Summary
Overview
Work History
Education
Skills
Timeline
Generic

AMBER DELANEY

Dallas,USA

Summary

Knowledgeable healthcare professional skilled in credentialing, compliance, and medical chart auditing. I excel in resolving discrepancies, meeting deadlines, and delivering quality results in fast-paced environments.

Overview

8
8
years of professional experience

Work History

Credentialing Specialist

Blue Cross Blue Shield
Dallas, TX
05.2022 - 03.2026
  • Coordinated with medical staff to obtain necessary credentialing documents.
  • Prepared and submitted provider enrollment applications to insurance carriers.
  • Conducted primary source verifications of education, training, licensure, and malpractice history.
  • Reviewed provider documents to promote compliance with quality and regulatory standards.
  • Responded to credentialing verification inquiries from medical staff.

Compliance Specialist

1-800 Contacts
Dallas, TX
01.2020 - 02.2022
  • Accurately entered prescription information from eye care providers and patients.
  • Maintained compliance with HIPPA patient confidentiality requirements.
  • Responded to emails, chats, and calls from eye care providers and patients.
  • Resolved prescription and data entry discrepancies.
  • Punctually processed orders for scheduled delivery dates.

Medical Chart Auditor

Ciox Health
Dallas, TX
08.2018 - 01.2020
  • Provided feedback to healthcare providers regarding medical chart discrepancies.
  • Performed administrative duties such as filing, scanning, copying and faxing.
  • Investigated complaints related to incorrect or incomplete patient records.
  • Transcribed medical records.
  • Ensured that all changes made during an audit were properly documented.

Education

Associate of Science - Health Administration

Southern University at Shreveport
05-2018

Skills

  • Credentialing
  • Compliance
  • HIPPA
  • CAQH
  • Payer
  • Salesforce
  • Docusign

Timeline

Credentialing Specialist

Blue Cross Blue Shield
05.2022 - 03.2026

Compliance Specialist

1-800 Contacts
01.2020 - 02.2022

Medical Chart Auditor

Ciox Health
08.2018 - 01.2020

Associate of Science - Health Administration

Southern University at Shreveport
AMBER DELANEY