Annelli Dawn Kuri
Las Vegas, NV
***********@*****.***
Administrative Support Credentialing & Acquisition Office Assistance
PROFESSIONAL SUMMARY
Highly skilled, Dynamic Administrative Support Specialist with over 20 years of experience and a proven track record of success in ensuring regulatory compliance, delivering exceptional customer service, and streamlining administrative processes. Highly skilled in managing complex data systems, developing training materials, and fostering positive client relationships. Seeking to leverage extensive background to contribute to a dynamic team and drive organizational success.
SKILLS
●Microsoft Office
●Multi-line phone system
●Oracle
●Skype/Link business
●Document Review
●Salesforce
●CAQH
●Quick Cap
●Vinca
●Report Generation
●Cisco (soft phone)
●Sterling Backcheck
●Tracker I-9
●Nuance PDF
●Data Management
work history
UPRISE HEALTH (Formerly American Behavioral/IBH) Las Vegas, NV.
Provider Relations / Credentialing Specialist (Remote) 08/2020 – 08/2024
●Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously
●Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions
●Updated and maintained profile demographics to ensure accurate and up-to-date information
●Produced and reviewed pre-authorizations, evaluated single case agreements, and assisted with provider appointment scheduling for members
●Provided verification communication for Benefit, Enrollment, Accumulation, and Eligibility
●Supported efficient execution of credentialing, contracting, and network review tasks
●Maintained up-to-date group facilities through collaboration with individual providers
●Managed and updated provider W-9, CAQH, State licensing, and insurance review processes
●Ensured accurate and up-to-date provider termination and availability records
OLD REPUBLIC TITLE Orange, CA
Reception / Valuations 04/2016-09/2019
●Started as a temporary assignment, swiftly onboarded, advanced to Top Level Producer for BPO/Valuation's Department
●Provided guidance to new employees, guests, and staff in locating correct departments
●Coordinated the assignment of Real Estate agents to perform brokers price opinions on properties under the purview of major financial institutions. Demonstrated expertise in handling assessments connected to Foreclosure, Short Sale, and Probate cases
●Managed the daily generation of departmental reports based on region and bank priority.
●Provided effective customer support; Provided administrative services to managers
●Organized and maintained filing system for new hire paperwork
●Ensured timely and accurate delivery of mail
●Contributed to overall office efficiency by providing support services
●Managed and tracked the supply levels in the office effectively
●Efficiently managed office equipment repairs and maintenance
●Assisted in county record keeping for multiple departments
●Demonstrated versatility and adaptability by assisting several departments with a range of tasks
SINCERIOUS SOLUTIONS / DAWSON & DAWSON STAFFING
Various Temporary Assignments and Locations 01/2013-01/2016
Talent Acquisition Coordinator
●Ensured data field accuracy and correctness during candidate on-boarding process
●Performed comprehensive audits on pre-employment/on-boarding documents, internal transfers, offer letter generation, and daily progress reports
●Initiated and ensured compliance of pre-employment activities including Background Checks, I-9 forms/e-verify, MVR, and Drug Screening
●Managed critical steps of recruitment process including closing requisitions, updating candidate records, inputting candidate data, and maintaining constant communication to ensure successful on-boarding
●Collaborated with fellow Talent Acquisition Coordinators and HR colleagues
●Effectively employed various pre-employment software applications such as Sterling Backcheck, Tracker I-9, iCIMS, Oracle, and Cisco (soft phone)
DaVita Medical Corp. - Data Entry
●Reviewed medical dialysis claims to determine qualification for countrywide bad debt programs as a Medicare Bad Debt Auditor
●Primary/Secondary/Tertiary as well as Adjustments/Reversals
●Validated code/billing balances for Medicare and Medicaid state insurance programs
●Collection, Financial, Indigent Waiver processing
●Ensured HIPAA compliance
●Consistently achieved a high volume of completed claims, surpassing 200 daily
Property Management - On-Site Office Manager
●Managed apartment rentals and move-ins
●Created excel spreadsheets for monthly rent payments as well as assignments related to 3-day notice, late notice, and eviction notice
●Managed coordination of contractors for repair issues
●Passionate about learning and committed to continual improvement
●Used critical thinking to break down problems, evaluate solutions and make decisions
REFERENCES
Henry Nettles 323-***-****
Joanne Wilson 954-***-****
Jenny Pickens 205-***-****
Victoria Madrigal-Alvarado 951-***-****