
Amanda Strength, MHA
Manager

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About me
Provider Relationship Account Manager
Education

Southern Union State Community College
2014 - 2016Theatre/TheaterActivities and Societies: • Recipient of Fine Arts Scholarship in theatre

Auburn University
2017 - 2019History European History
University of Saint Francis
2021 - 2022Master of Health/Health Care Administration/Management 3.8
Experience

Which Wich Superior Sandwiches
Oct 2017 - Mar 2019Manager● Strived to enhance our guest experiences at every opportunity by satisfying and exceeding guest expectations.● Provided leadership to employees and excellent service to customers. ● Facilitated and balance financial transactions between customers and subordinates. ● Controlled cost by maintaining operational standards, proper truck ordering/receiving and inventory control● Responsibility to train new crew members with appropriate training.

Montgomery County Archives Courthouse Annex III
Apr 2019 - Jul 2019Internship - ArchivesPerform archival management activitiesHelping identify and asses the archival value and materialsProcessing of the collections, including physical arrangement (sorting, boxing, labeling)Creating collection guides and other basic finding aids

Chipotle Mexican Grill
Apr 2019 - Jul 2020Consistently provided friendly guest service and heartfelt hospitality. Promptly and empathetically handled guest concerns and complaints.Demonstrated integrity and honesty while interacting with guests, team members, and managers.Prepared food items.Knowledge about food safety rules.Responsible for managing food safety in the restaurant. • Provides the perfect opportunity to test employment seekers looking for work in the fast food industry• Must keep the kitchen, dining area, and bathrooms in great shape
Certified Trainer
Jun 2020 - Jul 2020Crew Member
Apr 2019 - Jul 2020

Auburn University Libraries
Aug 2019 - Dec 2019Business Desk - StudentLend and collect books, periodicals, videotapes, and other materials at the circulation desk. Enter and update patrons' records on computers.Sort books, publications, and other items according to established procedures and return them to shelves, files, or other designated storage areas.Locate library materials for patrons.Inspect returned books for condition and due-date status, and compute any applicable fines.Answer routine inquiries, and refer patrons in need of professional assistance to librarians.Send out notices and accept fine payments for lost or overdue books. Show less

Publix Super Markets
Jul 2020 - Aug 2021Maintained up-to-date knowledge about the store policies regarding payments, returns and exchanges.Prevented store losses using awareness, attention to detail with integrity.Worked as a team member performing cashier duties, product assistance, and cleaning.Guaranteed positive customer service experiences and resolved all customer complaints.Balanced and maintained lottery.Compiled weekly reports and reports for the store manager.Answered phone calls in a professional manner. Processed and issued money orders to customers. Show less
Customer Service Staff
Sept 2020 - Aug 2021Cashier
Jul 2020 - Sept 2020

Walmart Health Clinic
Aug 2021 - Jan 2022Care Host- Provided administrative support to the clinic by utilizing electronic medical record and practice management systems to complete administrative tasks; processing patient referrals to specialists; processing insurance information; verifying patient insurance eligibility; collecting appropriate insurance copayment amounts; and monitoring inventory of office supplies and materials.- Ensured compliance and customer service by maintaining patient, employee, and computer data confidentiality; participating in quality improvement initiatives, and quality management programs; assisting in the development and promotion of clinical practice (for example, patient outreach within the store and employer at sites, clinical education, local community outreach events); helping patients complete customer experience surveys and addressing patient questions about clinic services and offerings.- Developed, communicated, and implemented processes and practices to meet business needs by collaborating with managers, co-workers, customers, and other business partners; analyzing and applying information from multiple sources; monitoring progress and results; and identifying and addressing improvement opportunities.- Lead and participated in teams by using and sharing resources, information, and tools; determining customer needs and business priorities; coordinating and executing work assignments; providing advice, feedback, and support to ensure timelines and work quality are achieved; and modeling and helping others with how to adapt to change or new challenges.- Demonstrates, promotes, and supports compliance with company policies, procedures, and standards of ethics and integrity by explaining, guiding, and demonstrating how to apply these in executing business processes and practices; implementing related action plans; using the Open Door Policy; and assisting management with correcting ethical and compliance issues and problems. Show less
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Advanced Medical Pricing Solutions (AMPS)
Jan 2022 - Oct 2022Patient Advocate-Aided members, patients and providers with balance bills, appeals and a variety of questions by phone, fax, email and US mail, working independently within the scope of daily duties.-Coordinated the handling of numerous daily, time-sensitive functions required to maintain an efficient workflow and direct all matters to a proper resolution.-Maintained HIPAA guidelines to ensure the confidentiality of all calls and documents-Maintained contact with facilities, professionals, EOBs, and debt collectors to assist with the resolution of open advocacy matters.-Reviewed and verified Balance Bills using provider billing statements and the Explanation of Benefits.-Prepared and filed correspondence regarding challenges to the Plans reimbursement.-Provided exceptional customer service for incoming calls throughout the shift. Show less

Elevance Health
Oct 2022 - now-Develops and maintains positive provider relationships with the provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues. -Serves as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners.-Collaborates within a cohort of internal matrix partners to triage issues and submit work requests. -Generally, is assigned to a portfolio of providers within a defined cohort. Coordinates Joint Operation Committees (JOC) of provider groups, driving the meetings in the discussion of issues and changes. -May assist Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues. -Coordinates communications process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns. -Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of initiatives and programs. -Participates in external Provider Townhalls/Seminars and attends State Association conferences (e.g.: MGMA, AFP, AAP, HFMA). -Identifies and reports on provider utilization patterns which have a direct impact on the quality-of-service delivery. -Research issues that may impact future provider contract negotiations or jeopardize network retention. -Performs duties to act as a liaison between providers, the health plan and corporate including investigating and resolving provider claims and other issues.-Performs training, orientation and coaching for performance improvement within physician practices. Show less -Responsible for serving GBD member(s) with the Personal Guide Service Model.-Primary duty to include, but are not limited to: Facilitate and coordinate resolution with internal and external contacts to satisfy a members need.-Interpreted plan benefit design; resolved complex claim, benefit, and enrollment issues.-Performed research to respond to inquiries and interprets policy provisions to determine most effective response.-Increased member engagement into appropriate programs and offerings.-Acted as a trusted advisor and educator on health care related inquiries.-Coached members on ways to reduce health risks and compliance by scheduling appointments or enrollment in programs.-Prepared reports to document case and compliance updates. Show less
Provider Relationship Account Manager
Mar 2024 - nowGovernment Business Division Personal Guide
Oct 2022 - Mar 2024
Licenses & Certifications
- View certificate

Personal Skills for Effective Business Analysis
SkillsoftNov 2023
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