Highly-motivated candidate with desire to take on new challenges. Willingness to take on added responsibilities to achieve team goals. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
MD Staff Pointe
Credentialing Coordinator
Irving, TX
02.2023 - Current
Perform initial review for new providers to determine eligibility for enrollment .
Completely timely and accurately initial enrollment applications, manage all application updates, revalidation, and re-credential for Medicare, Medicaid and private health insurance.
Interview job applicants to obtain information on peer references, work history, education or job skills.
Maintain close communication with licensing/credentialing entities, medical staff, and practitioners to complete hospital privileging process.
Ensure all documentation is included in the credentialing file for Credential Committee Review.
Conducted daily background checks on potential providers utilizing various resources including CAQH ProView, OIG and GSA Exclusion List, NPDB.
Analyze and assess the provider contracts to ensure numbers and percentages are accurate for providers and allied health professionals for submission.
Title365 Company
Mortgage Loan Closer
San Francisco, CA
04.2022 - 02.2024
Balance, prepare and submit closing disclosures for real estate loan transaction.
Review funding conditions to ensure the loan file is complete.
Meet underwriting closing conditions and ensure Lender Closing Instructions are met and fulfill the commitment of the loan
Communicate and coordinate with title, escrow, attorneys and any additional third-parties to facilitate the signing and notary services for a mortgage loan closing.
Kept detailed records regarding approved, denied and received loan applications.
Managed high volume transactions in a paperless environment.
Maintained a high level of customer service, both internally and externally, with quick response times and accurate information.
Scheduled loans with attorneys to close within expiration dates.
Stratus EEG
Credentialing Specialist
Irving, TX
02.2020 - 08.2022
Conduct thorough investigation, research, and timely primary source verification of all physicians of the application file.
Confirmed facility and user credentials to initiate and maintain accurate registration and enrollment processes.
Performed primary source verifications such as criminal histories, malpractice insurance, licenses and board certifications utilizing CAQH ProView.
Coordinate and conduct credentialing audits analyzing insurance contracts and average payment for completeness, accuracy, consistency, gaps in work history, relevant references, etc.
Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files 90 days prior to expiration for re-credential process.
Meet weekly performance metrics which includes: file completion, quality, and turnaround time.
Maintains strict confidentiality of all data and information.
TMX Finance Family of Companies
Contact Center Supervisor
Carrollton, TX
03.2016 - 02.2022
Direct motivation of sales/service/customer team.
Run daily KPI reports for all agents.
Monitor sales contacts between agents and customer via phone/chat/email.
Ensure company goals are met for number of contacts/leads.
Assist manager with side by sides and coach employees to obtain success in closing and meeting KPIs.
Facilitated daily huddles with the department to provide details of the days objectives
Monitored sales contacts between agents and customers via phone/chat/emails.
Enter and maintain customer information in the SalesForce Customer Service Case Portal with accuracy and integrity to ensure transactions and private details remain protected.
Handle department escalations.
Train new hires.
TMX Finance Family of Companies
Contact Center Online Sales Representative II
Carrollton, TX
09.2013 - 03.2016
Interact and develop relationships with customers via Live-chat to drive sales and build new business sources.
Sell loan/pawn products to interested customers and follow up via phone on sales leads generated by various online entities.
provide support to inquiries made through the customer service hotline and provide unrivaled customer service assistance to current and potential customers, while maintaining appropriate documentation.
Explain product options and related charges clearly and concisely.
Navigate through appropriate customer service systems in a timely manner.
Convert leads received at a rate of 50% or above, and staying within the performance boundaries set for the team each month.
Education
W. W. Samuel High School
Skills
Training/ Development
Process Improvement
Attention to detail
Credential Verification
HIPAA Compliance
Customer Resolution
Background Investigations
Health Management Systems
Account Management
Healthcare knowledge
Central Billing System
Data Research and Analysis
Escrow
Provider Relations
Appointment Scheduling
Timeline
MD Staff Pointe
Credentialing Coordinator
02.2023 - Current
Title365 Company
Mortgage Loan Closer
04.2022 - 02.2024
Stratus EEG
Credentialing Specialist
02.2020 - 08.2022
TMX Finance Family of Companies
Contact Center Supervisor
03.2016 - 02.2022
TMX Finance Family of Companies
Contact Center Online Sales Representative II
09.2013 - 03.2016
W. W. Samuel High School
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