Dalila Ibarra
Avita Pharmacy
Orange,CA
23
years of professional experience
1
Language
Results-oriented Contracting and Licensing Representative experienced in acquiring program contracts and driving company success. Established rapport with clients through strong team collaboration and problem-solving skills, ensuring seamless credentialing operations and compliance. Adapted to dynamic environments while maintaining expertise in documentation and regulatory standards.
Work History
Licensing & Credentialing Specialist
7 Years- Coordinated and tracked requirements submissions (contracts, licensing, credentialing) with organizations (regulatory bodies, insurance and accrediting agencies, payors, vendors, clients) to ensure compliance and timely processing.
- Facilitated inter-departmental support by managing issues and priorities.
- Managed coordination and tracking of all department matters to streamline operations.
- Maintained patient confidentiality in accordance with the Health Insurance Portability and Accountability Act.
Credentialing Coordinator/patient Care Coordinator
3 Years 3 Months- Ensured compliance according to credentialing and re-credentialing policy and procedures, CMS guidelines and NCQA requirements.
- Contacted providers to facilitate timely renewal of licenses and certifications.
- Facilitated communication through routine phone calls for appointment scheduling. and data entry that are necessary for appointment setting following pre-approved scripts and guidelines provided.
- Executed customer service-related duties to enhance client satisfaction and support. as assigned.
- Respond to e-mails, IM's and Voice mail promptly and professionally.
- Ensured compliance with company policies, standards of conduct, and applicable state and federal regulations.
Shipper/receiver/inspector
8 Months- Managed the receipt, storage, maintenance, handling, and issuance of materials.
- Picked and packed all inventory and non-inventory materials per SOP. Completed all documentation and labeling to properly identify shipments, and process transactions in the company's ERP system in a timely manner
- Inspected incoming materials to verify packaging integrity and product condition before processing.
- Handled the picking and packing of inventory and non-inventory materials per SOP. Documented and labeled shipments accurately, and processed transactions in the company's ERP system efficiently.
- Provided essential training to new employees to enhance their skills and facilitate smooth onboarding.
Processor
7 Months- Processed enrollment applications for clients in Department of Education loan forgiveness program, ensuring compliance and timely submissions.
- Conducted follow-ups with clients to enhance retention, provide customer service, and issue payment reminders.
- Processed legal documents, ensuring accurate preparation, filing, and routing for attorney review.
- Coordinated case records, maintaining organized client files and timely document retrieval.
- Reviewed incoming correspondence, prioritizing deadlines and distributing materials to appropriate staff.
Member Support Representative
5 Months- Handled call center phone lines and addressed class member inquiries and requests.
- Identified, researched, and resolved class member issues, utilizing available resources to enhance member satisfaction.
- Followed up on class member inquiries for Case Managers, ensuring thorough communication and resolution of concerns.
Verifier
1 Year 4 Months- Ensured caller information was complete to facilitate service changes. and that client was agreeing to changing service.
- Provided accurate information to callers following scripted guidelines. using an exact script from a pre-selected list of answers.
- Reviewed verification requests for accuracy, completeness, and compliance with service standards.
- Coordinated source contacts to confirm employment, education, and identity details.
- Documented verification results in case records with consistent, precise data entry.
Account Manager
1 Year 4 Months- Responded to customer inquiries, ensuring accurate information was delivered promptly.
- Communicated progress of debt settlement program to clients, highlighting resolutions achieved.
- Kept comprehensive records to support efficient operations.
Probation Officer
3 Years 7 Months- Monitored offenders under supervision to ensure compliance with release requirements and to evaluate progress in accomplishing goals as listed under their probation contracts.
- Testified in court regarding the offenders' backgrounds and recommended sentences and sentencing conditions as required by policy.
- Acted as a liaison with judges, court personnel, law enforcement and other agencies concerned with the probation/parole program and who may have an effect upon the success of agency goals.
- Supervised offenders to confirm adherence to release requirements and assess progress toward probation goals.
- Provided testimony in court about the offenders' backgrounds and advised on sentences and sentencing conditions.
- Liaised with judges, court personnel, law enforcement, and agencies involved in probation/parole to facilitate program success and enhance collaboration.
- Initiated requests for arrest warrants for offenders' non-compliance and observed court hearings for those offenders.
- Prepared narrative reports of the investigation process and caseload activities when preparing monthly reports.
Education
BA - Political Science
Skills
Credentialing management
Credential verification
Facility credentialing
Application management
Document evaluation
Database maintenance
Information protection
Documentation and recordkeeping
Microsoft Excel
Document preparation
Remote communication
Analytical and critical thinking
Teamwork and collaboration
Interpersonal communication
Quality assurance
Telephone etiquette
Personal Information
Work Permit: Authorized to work in the US for any employer
Languages
Spanish
Native or Bilingual
Timeline
Licensing & Credentialing Specialist
Avita Pharmacy
10.2019 - CurrentRead More
Credentialing Coordinator/patient Care Coordinator
MEDXM, INC
07.2016 - 10.2019Read More
Shipper/receiver/inspector
KEYSTONE DENTAL
11.2015 - 07.2016Read More
Processor
LAW OFFICE OF THOMAS K. MCKNIGHT
01.2015 - 08.2015Read More
Member Support Representative
CPT GROUP
08.2014 - 01.2015Read More
Verifier
United Verification Services
12.2012 - 04.2014Read More
Account Manager
FIRST CHOICE DEBT RELIEF
06.2011 - 10.2012Read More
Probation Officer
BOARD OF PROBATION & PAROLE
12.2003 - 07.2007Read More
UCLA
BA from Political Science
Read More