Allyson Carver
Tampa
Summary
Dynamic Provider Relations- Credentialing Coordinator with extensive experience at LIBERTY Dental Plan, excelling in provider network management and compliance. Proven track record in enhancing customer satisfaction through effective problem-solving and exceptional communication skills. Adept at fostering strategic relationships and streamlining credentialing processes, ensuring accuracy and adherence to regulatory standards.
Overview
2026
2026
years of professional experience
Work History
Provider Relations Coordinator
LIBERTY Dental Plan
Credentialing Coordinator
LIBERTY Dental Plan
10.2021 - 06.2025
- Coordinated credentialing processes, ensuring compliance with regulatory standards and organizational policies.
- Collaborated with healthcare professionals to facilitate timely credential approvals and re-appointments.
- Conducted regular audits of credentialing files to ensure accuracy and adherence to guidelines.
- Assisted in training staff on credentialing protocols and best practices to improve team performance.
- Developed tracking systems for monitoring expiration dates of licenses and certifications for providers.
- Responded promptly to inquiries regarding credentialing status, providing exceptional customer service support.
- Ensured smooth communication flow between departments by acting as a liaison between medical staff services and other administrative units.
- Fostered a positive work environment through active participation in team meetings, collaborating on strategies to improve departmental performance.
- Communicated effectively with various parties each day using polished interpersonal and active listening skills.
- Reduced errors in documentation by thoroughly auditing provider files for completeness and accuracy.
- Minimized potential legal complications by ensuring adherence to federal and state regulations governing healthcare practitioners'' licensure and certification requirements.
- Elevated client satisfaction rates through prompt resolution of any provider-related issues or concerns that arose during the credentialing process.
- Maintained accurate files, records and credentialing documents in well-maintained databases using Software.
- Served as a resource for departmental staff by maintaining a thorough understanding of current trends and best practices in the credentialing field.
- Assisted with special projects as needed, demonstrating adaptability and commitment to the success of the organization.
- Strengthened relationships with external agencies by responding promptly to verification requests and inquiries regarding providers'' credentials.
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Assisted with managed care auditing processes and performed internal file audits.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Determined licensing eligibility by examining test results and comparing against established structures.
Customer Care Analyst
LIBERTY Dental Plan
10.2017 - 10.2019
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Assisted in analyzing customer feedback to identify service improvement opportunities.
- Collaborated with cross-functional teams to enhance customer experience processes.
- Utilized CRM software to manage customer interactions and track support tickets.
Member Service Representative
LIBERTY Dental Plan
05.2015 - 10.2018
- Provided prompt assistance to members regarding inquiries and service issues.
- Supported account management by processing member requests efficiently.
- Utilized customer service software to document interactions and track resolutions.
- Learned operational procedures to enhance service delivery and member satisfaction.
Education
High School Diploma -
Windsor Forest Highschool
Tampa, FLSkills
- Healthcare industry
- Provider network management
- Health plan operations
- Strategic business relationships
- Policy interpretation
- Provider relationship management
- Workflow Analysis
- Teamwork
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Excellent communication
- Team collaboration
- Creative thinking
- Active listening
- Effective communication
- Verbal and written communication
- Decision-making
- Detail-oriented
- Relationship building
- Microsoft office
- Computer proficiency
- Team building
- Public relations
- Task prioritization
- Self motivation
- Interpersonal skills
- Analytical thinking
- Goal setting
- Professionalism
- Customer complaint resolution
- Continuous improvement
- Written communication
Timeline
Credentialing Coordinator
LIBERTY Dental Plan
10.2021 - 06.2025
Customer Care Analyst
LIBERTY Dental Plan
10.2017 - 10.2019
Member Service Representative
LIBERTY Dental Plan
05.2015 - 10.2018
Provider Relations Coordinator
LIBERTY Dental Plan
High School Diploma -
Windsor Forest Highschool
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