Recent graduate with foundational knowledge in Medical Billing and Coding and hands-on experience gained through academic projects and stimulation with EHR. Demonstrates strong teamwork, problem-solving, and time-management skills. Prepared to start career and make meaningful contributions with commitment and drive.
Overview
10
10
years of professional experience
Work History
Credentialing Specialist
Healthfirst
Remote
06.2025 - Current
Working on a project within the company as a temporary employee until the project and work that needs to be done is all caught up.
Currently working on obtaining operation certificates from behavioral and mental health facilities, and more. And helping on the second project with is recredentialing facilities who need to be up to date with all their licensing. Which does involve verifying PSVs on multiple different websites and reaching out and emailing facilities when missing documents are still needed for processing the facility. Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Conducted primary source verifications and board certifications.
Streamlined credentialing processes to enhance accuracy and compliance with regulatory standards.
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Updated and maintained accurate records in credentialing databases, ensuring timely renewals and verifications.
Work with Excel sheets and Adobe majority of the day
Credentialing Coordinator
ShiftMed
Remote
09.2021 - 03.2025
Help manage the credentials of health care providers. By checking and verifying the education, licensing, and certification of employees and keeping records of their compliance with state or regional regulations, and etc.
Reviewed and verified documentation submitted by healthcare providers to ensure accuracy for example fixing I9 discrepancies when appropriate.
Maintained up-to-date knowledge of credentialing requirements.
Collaborated with internal departments such as HR and Compliance to gather necessary information for credentialing purposes.
Used external organizations such as licensing boards and professional associations to add credentials to healthcare providers' file.
Identified discrepancies or red flags in provider applications or documents through thorough review and investigation
Communicated effectively with healthcare providers regarding missing or incomplete documentation required for credentialing
Ensured timely completion of all aspects of the credentialing process within established deadlines
Demonstrated adaptability and flexibility in response to changing priorities or organizational needs
Maintained confidentiality/security of sensitive information throughout the entire credentialing process
Demonstrated excellent organizational skills while managing multiple tasks simultaneously
Contributed to a positive work environment by fostering open communication between team members and other departments involved in the credentialing process.
Licensed Insurance Sales Agent
HPone
Remote
06.2021 - 09.2021
Streamlined policy renewal processes for improved efficiency and client retention rates.
Spent ample time with each customer, verbally reviewing, and explaining documents for client comprehension.
Upsold additional products and services after identifying customer needs and requirements.
Worked to accommodate new and different insurance requests and explored new value opportunities to optimize insurance agency reputation.
Educated customers on policy features, benefits, and options, allowing them to make informed decisions about their coverage.
Generated quotes and proposals for clients to match individual needs.
Primarily focused on Medicare insurance sales.
Licensed Insurance Agent
Bloom Insurance Agency
Remote
10.2020 - 02.2021
Sold health insurance, mostly only Medicare plans. Reviewed clients' health care plan and helped them evaluate their needs against the services and coverage they are eligible to receive. Also helped customers understand their options for prescription drug, vision, and dental policies by making recommendations about obtaining supplemental insurance.
Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
Calculated quotes and educated potential clients on insurance options.
Leveraged knowledge of company insurance products and services to advise customers on appropriate choices.
Receptionist
Radiology Associates of Venice and Englewood
Venice
05.2020 - 10.2020
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Resolved customer problems and complaints.
Handled cash transactions and maintained sales and payments records accurately.
Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Managed multiple tasks and met time-sensitive deadlines.
Maintained confidentiality of information regarding clients and company.
Assisted with onboarding new clients and securing paperwork completion.
Receptionist/Collections, and Nurses Assistant
Southwest Florida Pain Management
Port Charlotte
01.2019 - 03.2020
Coordinated patient scheduling, check-in, check-out and payments for billing.
Helped patients complete necessary medical forms and documentation.
Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Managed multi-line phone system and pleasantly greeted patients.
Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
Maintained current and accurate medical records for patients.
Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
Processed payments and applied to customer balances.
Monitored customer accounts for payment delinquency and initiated collection efforts.
Maintained accurate records of customer accounts, payments and payment plans.
Supported patient mobility by transferring them from bed to chair or other locations using proper lifting techniques, reducing the risk of injury for both patients and staff members alike during such activities.
Developed personalized pain management plans, effectively reducing discomfort and promoting faster healing.
Monitored patient vitals, alertness, breathing and pain levels to notify assigned physician of observed complications.
Pharmacy Technician
CVS Pharmacy
North Port
07.2016 - 01.2018
Stocked, labeled, and inventoried medication to keep accurate records.
Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Counted and labeled prescriptions with correct item and quantity.
Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
Entered and processed patients' prescriptions into internal system.
Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Supported inventory management initiatives through accurate record-keeping of received shipments and expired medications for disposal purposes.
Collected co-payments or full payments from customers.
Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
Education
Associate of Science - Medical Administrative Billing And Coding
Keiser University
Fort Lauderdale, FL
08-2026
Associate of Science - Diagnostic Medical Sonography
Meridian College
Lakewood Ranch, FL
02-2023
Associate of Arts -
State College of Florida
Bradenton, FL
12-2018
Skills
Healthcare billing proficiency
Accounts receivable management
Medical record administration
Advanced Excel Proficiency
Medical appointment organization
Proficient in Microsoft Teams
Medical language proficiency
Credentialing expertise
Quality assurance in credentialing
Compliance with HIPAA standards
Document review
Data management
Medical billing and coding
ICD-10 proficiency
Medical record review
Procedural coding
Insurance coding (ICD-9 and CPT)
Medical coding guidelines
Medical abbreviations
Diagnostic coding
Timeline
Credentialing Specialist
Healthfirst
06.2025 - Current
Credentialing Coordinator
ShiftMed
09.2021 - 03.2025
Licensed Insurance Sales Agent
HPone
06.2021 - 09.2021
Licensed Insurance Agent
Bloom Insurance Agency
10.2020 - 02.2021
Receptionist
Radiology Associates of Venice and Englewood
05.2020 - 10.2020
Receptionist/Collections, and Nurses Assistant
Southwest Florida Pain Management
01.2019 - 03.2020
Pharmacy Technician
CVS Pharmacy
07.2016 - 01.2018
Associate of Science - Medical Administrative Billing And Coding
Keiser University
Associate of Science - Diagnostic Medical Sonography