Allyson Carver
Tampa,FL
Summary
Dynamic Credentialing Coordinator with extensive experience at LIBERTY Dental Plan, adept at enhancing provider relationships and streamlining communication. Proven analytical skills and strong knowledge of HIPAA regulations led to improved compliance and efficiency. Recognized for implementing effective data management systems and fostering collaboration across departments to achieve organizational goals.
Overview
9
9
years of professional experience
Work History
Credentialing Coordinator
LIBERTY Dental Plan
Tampa, FL
11.2021 - Current
- Contributed to risk management initiatives by monitoring expiring licenses, certifications, and insurances, notifying providers of renewal requirements in a timely manner.
- Increased efficiency in data management by implementing a user-friendly database system for storing provider information.
- Minimized potential legal complications by ensuring adherence to federal and state regulations governing healthcare practitioners'' licensure and certification requirements.
- Communicated effectively with various parties each day using polished interpersonal and active listening skills.
- Fostered a positive work environment through active participation in team meetings, collaborating on strategies to improve departmental performance.
- Received and evaluated applications to look for missing and inaccurate information.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Maintained up-to-date knowledge of applicable laws and regulations.
- Assisted with special projects as needed, demonstrating adaptability and commitment to the success of the organization.
- Met consistent deadlines in a fast pace setting
- Worked directly with Provider Relations department to ensure proper credentialing and enrollment was ccompleted.
- Lesion between organization and dental facilities
- Served as a resource for departmental staff by maintaining a thorough understanding of current trends and best practices in the credentialing field.
- Ensured smooth communication flow between departments by acting as a liaison between dental staff services and other administrative units.
Provider Relations Coordinator
LIBERTY Dental Plan
Tampa, FL
01.2019 - 11.2021
- Streamlined communication between healthcare providers and the organization, resulting in improved collaboration and efficiency.
- Enhanced provider relationships by consistently addressing concerns and resolving issues in a timely manner.
- Organized educational events for healthcare providers to promote best practices and strengthen partnerships.
- Provided exceptional customer service to healthcare providers, demonstrating a commitment to their satisfaction and ongoing partnership.
- Analyzed provider performance data, identifying opportunities for improvement and implementing targeted action plans.
- Maintained accurate provider databases, ensuring up-to-date information was readily available for internal use and external reporting purposes.
- Contributed to the development of annual departmental goals and objectives, actively working towards their achievement through focused efforts and collaboration.
- Managed caseloads effectively by utilizing strong organizational skills and prioritizing tasks based on urgency or importance levels related to provider relations objectives.
- Served as a liaison between providers and various departments within the organization, facilitating effective communication and problemsolving.
- Coordinated credentialing processes for new healthcare providers, ensuring timely completion of all necessary documentation and requirements.
- Answered provider inquiries via email, telephone and written correspondence.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
Customer Care Analyst
LIBERTY Dental Plan
Tampa, FL
09.2018 - 11.2019
- Improved overall first-call resolution rates by proactively identifying common issues and providing appropriate solutions.
- Upheld strict adherence to company privacy policies by handling sensitive customer information with care and discretion.
- Enhanced customer satisfaction by efficiently addressing and resolving concerns in a timely manner.
- Participated in regular meetings with management to discuss process improvements that would benefit both customers and team members alike.
Member Service Representative
Liberty Dental Plan
Tampa, FL
05.2017 - 09.2019
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
Education
High School Diploma -
Windsor Forest High School
Savannah, Ga 05-1999
Skills
- Strong written and verbal communication
- HIPAA regulations knowledge
- Analytical research skills
- Efficient data entry
- Knowledgeable in VERIPOINT, all state license website, DEA Access,
Timeline
Credentialing Coordinator
LIBERTY Dental Plan
11.2021 - Current
Provider Relations Coordinator
LIBERTY Dental Plan
01.2019 - 11.2021
Customer Care Analyst
LIBERTY Dental Plan
09.2018 - 11.2019
Member Service Representative
Liberty Dental Plan
05.2017 - 09.2019
High School Diploma -
Windsor Forest High School