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HR and Medicl staff Coordinator

Location:
New York, NY
Posted:
October 28, 2022

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Resume:

KEITH AGYEMAN

Phone: 347-***-**** Email: ************@*****.***

Address: *** ***** ****** ***, *** York, NY 10039

SUMMARY

Master of Healthcare Administration with extensive experience in program management, customer service, credentialing, account management, account investigation, consulting, auditing and client retention within healthcare and business space. Executive level knowledge of client relationship management protocols necessary to facilitate consistent growth and results while building rock solid employee relations.

EXPERIENCE

LIBERTY MUTUAL New York, NY

Claims Specialist November 2021–

• Responsible for managing inventory of claims to evaluate compensability/liability

• Investigate new claims and reviewing first reports, hospital reports etc

• Prep for litigation with defense and policy holders/customers

• Collaborate with medical providers; act as liaison with business supervisors and nurse case managers for treatment and return to work initiatives.

• Establish Action Plan and best practices based on case facts, protocols and NY State guidelines

• Utilize BOCOMP Reserve system to set up payments to employees, hospitals, an/or employer MT. SINAI HOSPITAL New York, NY

Coordinator September 2018 – November 2021

• Responsible for streamlining medical staff primary and re-application credentialing process resulting in greater speed-to-credential and higher employee satisfaction.

• Assist in implementing and rolling out Disaster Privileges Program. (COVID)*

• Key Role Player in Managing Multiple Projects- Archive Project Program, Expiring Provider File Project

• Trouble Shooting issues for Departments, HR, Providers and Health Clearance Team

• Work across departments (human resources, billing, operations, etc.) to create greater credentialing efficiencies and improved interdepartmental relations.

• Prepare and deliver oral and written credentialing reports to monthly Board of Trustees meeting

• Utilize primary source verification to ensure all data inputted into Sinai’s main database system (Cactus) is accurate. Visual & Web CACTUS Trainer

• Initial Team Trainer/New Hire Trainer

• PRE-Applications Team Investigator

• Responsible for leading contact for claims, claims history, and insurance policy. NORTHWELL HEALTH Manhasset, NY

Credentialing Specialist August 2017 – September 2018

• Meticulously reviewed and updated all credential files, certifications, and staff history for associated physicians

• Led departmental project management initiative to explore future acquisitions, software testing, and best new practices.

• Ensured ethical and legal credibility of reappointment process for entire medical staff throughout network of 23 hospitals.

• Efficiently and accurately collected and processed all verification and accreditation information for hospital medical staff.

• Maintained accurate databases across the organization – including staff and facilities. INNOVATIX New York, NY

Client Service Associate January 2012 – August 2017

• New business development specialist adept at generating new client relationships and additional contracts and services

• Secured new contract commitments by identifying and presenting new cost saving opportunities

• Ensured clients’ ability to access complete contract information by creating efficiencies across internal contract department procedures

• Helped audit and membership team to improve supply chain procedures across organization leading to improved outcomes for members

• Conducted external business reviews with field services team to identify additional income opportunities based on purchase patterns and market trends

• Developed expert-level knowledge in Microsoft Dynamics CRM through rigorous independent study and training

• Managed, Prepared Excel Data in CRM as needed

HOFSTRA UNIVERSITY Hempstead, NY

Graduate Assistant/Office of Student Organization, Leadership & Student Activity March 2011 – August 2011

• Provided guidance and leadership to help undergraduate student organizations successfully execute community service projects

• Promoted community service initiatives on campus through project management and oversight

• Mentored undergraduates seeking post-college leadership skills

• Led non-profit business initiatives for local community events EDUCATION

HOFSTRA UNIVERSITY Hempstead, NY

Master of Healthcare Administration Graduated – May 2013 PENNSYLVANIA STATE UNIVERSITY University Park, PA

Bachelor of Science/Kinesiology & Anatomy Graduated – May 2010 ************@*****.***

AWARDS, HONORS, PROFESSIONAL & STUDENT ASSOCIATIONS

• NY State Licensed Adjustor 12/2021

• AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES – MEMBER

• HEALTHCARE LEADERS OF NEW YORK - MEMBER

• GRADUATE ASSISTANTSHIP/HOFSTRA UNIVERSITY – FOCUS ON SERVICE & LEADERSHIP

• PENN STATE LION AMBASSADOR

• ALPHA PHI ALPHA (ΑΦΑ) – VICE-PRESIDENT AND RECORDING SECRETARY SKILLS

Microsoft Office Suite: Word, PowerPoint, Publisher, Excel, Outlook Customer Relationship Management (CRM) software: Microsoft Dynamics ECHO Software, Employee Training, Contract Negotiations, Time Management, Hearing Prep, Litigation, Medical Terminology.



Contact this candidate