1. Quentin Joyner
Provider /Group Contract Configuration Analyst
Virginia Beach, VA23462 qjoyner007@gmail.com -757-8391192
Reliable and competent administration professional with thirteen years of Healthcare experience. Excellent
communication and computer skills; ability to work independently or as part of a team to meet project deadlines;
multicultural awareness.Seeking a challenging career enhancement.
Skill Highlights
Self-starter and staff motivator
Attention to detail
Meets/exceeds goals
Multi-task Management
Very Dependable
Knowledge ofusing MicrosoftOffice: Excel, PowerPoint,Word
System: Visio 2010
Filing and data archiving
Internet Research
Customer Service
Willing to relocate to: Florida,NC, and NJ
Authorized to work in the US for any employer
WORK EXPERIENCE
Senior Provider/Group Contract Configuration Analyst-Network Vendor
Sutherland Healthcare Solutions/Blue Cross Blue Shield ofArizona Network Vendor - Chesapeake,
VA - December 2013 to Present
Responsibilities
Experience maintaining provider data in an automated system .Performs network system configuration for contracted
providers and Groups on Fee Schedules, DRG and Per Diem rates. Upload providers in Blue Cross Blue Shield of
Arizona. Adding non-par network rows and group contracted network rows. Adds and updates all providers
information and Meta Vance and Pims . Update provider directory for members, add new locations, license dates, the
medical programs,finalized contracts,and send completed setups back to BCBS of AZ
Accomplishments
Awards for perfect attendance 2013
Accuracy Award for keeping 97% for three months 2014
Platinum Award for attendance 2015
Skills Utilized
Experience interpreting and configuring medical provider pricing agreements
Possess strong analytical and problem solving skills
Strong verbal, written and interpersonal communication skills
Seven years experiences working in Facet, Two years working in Meta Vance, two years working in Pims .
PC proficiency, including windows based applications and Microsoft Office applications (Word, Excel).
Provider Data Info Specialist II
Amerigroup Corporation - Virginia Beach, VA - July 2007 to April 2012

2. Provider Data Info Specialist 1 -Reviewed External claims for provider claim to resolve set up and payment problems
-Extreme Research using the Facet data base, macess data base, internet research, to verify provider license in state
where service was rendered, research and verify sanction status, Research NPI number and verify. -Following all
rules and policies data entry all provider information as needed in our facet system to set provider up to be paid by
company. -Making correct selection for choices of a provider who is under different Tins in our Facet system. -
Problem solving skills, great attention to detail, fast pace environment, high inventory volume -Always in top 5 %
production wish as a member ofthis team -Exceed production expectations
Appeals Intake Specialist
Amerigroup Corporation - Virginia Beach, VA - September 2005 to July 2007
Virginia Beach, Virginia
-Intake appeal from providers for claims submitted but denied payment or partial paym ent. -Data entry appeal reason,
research claim using Macess and Facet data base. -Data entry member information, provider information, reason for
appeal Process appeal to reviewed by appeal reviewers. -Fast-pace job, had to produce high inventory out put on a
day to day bases. -Maintained detailed administrative and procedural processes that reduced redundancy and
processing. -Met and Exceeded daily productivity and quality standards, reduced redundancy and improved accuracy
and efficiency to achieve organizational objectives.
Document Management Scanner Specialist
Amerigroup Corporation - Virginia Beach, VA - April 2001 to September 2005
-Team Lead Scanning Personnel -Operated Kodak High Speed Scanner 5500D, i830 Color scanner Experience in
using scanning software, entrendex, mic Live and kodak scanning software. -Responsible for scanning documents
such as HCFA 1500, UB 92, and appeals and correspondence into Sherpa and entrendix data base. As well as
quality control and correction for five other associate vertex Production. -Researching claims through amisys and
macess data base utilizing working knowledge of Doc-flo, I-max, EDI Provider ques. Produce daily reports for appeal,
correspondence, rejected documents for upper management. -Position required strong attention to detail, problem
solving, communicating with other departments. Accustom to using technology to enhance data and informati on
management
EDUCATION
Management/info
EastCarolina University- Greenville,NC
BS
Norfolk State University - Norfolk, VA
ADDITIONAL INFORMATION
Data Entry Skills
Core Research:
• Investigated and analyzed clientcomplaints to identify and resolve issues.
Customer Service
• Handled customers effectivelyby identifying needs,quicklygaining trust,approaching complexsituations
Administration
Performed administration tasks such as filing,developing spreadsheets,faxing reports,photocopying collateral
• Reviewed and updated client correspondence files and scheduling database.