Summary
Overview
Work History
Education
Skills
Timeline
Generic

Barbara Fisher

Shelby,AL

Summary

With over a decade at Blue Cross Blue Shield of Alabama, I've excelled in credentialing oversight and team collaboration, enhancing provider network integrity and compliance. My proactive approach in managing re-credentialing applications and spearheading credentialing committee reports has significantly contributed to operational excellence, showcasing my adeptness in healthcare regulations and interpersonal skills.

Overview

22
22
years of professional experience

Work History

Senior Credentialing Analyst

Blue Cross Blue Shield of Alabama
09.2000 - 06.2022

Accumulated five years of experience in customer service before moving to claims.

Transferred to Credentialing Department in 2011, managing re-credentialing applications for existing network medical providers.

I was asked to handle working our monthly credentialing committee report. Provider files were submitted monthly to a designated committee to decide on Network entry. I was tasked with flagging each provider in our database for network status. I was also responsible for for checking provider status in the PECOS system, pulling Medicare Sanctioned provers monthly, placing garnishments and levies on providers from our legal dept., and working ad hoc projects and tasks as needed.

Education

High School Diploma -

Branford Florida High School
Branford, FL
06.1975

Skills

  • HIPAA compliance
  • Healthcare regulations
  • Compliance
  • Credential verification
  • Insurance procedures
  • Ethical standards
  • Provider enrollment
  • Document review
  • Management collaboration
  • Data management
  • Database maintenance
  • Proofreading
  • Credentialing oversight
  • Application coordination
  • Data acquisition
  • Group assistance
  • Software expertise
  • Accreditation information management
  • License verifications
  • Credentialing documentation
  • Solo practitioner credentialing
  • Teamwork
  • Teamwork and collaboration
  • Problem-solving
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Multitasking Abilities
  • Excellent communication
  • Reliability
  • Critical thinking
  • Organizational skills
  • Team collaboration
  • Active listening
  • Effective communication
  • Decision-making
  • Adaptability and flexibility
  • Relationship building
  • Privacy and confidentiality
  • Documentation skills
  • Team building
  • Data entry
  • Task prioritization
  • Self motivation
  • Interpersonal skills
  • Training and development
  • Goal setting
  • Professionalism
  • Time management abilities
  • Continuous improvement
  • Adaptability
  • Written communication
  • Compliance reporting

Timeline

Senior Credentialing Analyst

Blue Cross Blue Shield of Alabama
09.2000 - 06.2022

High School Diploma -

Branford Florida High School
Barbara Fisher