Credentialing professional with solid expertise in managing and verifying credentials for healthcare providers. Strong focus on team collaboration and achieving results. Reliable and adaptable, meeting organizational standards and compliance requirements. Skilled in data management, regulatory compliance, and communication.
Overview
8
8
years of professional experience
Work History
Credentialing Specialist
United Outstanding Physicians
05.2023 - Current
Managed provider credentialing process to ensure compliance with regulatory standards.
Analyzed and verified documentation for accuracy and completeness during credentialing procedures.
.Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Enrolled providers and Medicaid, Medicare, and private insurance plans.
Coordinated communication between healthcare providers and insurance companies regarding credentialing issues.
Medical Assistant
Advanced Dermatology and Cosmetic Surgery
09.2020 - 05.2023
Assisted clinicians with in-office procedures.
Educated patients on prescribed medications, treatments, and procedures.
Kept equipment ready for use through scheduled cleaning and sterilization.
Reviewed test results for completion and abnormalities.
Supported medical staff by answering phones and preparing supply orders.
Preserved confidentiality of all patient information in line with HIPAA and internal guidelines.
Recorded patients' medical history, vital statistics, and information in medical records.
Prepared treatment rooms for patient examinations, keeping rooms neat and clean.
Smoothed procedures for physicians, passing instruments, helping patients feel comfortable and answering routine questions.
Front Desk Receptionist
Advanced Dermatology and Cosmetic Surgery
12.2017 - 09.2020
Fielded incoming telephone calls to answer questions, direct callers, and take messages for staff.
Maintained schedule of appointments by notifying staff of arrivals and upcoming meeting times.
Gathered and verified insurance and health information from guests.
Protected confidential guest and business information.
Collected payments for services and updated accounts.
Greeted people upon arrival and provided directions to specific destinations.
Organized efficient, easily accessed file system for digital and physical records.
Boosted office efficiency, delivering first-rate administrative support to all staff.
Supported customers with prompt answers and personalized support.
Education
Bachelor of Science - Health Information Management
Davenport University
Grand Rapids, MI
05.2021
Skills
Task prioritization
Quality assurance
Coordination
Recordkeeping
Scheduling
Critical thinking
Microsoft Word
Cultural awareness
Data management
Provider enrollment
HIPAA compliance
Timeline
Credentialing Specialist
United Outstanding Physicians
05.2023 - Current
Medical Assistant
Advanced Dermatology and Cosmetic Surgery
09.2020 - 05.2023
Front Desk Receptionist
Advanced Dermatology and Cosmetic Surgery
12.2017 - 09.2020
Bachelor of Science - Health Information Management