Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
6
6
years of professional experience
Work History
Credentialing Representative
NextCare Urgent Care
12.2022 - Current
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Conducted primary source verifications such as board certifications and education verifications.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
Received and evaluated applications to look for missing and inaccurate information.
Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
Credentialing Specialist
Assure Neuromonitoring
05.2021 - 10.2022
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Received and evaluated applications to look for missing and inaccurate information.
Mail Batcher
Verra Mobility
03.2021 - 05.2021
Sort and organize traffic violation tickets for 13+ clients involving rental vehicles
Check in mail while organizing, based on clients
Count mail while sorting individual papers and envelopes based on cities or states
Organize violations and prepare for processing
Processes customer and account source documents by reviewing data for deficiencies, resolving deficiencies by using proper procedures given or returning documents to team lead
Exceeds departments daily KPI's
Process returned mail and removed data from system following the removal procedures
Ensures customers information is kept confidential.
Clinical Internship
The Studio Academy of Beauty
07.2020 - 02.2021
Performed facials and other treatments such as microdermabrasion, chemical peels, dermaplaning, waxing, and eyelash extensions along with other services
Consistently received positive performance reviews from clients and instructors
Educated clients on treatment options
Stocked treatment rooms with proper supplies and maintained inventory
Sterilized equipment before and after for patient treatments
Fostered friendly, warm and exceptional customer experience
Analyzed skin condition and made appropriate product recommendations
Maintained client schedules and met key deadlines.
BDC Agent
Penske Automotive Group Inc.
01.2019 - 04.2020
Acted as the first point of contact and set appointments for clients
Collected and distributed messages to team members and managers to support open communication and high customer service
Operated a multi-line telephone system to independently handle over 100 calls each day, which exceeded daily KPI's
Scheduled and confirmed appointments for 12 different dealerships in 3 different states
Handled complaints and questions, and redirected calls to other team members as appropriate
Managed customer and account data and ensured accuracy of data
Verified customer information provided and transferred data into the database
Resolved caller issues quickly, thoroughly and ensured customer satisfaction was met.
Sales Representative
Connect Wireless AT&T
05.2018 - 12.2018
Accepted and processed payments and purchases for new equipment
Activated contract and prepaid wireless accounts for customers
Upsold customers by recommending accessories and promotions to increase revenue
Assisted customers by answering questions and fulfilling requests
Provided exceptional service and pleasant shopping experiences
Stocked merchandise, clearly labeled items, and prepared displays
Assured cash registers are balanced daily.
Generated additional sales opportunities with upselling and cross-selling techniques.
Education
Certified Coding Specialist - Medical Coding And Billing
DeVry University
Phoenix, AZ
11.2024
Esthetics Certificate -
The Studio Academy of Beauty
Chandler, AZ
02.2021
High School Diploma -
Tumwater High School
Tumwater, WA
06.2017
Skills
Detailed oriented
Self-motivated
Always on time and prepared
Excellent verbal and written communication skills
Adaptable
Proficient computer skills
Time management
Excellent team player
Organizational skills
Ability to work independently
Goal-oriented mindset
Paperwork Processing
Timeline
Credentialing Representative
NextCare Urgent Care
12.2022 - Current
Credentialing Specialist
Assure Neuromonitoring
05.2021 - 10.2022
Mail Batcher
Verra Mobility
03.2021 - 05.2021
Clinical Internship
The Studio Academy of Beauty
07.2020 - 02.2021
BDC Agent
Penske Automotive Group Inc.
01.2019 - 04.2020
Sales Representative
Connect Wireless AT&T
05.2018 - 12.2018
Certified Coding Specialist - Medical Coding And Billing