Provider ntwork file technician

Yaritza Guerra

Gilbert, AZ *****

******.***@*****.*** - 602-***-****

Objective

I am a dedicated person, motivated and highly organized individual. In me you will discover a reliable, detail-oriented, and extremely hard-working employee.

Education

Carrington College Online Program August 2021

●Medical Billing and Coding Certificate

Skills & Certifications

●CPT-4, ICD-9, ICD-10 & HCPCS

●HIPAA certified

● First Aid/ BLS certified

●Knowledge of OSHA regulations

●Front office procedure

●Patient charting

●Knowledge of the health plan websites

●Problem Solving

●Attention to Detail

●Quality Checks

●Patient education

●Microsoft Office Suite

●Private & hospital billing

●Medicaid & Medicare billing procedures

●Maintenance of healthcare provider files

●Update provider files

●Customer Service

●Production Process

Work History

Phoenix Formulations Tempe, Az January- Present

Machine Operator

●Monitoring and maintaining warehouse equipment and machinery

●Setting up manufacturing equipment

●Overseeing training of new or Junior Machine Operators

●Using machine equipment to complete tasks

● Performing routine inspections of manufacturing equipment

● Evaluating the efficiency of each unit regularly, identifying improvements as needed

Blue Cross Blue Shield of Arizona Glendale, AZ March 2022 – December 2024

Provider Network File Technician

●Responsible for maintaining and updating provider information

●Perform all activities related to credentialing re-credentialing

●Receiving and processing incoming contracts from new providers and facilities

●Adding/deleting practice locations and any other information to be added

●Create new WI from incoming request from providers

●Submit and attach relevant documents needed to maintain all provider files current

Dillard’s, Inc. Gilbert, AZ October 2019 – March 2022

Hang Associate

●Accommodate and carefully handle fragile merchandise

●Track and document exact shipment arrival and departure times

●Tag and label merchandise

●Label and stockpile merchandise according to size, shape, and type.

●Box, wrap and pack the merchandise in accordance with relevant procedures and standards

Arizona Nutritional Supplements Chandler, AZ January 2017 - October 2019

Machine Operator

●Setting up machines to start a production cycle

●Controlling and adjusting machine settings (e.g. speed)

●Feeding raw material or parts to semi-auto

●Test operation of machines periodically

● Fix issues that might occur during the shift

●Check output to spot any machine-related mistakes or flaws

● Keep records of approved and defective units or final products

El Rancho Market Chandler, AZ November 2015 – January 2017

Cashier

● Manage transactions with customers using cash registers

●Scan goods and ensure pricing is accurate

● Collect payments whether in cash or credit

● Issue receipts, refunds, change or tickets

● Redeem stamps and coupons

●Cross-sell products and introduce new ones

●Resolve customer complaints, guide them and provide relevant information

Contact this candidate