Elizabeth Cole
Fort Wayne,IN
Summary
Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
17
17
years of professional experience
4
4
years of post-secondary education
Work History
Credentialing Specialist
Tri-State Medical Group
Fort Wayne, IN
11.2018 - Current
- Maintained information resources, tracking and documenting requests for updates, certification and credentialing.
- Performed primary source verification such as licenses and board certification.
- Checked applications for missing information and organized all paperwork.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Set up NPI numbers for providers and facilities and updated current profile information.
Medical Insurance Collector
Shared Services Center
Fort Wayne, IN
05.2016 - 11.2018
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Sent clinical request and missing information letters to obtain incomplete information.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Partnered with case application team and credit manager on timely and accurate posting of remittances.
Assistant Manager
DeBrand Fine Chocolates
Fort Wayne, IN
11.2007 - 05.2016
- Delegated daily tasks to team members to optimize group productivity.
- Directed and led employees, supervising activities to drive productivity and efficiency.
- Collaborated with store manager to develop strategies for achieving sales and profit goals.
- Organized schedules, workflows and shift coverage to meet expected business demands.
- Maintained inventory accuracy by counting stock on hand and reconciling discrepancies.
- Assisted supervisor in evaluating employee performance and cultivating improvement initiatives.
- Analyzed trends, identifying consumer demand and forecasting seasonal trends to streamline operations.
Cashier
NCG Cinemas
Auburn, IN
11.2005 - 05.2008
- Operated cash register, collected payments and provided accurate change.
- Helped customers find specific products, answered questions and offered product advice.
- Accepted cash and credit card payments, issued receipts and provided change.
- Inventoried stock and placed new orders to keep supplies within optimal levels for expected demands.
- Increased sales by suggesting specific complementary items to customers.
Education
Associate of Science - Organizational Leadership And Supervision
Indiana University - Purdue University Fort Wayne
Fort Wayne, IN 08.2007 - 05.2011
Skills
Multitasking
Friendly, positive attitude
Work ethic
Microsoft office
Time management
Insurance procedures
Proofreading
Timeline
Credentialing Specialist
Tri-State Medical Group
11.2018 - Current
Medical Insurance Collector
Shared Services Center
05.2016 - 11.2018
Assistant Manager
DeBrand Fine Chocolates
11.2007 - 05.2016
Associate of Science - Organizational Leadership And Supervision
Indiana University - Purdue University Fort Wayne
08.2007 - 05.2011
Cashier
NCG Cinemas
11.2005 - 05.2008