Anitra Jones

Successfully managed care enrollment activities to ensure provider participation status and researched/solved enrollment/re-credentialing problems. Prepared and distributed Payor Affiliation Reports and maintained logs, lists, records, and current documentation for provider enrollment. Established and sustained effective relationships with provider offices concerning best practices and procedures.

Responsible for provider enrollments with insurance payors, ensuring timely application completion to avoid loss in review. Reviewed and critically analyzed credentials for committee approvals, monitoring compliance with medical record keeping standards. Provided recommendations for approvals/denial of appointments and maintained a credentialing schedule.

Maintained staffing operations across the board and provided employee training for all new associates. Conducted background checks, implemented a recruiting plan, and performed interviews and orientation for new hires. Collaborated with the Branch Manager to verify payroll accuracy and handled all leave, PTO, and FMLA requests.

Successfully administered all aspects of healthcare providers’ payor enrollment process, accurately managing care networks and government payors for reimbursement. Coordinated managed-care enrollment activities, ensuring provider participation statuses and credential compliance. Established effective relationships with constituents and healthcare providers.

Conducted standard background screening checks for potential applicants, including identity validations, driving records, and reference verifications. Examined criminal records ensuring compliance with local, federal, and state laws when reporting charges. Researched country-wide court records and verified credentials by contacting employers, schools, and personal references.

Served as the initial point of contact for Contract Sales business partners, reviewing freight lane and product issue delays and providing resolutions. Monitored daily receipts of merchandise/inventory, coordinating delivery dates with partners while maintaining individual billing information. Input accurate sales orders, managed inbound/outbound calls, and provided customer service for merchandis

Completed a Master of Business Administration with a focus on Health Administration. This advanced degree provided comprehensive knowledge in both business management and the specific challenges and opportunities within the healthcare sector.

Obtained a Bachelor of Science in Health Care Administration/Health Management. This program equipped me with foundational knowledge in healthcare systems, operations, and management principles.

Earned an Associate of Science in Health Care Administration. This degree provided an introduction to the administrative aspects of healthcare, preparing me for entry-level roles in the field.

Completed a Diploma of Business Office Technology. This program focused on essential office administration skills and technology, providing a strong base for professional environments.