Detail-oriented Credentialing Specialist with expertise in provider enrollment and compliance monitoring. Proven ability to maintain accurate records and streamline data management processes to enhance operational efficiency.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Credentialing/Payer Enrollment Specialist
Lima Memorial Health System
Lima
08.2022 - Current
Review provider enrollment applications for accuracy and completeness.
Updated provider CAQH profiles to ensure accuracy and compliance.
Coordinated with healthcare providers to gather and verify documentation for timely enrollment.
Tracked changes in provider enrollment status and updated internal systems to ensure accuracy.
Monitor and assist with renewal process for expirable licensures and certifications.
Created and maintained spreadsheets to monitor expirable credentials and enrollment/revalidation progress.
Branch Service Manager
Huntington National Bank
Kalida
09.2021 - 07.2022
Oversaw daily branch operations, enhancing service delivery and customer satisfaction.
Addressed customer inquiries on account balances, loan applications, and transactions, ensuring clarity and support.
Maintained accurate records of all customer accounts and transactions.
Performed daily audits of cash drawers in order to detect any discrepancies or irregularities.
Medical Office Supervisor
Blanchard Valley Health System
Ottawa
12.2016 - 08.2021
Managed daily operations of medical office, ensuring timely resolution of customer inquiries and complaints.
Acted as liaison between physicians, patients, hospital administration, vendors, and suppliers.