Danielle Cummings
Jay,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Strategic planner and clear communicator with an adaptable approach.
Overview
14
14
years of professional experience
Work History
Program Manager
HCA Healthcare(ICC)
Nashville, TN
05.2021 - Current
- Managing day to day operations for provider credentialing, enrollment and all onboarding processes
- Managing, verifying and submitting accurate provider payments through Onbase systems
- Efficiently communicating with providers, MSO and colleagues for any and all outstanding items needed for all areas that are including, but not limited to Human Resources, Accounting teams and Provider Enrollment
- Maintaining and updating excel spreadsheets with the most current information for DCO's and Program Managers to access
- Retrieve and submits all data to Health Care Indemnity to ensure provider coverage
- Assisted in developing training materials for new hires involved in the program activities.
- Analyzed data collected during the course of the program operations and reported results accordingly.
Business Manager
JP & Sons Tractor Services LLC
Pensacola, FL
05.2022 - 10.2022
- Strategize, implement, and oversee processes for increased productivity and growth
- Maintains payroll information by collecting, calculating, and entering data into the payroll system, as well as retrieving data when necessary
- Managing and engaging in employee activities, providing suitable resources when needed
- Ensure the work facility is safe, free of security issues and in compliance with all government regulations
- Assign work schedules, organize trainings and keep employees up to date on all proper safety equipment
- Managing and inputting information in Quickbooks software, for invoicing and estimates.
Credentialing Specialist
Community Health NWFL
Pensacola, Florida
02.2017 - 04.2019
- Maintain compliance with all regulatory and accrediting institutions
- Monitor staff credentials and licenses
- Advise staff on renewal procedures
- Participate in the development of internal credentialing processes
- Keep records in licenses, credentials and insurance contracts
- Release information to agencies and members of the public as required by law.
Medical Office Administration
Community Health NWFL
Pensacola, Florida
10.2013 - 04.2015
- Assist with triaging patients when needed
- Greeted patients and checked them in and out for appointments
- Collected patient co pays
- Communicated with insurance companies to verify patient coverage, get authorization for special testing, or referrals
- Processed all medical records request, legal correspondence request, and insurance data for other facilities.
Part Time Nanny
Pensacola, Florida
12.2010 - 01.2013
- Established positive relationships with children by designing creative games and activities
- Prepared meals and ensured that the children ate on time per their daily routine
- Maintained a healthy, clean, and safe environment for the children.
Wendy's
Pensacola, Florida
03.2011 - 12.2012
- Handled money and had a 100% efficiency rate
- Obtain cash or credit card payments for various orders from customers and ensure that they are provided with the correct change and issued accurate receipts
- Take orders from drive through customers and bag those orders and ensure that all condiments as well as enough napkins are included in the bag
- Reconcile all receipts totals, cash and credit payments, and address any shortages with staff members that dealt with that particular drawer.
Education
BAS Business Management -
Pensacola State College
07-2025
AA Business Management -
Pensacola State College
08.2020
Medical Office Assistant (200 hours Externship) -
Emerald Coast Pediatrics
09.2013
Medical Office Administration -
Fortis Institute
07.2013
Skills
- Contract Development
- Data Analysis
- Utilization Management
- Customer Service
- Operations Management
- Adobe Applications
- Attention to Detail
- Detail Oriented
Timeline
Business Manager
JP & Sons Tractor Services LLC
05.2022 - 10.2022
Program Manager
HCA Healthcare(ICC)
05.2021 - Current
Credentialing Specialist
Community Health NWFL
02.2017 - 04.2019
Medical Office Administration
Community Health NWFL
10.2013 - 04.2015
Wendy's
03.2011 - 12.2012
Part Time Nanny
12.2010 - 01.2013
BAS Business Management -
Pensacola State College
AA Business Management -
Pensacola State College
Medical Office Assistant (200 hours Externship) -
Emerald Coast Pediatrics
Medical Office Administration -
Fortis Institute