Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Credentialing Specialist/
Orthopaedic Institute Surgery Center
Metropolis , IL
08.2020 - Current
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Ensured strict confidentiality of provider information in accordance with HIPAA regulations.
Coordinated with healthcare professionals to collect necessary documentation for credentialing, according to AAAHC guidelines.
Utilized OIG Exclusion List and NPDB to conduct background verifications on providers.
Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance.
Performed initial review for new providers to determine eligibility for enrollment into the network.
Maintained up-to-date records of credentialing statuses in database systems.
Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
Assisted in the accreditation process by gathering and submitting required documentation.
Data Entry/Receptionist
Orthopaedic Institute Surgery Center
Metrololis, IL
08.2020 - Current
Performed data entry duties accurately and efficiently.
Performed data entry into various electronic systems.
Performed data entry into company databases.
Assisted with filing, scanning, and data entry tasks.
Reviewed medical records for completeness, accuracy, and compliance with regulations.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Handled incoming calls and directed callers to appropriate department or employee.
Facilitated the transfer of records between departments and external healthcare facilities.
Cosmetologist
Great Clips Hair Salon
Paducah, KY
06.2017 - 03.2020
Introduced customers to cutting-edge beauty trends and products where applicable.
Kept notes listing preferences and services provided to clients for quick reference.
Backed up reception desk by answering phones, scheduling appointments and processing payments.
Education
Associate of Arts - Cosmetoloy
Head's Beauty School
Madisonville, KY
10-2008
High School Diploma -
Union County High School
Morganfield, KY
06-2007
Skills
Compliance in Credentialing Processes
Verification Processes
Data management
Effective Time Management
Document processing
Analytical and critical thinking
Proficient Computer Skills
Analytical Problem-Solving
Organized Document Control
Strong Detail Orientation
Certification
Currently a member of NAMMS and studying to become certified in the CPCS course.
Affiliations
Reading
Crafting
Gardening
Timeline
Credentialing Specialist/
Orthopaedic Institute Surgery Center
08.2020 - Current
Data Entry/Receptionist
Orthopaedic Institute Surgery Center
08.2020 - Current
Cosmetologist
Great Clips Hair Salon
06.2017 - 03.2020
Associate of Arts - Cosmetoloy
Head's Beauty School
High School Diploma -
Union County High School
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