Years of Provider Services
Kaila Rivers
Belvidere,IL
Summary
Dedicated healthcare professional with over a decade of hands-on experience in patient care and a strong background in claims processing. Proven adaptability and success in various roles, with a continuous pursuit of knowledge and skill expansion. Possesses foundational data analysis capabilities that complement a comprehensive understanding of healthcare operations. Eager to leverage expertise and educational background in a dynamic position that fosters growth and contributes to organizational success.
Overview
4
4
17
17
Years of Health Care Industry
Work History
Provider Services Specialist
Oscar Health
12.2021 - Current
- Facilitated provider onboarding processes to enhance network participation and streamline operations.
- Led initiatives to optimize claims processing, improving turnaround times and reducing errors.
- Enhanced provider relations by addressing inquiries and resolving issues in a timely manner.
- Analyzed provider performance data to identify trends and recommend actionable improvements.
- Developed and maintained relationships with healthcare providers to ensure alignment with organizational goals.
- Coordinated communication between internal teams and providers, fostering collaboration and efficiency.
Certified Nursing Assistant
Heartland Hospice
10.2020 - 04.2021
- Provided compassionate care to patients, ensuring comfort and dignity in daily activities.
- Observed and reported changes in patient conditions, facilitating timely medical interventions.
- Assisted nursing staff with patient assessments and documentation, enhancing care coordination.
Certified Hemodialysis Technician
Davita Dialysis
11.2017 - 09.2019
- Monitored patient vital signs and dialysis parameters to ensure optimal treatment outcomes.
- Collaborated with healthcare team to develop individualized care plans for patients undergoing dialysis therapy.
Education
Bachelors - Healthcare Administration
University of Phoenix
Certified Professional Coder - Medical Billing And Coding
Penn Foster
06-2026
Skills
- Analytical problem-solving
- Effective time management
- Meticulous attention to detail
- Quick to adjust to new situations
- Proficient in handling multiple priorities
- Proficient in negotiation
- Knowledge of healthcare systems
- Compliance management
- Provider relationship management
- Experienced in Microsoft Office applications
- Health operations coordination
- Enhancing provider collaborations
- Effective team collaboration
- Effective multitasking
- Strong organizational skills
- Analytical decision making
- Claims processing expertise
- Clinical technology expertise
- Insurance claims processing skills
- Clear interpersonal communication
- Troubleshooting skills
Timeline
Provider Services Specialist
Oscar Health
12.2021 - Current
Certified Nursing Assistant
Heartland Hospice
10.2020 - 04.2021
Certified Hemodialysis Technician
Davita Dialysis
11.2017 - 09.2019
Bachelors - Healthcare Administration
University of Phoenix
Certified Professional Coder - Medical Billing And Coding
Penn Foster