Provider Enrollment Operations Specialist

Jody Stevens

Austin, TX 512-***-**** *************@*****.***

PROFESSIONAL SUMMARY

Operations professional with over 15 years of experience in data entry, record maintenance, and documentation accuracy. Proven ability to enter, review, and update records in high-volume environments while ensuring completeness and compliance. Skilled in Microsoft Office applications, organizational workflows, and managing multiple tasks to meet deadlines with strong attention to detail. CORE COMPETENCIES

• Technical Skills: Salesforce CRM, Microsoft Office Suite, Data Entry & Validation

• Administrative & Compliance: Provider Enrollment, Healthcare Administration, Medicaid Compliance, Regulatory Compliance, Credential Verification, Documentation Review, Records Management

• Operations & Coordination: Client Operations, Enterprise Account Support, Account Management, Vendor Management, Workflow Coordination, Process Improvement

• Customer & Team Collaboration: Customer Support, Remote Team Collaboration, Cross-Functional Collaboration, Issue Resolution PROFESSIONAL EXPERIENCE

TMHP via Accenture Provider Enrollment Specialist Feb 2025 - May 2026 Process provider enrollment applications while ensuring compliance with Texas Medicaid and Healthcare Partnership (TMHP) guidelines and regulatory standards. Verify provider credentials, licensing, and supporting documentation to maintain data accuracy and compliance. Resolve application discrepancies and documentation issues to support timely provider enrollment approvals. Communicate with healthcare providers and internal departments to streamline enrollment workflows and improve operational efficiency. Maintain accurate provider records and support program integrity initiatives through detailed documentation review and data management.

• Entered and validated provider enrollment data into Salesforce CRM, ensuring 100% accuracy and compliance with TMHP guidelines.

• Maintained and updated provider credential records, supporting records management and program integrity initiatives.

• Reviewed and corrected application submissions for completeness and resolved documentation discrepancies to accelerate approvals.

• Collaborated with cross-functional teams to streamline enrollment workflows and consistently meet processing deadlines. Connection (formerly MoreDirect, Inc.) Client Experience Advisor Apr 2018 - May 2023 Supported enterprise-level client accounts by managing operational requests, pricing approvals, and issue resolution in a high-volume environment. Collaborated with Account Executives and internal teams to improve customer satisfaction, maximize profitability, and ensure timely service delivery. Managed product configurations, deal registrations, and bid pricing negotiations with technology manufacturers and vendors. Provided strategic guidance on catalog pricing, product recommendations, and operational processes to support client business objectives. Assisted with workflow coordination and process improvement initiatives to enhance operational performance and service quality.

• Managed high-volume data entry of client orders and account information using Microsoft Office Suite, ensuring timely updates.

• Reviewed order submissions for completeness and accuracy, reducing processing errors by 15%.

• Coordinated documentation updates and maintained digital records to support vendor and client operations.

• Prioritized multiple tasks and deadlines to ensure on-time service delivery and efficient issue resolution. Kohl’s Department Stores Customer Care Advocate – Digital Commerce Sep 2015 - Jun 2017 Delivered customer support for digital commerce operations by resolving account, order, and payment-related inquiries. Assisted customers with online purchasing, returns, and technical troubleshooting while maintaining high service standards. Managed escalated customer concerns with professionalism and effective problem-solving skills. Maintained accurate customer records and documentation within internal systems. CompuCom Client Assistance Analyst Feb 2005 - Jan 2014 Provided technical and operational support for enterprise clients in fast-paced service desk environments. Resolved hardware, software, account access, and connectivity issues while meeting established service-level expectations. Assisted end users with troubleshooting, system navigation, and technical issue resolution across multiple platforms. Documented support activities, maintained accurate records, and escalated complex issues as needed. Recognized for exceptional customer service, teamwork, and operational support performance. The Renick Corporation ISR Purchasing Billing Marketing Administrative Support 1998 - 2005 Supported daily business operations across purchasing, billing, customer service, marketing, and administrative functions. Assisted with client communications, documentation management, inventory coordination, and operational reporting. Contributed to workflow efficiency and customer satisfaction through strong organizational and multitasking skills. EDUCATION

Ogle School Hair Skin Nails – Dallas Esthetics Certification Dallas 2014 CERTIFICATIONS

• Laser Hair Removal Certification – Texas Department of Licensing and Regulation

• CompTIA A+ Hardware Certification

• 3Com Network Telephony Specialist Certification

• IBM Wireless Network Implementation Certification AWARDS & RECOGNITION

• Grand Champion Award – Ameriprise Financial via CompuCom

• GotCHA “Got Caught Helping Another” Award Recipient (14 Awards)

• Most Helpful Peer Recognition – CompuCom

• Outstanding Achievement Award – The Renick Corporation

• Highest Services Sales Award – Ogle School

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