Ana M. Pena
Summary
Accomplished credentialing specialist with several years of experience accomplishing demanding information security related tasks. Maintains strict data accuracy, retention and access expectations according to internal productivity demands. Organized, thorough approach toward handling credentialing procedures and addressing requests-for-access. Tracked and compiled information management needs to ascertain access tiers.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Credentialing Specialist
Fluent
12.2022 - Current
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
- Processed re-credentialing applications for existing providers according to contractual requirements.
Credentialing Specialist
Dentistat
Campbell, CA
09.2011 - 12.2022
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Provided support in responding to inquiries from external parties regarding credentialing information.
Education
High School Diploma -
Mountain View - Los Altos Adult Education
Mountain View, CASkills
- Management collaboration
- Credential verification
- Application management
- Database Maintenance
- Multitasking
- Data Entry
- Task Prioritization
- Team Management
- Dependable and Responsible
- Attention to Detail
- Written Communication
- Organization and Time Management
- Microsoft Word
Certification
- Certified Medical Assistant (CMA)
Languages
Spanish
Native/ Bilingual
Timeline
Credentialing Specialist
Fluent
12.2022 - Current
Credentialing Specialist
Dentistat
09.2011 - 12.2022
- Certified Medical Assistant (CMA)
High School Diploma -
Mountain View - Los Altos Adult Education
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