPoint
CONTACT
PHONE:
EMAIL:
ad5yaw@r.postjobfree.com
Address:
Raleigh, NC
References:
Available on request
PROFESSIONAL EXPERIENCE
Billing and Credentialing Specialist • SLFS-Cary, NC • 8/2019-Current
• Responsible for defining diagnostic, treatment, and procedures of patients by using numeric codes.
• Handles the tasks of entering the information into a database and update the same to the appropriate insurance carrier.
• Performs responsibilities of conducting investigations in case of rejected claims and ensure that the medical facility is correctly billed by using different corresponding codes.
• Creates reports to make sure the company stayed in good standing with referral sources and clean up AR.
• Panels all providers with the necessary insurance payers to ensure claims would go out clean.
• Maintains providers CAQH to ensure the most updated information was accessible to the insurance payers.
Credentialing Coordinator • Rock Oak, NC • 1/2023-5/2024
• Managing credentialing applications, verifying credentials, and conducting background checks.
• Coordinating the completion and submission of enrollment applications and supporting documentation.
• Generating reports and analyzing data to track credentialing status and performance metrics.
• Recommending improvements to streamline processes and enhance compliance effectiveness.
• Collaborating with credentialing committees and participating in meetings to review and approve credentialing applications.
• Providing supervision/management, training, and guidance to staff members on credentialing processes and best practices. Office Manager • Alase Center for Enrichment, NC • 8/2016-11/2018
• Cultivates and sustains positive working relationships with patients, and staff.
• Managed and directed the business affairs of a busy psychological practice.
• Responsible for all the billing for a multimillion-dollar psychology practice as well as maintenance of the charts and files for hundreds of patients,
• Handled compliance with insurance companies and
Medicaid/Medicare management utilizing electronic medical records with Integrity Systems.
• Processed payroll and taxes for the business aspect of the company.
• Ensured aspects of HIPAA compliance for the practice. EDUCATION
North Carolina Central University – Durham, NC 2008 Bachelors of Science: Family Consumer Sciences Concentration Child Development Family Relations – Cum Laude
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