DOROTHEA NWOKEJI
Richmond,TX
Summary
Knowledgeable Credentialing Specialist brings knack for performing successful application checks and verifying informational resources. More than 10 years of experience overseeing data access and security based on up-to-date trends and standards. Adept at verifying primary sources and access-level tiers. Proven communicator and relationship builder expertly tracks complex update, certification and credential requests.
Overview
11
11
years of professional experience
Work History
Credentialing Specialist
Credentialing Specialist of Texas INC
Richmond, TX
03.2013 - Current
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Participated actively in special projects or initiatives pertaining to improvement of operational efficiency within the department.
- Interviewed job applicants to obtain information on work history, education or job skills.
- Set up NPI numbers for providers and facilities and updated current profile information.
- Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Attended meetings and seminars related to healthcare industry regulations and trends.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Coordinated with internal departments such as medical staff services or risk management to resolve any issues identified during the verification process.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Prepared or maintained employment records using human resources management system software.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
Education
Associate of Business Administration -
Texas Southern University
Houston, TX07-1995
Skills
- Data Acquisition
- Application Coordination
- Proofreading
- Data Management
- Credential Verification
- Employee Onboarding
- Document Review
- Application Management
- Provider Relations
- Facility Credentialing
Timeline
Credentialing Specialist
Credentialing Specialist of Texas INC
03.2013 - Current
Associate of Business Administration -
Texas Southern University