Elizabeth Satterfield
Soddy,TN
Summary
Seasoned Credentialing Specialist lends 2 years of success overseeing complex information access policies and procedures. Effective documentation and management to maintain threshold requirements. Detail-oriented processing for status-change requests and assessments. Hands-on approach to handling requests-for-access and information credentialing. Flexible and focused team player with expertise in customer relationship management, HR proficiencies, strategic planning and time management. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
19
19
years of professional experience
Work History
Credentialing Specialist
California Psychcare, Inc
Van Nuys, CA
07.2022 - 03.2024
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Participated in periodic audits of credentialing files to maintain compliance with applicable regulations and policies.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Provided support in responding to inquiries from external parties regarding credentialing information.
- Interacted regularly with representatives from health plans and commercial payers regarding credentialing matters.
- Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
Lead Certified Pharmacy Technician
CVS Pharmacy
Soddy Daisy, TN
09.2005 - 07.2022
- Provided direct supervision and training to pharmacy technicians.
- Maintained accurate records of prescription orders and inventory.
- Assisted in the development and implementation of policies, procedures, and protocols related to medication management.
- Performed quality assurance checks on medications prior to dispensing.
- Communicated with physicians regarding prescription refills and other inquiries.
- Resolved customer complaints in a timely manner.
- Ensured compliance with state and federal regulations governing pharmaceutical services.
- Processed insurance claims for prescriptions filled at the pharmacy.
- Maintained patient profiles, including allergies, current medications.
- Ordered drugs from wholesalers or manufacturers when needed for patient care.
- Received incoming shipments of drugs from wholesalers or manufacturers.
- Utilized automated systems for filling prescriptions accurately and efficiently.
Education
Pharmacy Technician - Pharmacy Technician
NW GA Technical College
Lafayette , GA05-2005
Skills
- Document Review
- Data Acquisition
- Proofreading
- License verifications
- Regulatory Compliance
- Employee Onboarding
- Database Maintenance
- Credential verification
- Application coordination
- HIPAA Compliance
- Provider Relations
References
References available upon request.
Timeline
Credentialing Specialist
California Psychcare, Inc
07.2022 - 03.2024
Lead Certified Pharmacy Technician
CVS Pharmacy
09.2005 - 07.2022
Pharmacy Technician - Pharmacy Technician
NW GA Technical College
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