Amber Gray
St Louis,MO
Summary
Organized Credentialing Specialist skilled in supporting HR recruitment, training, and new hire documentation. Enforces regulatory compliance and verifies data and credentials to support the Nursing/Physician hiring processes. Expert-level proficiency in CREDS combined with 2 years of industry success.
Overview
10
10
years of professional experience
Work History
Child Support Specialist
Family Support Division
Saint Louis, MO
09.2024 - Current
- Monitored compliance with court orders by verifying that payments are received within specified timelines.
- Conducted investigations to determine paternity and legal responsibility of parents for child support payments.
- Performed data entry tasks into a computerized system used for tracking customer information related to child support cases.
- Maintained contact with employers regarding employment verification, wage withholding orders, and payment status updates.
- Prepared, reviewed, and maintained accurate case files and records.
- Reviewed court orders for accuracy and completeness of child support requirements.
- Coordinated with other agencies to ensure timely receipt of funds from non-custodial parents.
- Analyzed financial information related to income, assets, expenses, and liabilities of non-custodial parents.
- Collaborated with state agencies and benefits coordinators to develop individualized plans for each case.
- Enforced collection activities on delinquent accounts such as wage garnishment or property liens when necessary.
Member Service Representative
Triple AAA
Chesterfield, MO
01.2023 - 12.2023
- Reviewed new account applications to verify eligibility of prospective members.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
- Achieved goals for member experience, transaction accuracy and product cross-sell, resulting in consistent growth.
- Presented and explained services and products to meet member needs.
- Greeted customers in a friendly and professional manner.
- Answered incoming calls regarding membership benefits and services.
- Researched complex issues related to accounts or services provided by the organization.
- Verified identity information on new accounts using established procedures.
Health Plan Specialist
Medica LLC
Minnetonka
09.2021 - 10.2022
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities
- Performed needs analysis to obtain information required to make appropriate health insurance product recommendations
- Answered Number inbound calls per Timeframe from existing and future policyholders to answer inquiries and discuss insurance options
- Scanned, received and sent faxes to insurance claims, co-pay assistance information and patient documentation
Credentialing Specialist/ Human Resources Assistant
Aijlon
Creve Coeur
10.2019 - 03.2021
- Performed account maintenance activities such as opening accounts, issuing cards, and processing deposits and withdrawals
- Provided excellent customer service by assisting, responding to and resolving customer inquiries
- Handled sensitive and confidential information with discretion to maintain department security
- Developed strong communication skills while interacting with members to provide excellent customer service
- Conducted primary source verifications such as background checks and board certifications
Food Services Supervisor
Saint Louis Zoo
Saint Louis
03.2015 - 09.2018
- Assume responsibility for cash at designated shifts
- Handle shift schedules for food service workers and assign them tasks on a daily basis
- Provide an outstanding customer service experience Zoo guest
- Conducted and organized daily inspections of food services areas on assigned shift
- Reviewed and checked all assigned areas frequently for contractual compliance and efficiency of delivery of services to Zoo visitors
- Ensured groundwork of food services for particular center functions
Patients Account Representative
Precision Practice Management
, US
06.2017 - 11.2017
- Handle inbound/outbound calls from patient to establish payment arrangements, process payments and update insurance information
- Provider stellar customer service
- Process phone payments for patient responsibility
Patients Account Representative
One Advantage
, US
10.2016 - 06.2017
- Received and evaluated applications to look for missing and inaccurate information
- Obtained NPI numbers for providers and facilities and updated existing profiles
- Enrolled providers and Medicaid, Medicare and private insurance plans
- Pre-screened resumes prior to sending to corporate hiring managers for consideration
- Completed human resource operational requirements by scheduling and assigning employees
- Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency
- Improved office efficiency by effectively managing internal communications and correspondence
- Partnered with Job title to ascertain hiring needs and subsequently provide candidate recommendations
- Planned, monitored and appraised employee work results by training managers to coach and discipline employees
- Administered benefits programs, analyzed compensation and other competitive data and prepared budgets
Education
High School Diploma -
Normandy High School
Saint Louis, MO01.2012
Skills
- Appointment Scheduling and Confirmation
- Member Relations
- Customer Standards Compliance
- Customer Support
- Information Updates
- Multitasking capacity
- Problem-solving
- Time management abilities
- Attention to detail
Timeline
Child Support Specialist
Family Support Division
09.2024 - Current
Member Service Representative
Triple AAA
01.2023 - 12.2023
Health Plan Specialist
Medica LLC
09.2021 - 10.2022
Credentialing Specialist/ Human Resources Assistant
Aijlon
10.2019 - 03.2021
Patients Account Representative
Precision Practice Management
06.2017 - 11.2017
Patients Account Representative
One Advantage
10.2016 - 06.2017
Food Services Supervisor
Saint Louis Zoo
03.2015 - 09.2018
High School Diploma -
Normandy High School