Summary
Overview
Work History
Skills
References
Timeline
Generic

Hayden Land

Overland Park,KS

Summary

  • Efficient Credentialing Specialist known for high productivity and the ability to complete tasks swiftly. Specialize in credential verification, compliance management, and process improvement. Excel in communication, problem-solving, and organization, ensuring smooth credentialing processes and effective collaboration with healthcare professionals.
  • Equipped with an in-depth understanding of provider data management and analysis. Familiarity with maintenance of provider databases, facilitating data accuracy, and ensuring compliance with healthcare regulations. Strong analytical skills highlight ability to solve complex problems and create effective solutions. Track record of improving operational efficiency through streamlined data processes.

Overview

15
15
years of professional experience

Work History

Credentialing Specialist

Katie's Way
Kansas City, Missouri
06.2025 - Current
  • Prepare and submit provider enrollment applications for Medicare, Medicaid, TriWest, and commercial payors.
  • Maintain accurate provider data in CAQH, Availity, and internal systems to support credentialing enrollment.
  • Update and verify provider information in the medical records system to ensure accurate scheduling, billing, and patient care documentation.
  • Assist with QGenda database conversion by entering provider schedules and credentialing details.
  • Use Availity for payor verification, claim status checks, and credentialing form submission.
  • Track application status and follow up with payors to resolve missing or incomplete information.
  • Coordinated with healthcare providers to gather necessary credentialing information.
  • Maintained accurate records in the credentialing database system consistently.
  • Ensured adherence to federal and state regulations in all credentialing activities.
  • Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
  • Performed primary source verifications such as criminal histories, licenses and board certifications.
  • Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.

Credentialing Specialist Provider Data Management

One Call Care Management
Overland Park, Kansas
01.2022 - 02.2025
  • Responsible for credentialing initial and re-credentialing applications of healthcare providers.
  • Processed 40+ applications a month, on average.
  • Maintained a credentialing database of over 2,000 providers, ensuring 100% accuracy of files for Committee meetings.
  • Verified licensure, education and training, employment, affiliations, board certifications, insurance/claims history, Medicare opt-out, NPI, and NPDB.
  • Responsible for running background checks, sending peer references, and evaluating sanctions.
  • Outreach to providers and hospitals for clarifications regarding credentialing applications and verifications.
  • Three years of Cactus/Symplr credentialing software experience.
  • Proficient in operational systems that support provider data maintenance, and Automated Clearing House data into Oracle for billing and payment purposes.
  • Responsible for healthcare provider data entry, updates, and maintenance of multiple healthcare service lines and company legacy systems.
  • Transportation and language provider management through Fuse.
  • Physical therapy provider management through Compass.
  • Diagnostic provider management through Phoenix.
  • Home Health & Durable Medical Equipment provider management through the Ancillary Catalog Tool (ACT) and TechHealth Connections.
  • Case management through Salesforce.
  • Researching, identifying, and resolving provider, customer, and inconsistent data issues.
  • Special project assignments and management.
  • Training of new associates.

Manufacturing Assembly Technician

PushCorp
Garland, Texas
01.2019 - 01.2021
  • Data entry into product inventory systems based upon company inventory and sales.
  • Filing of customer orders.
  • Sub-assembly of product components using a wide range of sophisticated tooling and automated equipment.
  • Ability to read mechanical and electrical drawings and schematics as well as read and follow written or visual production procedures.
  • Performed part inspection to meet tolerance and product inspection to meet quality specifications.
  • Troubleshooted and diagnosed mechanical and electrical problems after assembly.

Team Leader / Trainer /Visual Merchandiser

Target
Rowlett, Texas
01.2015 - 01.2019
  • Supervision and training of associates.
  • In-store and online sales, and financial transactions.
  • Extensive customer service.
  • Interfacing / Interdepartmental interactions.
  • Maintained department store sales goals, inventory levels, and guest shopping patterns.
  • Solved merchandising issues and adjusted sets to create and maintain inspiring presentations.
  • Team partners in solving new merchandising opportunities.
  • Solutioning through visual merchandising in style categories.

Visual Merchandiser

Charming Charlies
Rockwall, Texas
01.2011 - 01.2015
  • Trained associates.
  • Visual display strategy, merchandise design, and retail presentation.
  • Sales Floor, Cashier, Customer Service.
  • Set floor plans on the sales floor.
  • Financial transactions.
  • Designed engaging visual displays to enhance customer experience in retail settings.
  • Developed eye-catching displays to enhance product visibility and customer engagement.
  • Executed seasonal merchandising strategies to align with marketing campaigns and trends.
  • Implemented color coordination techniques to attract customer attention and improve aesthetics.
  • Analyzed customer feedback to refine visual strategies and improve shopping experience.
  • Organized merchandise layout to facilitate easy navigation and highlight promotional items.
  • Executed merchandising and floor moves based on seasonal changes, business needs and trends.
  • Created window and in-store displays to promote new product launches.
  • Planned seasonal changes in store layouts, including decorations, props and other visuals.
  • Ensured all signage was up-to-date and accurately reflected current promotions.
  • Constructed and installed signs and sale banners for special events and clearances.
  • Created innovative floor plans to maximize visibility of merchandise.
  • Assisted in developing strategies for increasing sales by using visual merchandising techniques.
  • Taught sales staff to properly coordinate clothing racks and counter displays to maximize promotional effectiveness.

Skills

  • Analytical with a detailed mindset
  • Primary source verification
  • Data management
  • Application processing
  • Credentialing software
  • Compliance standards
  • Ability to manage multiple projects and assignments
  • Self-starter
  • Proficiency in Microsoft Office products
  • Proficiency in Adobe
  • Expert in Salesforce
  • Expert in Oracle
  • Expert in compass
  • Work independently in fast-paced environments
  • Efficient in verbal communication
  • Efficient in written communication
  • Provider credentialing
  • Data Entry
  • Electronic Filing
  • Medical Records Maintenance
  • Goal management
  • Achievement of targets
  • Customer Service
  • Business responsibilities
  • Administrative responsibilities
  • Sales experience
  • Store operation management
  • Cash handling
  • Transaction processing
  • Excellent team building skills
  • Excellent interpersonal skills
  • Retail sales
  • Supervision
  • Team lead
  • Organize and distribute work assignments
  • Strict adherence to quality metrics
  • Strict adherence to guidelines
  • Root cause analysis
  • Corrective action implementation
  • Provider outreach
  • Documentation review
  • Insurance procedures
  • License verifications
  • Credentialing documentation
  • Facility credentialing
  • Solo practitioner credentialing
  • Provider enrollment
  • HIPAA compliance
  • Credential verification

References

Available upon request

Timeline

Credentialing Specialist

Katie's Way
06.2025 - Current

Credentialing Specialist Provider Data Management

One Call Care Management
01.2022 - 02.2025

Manufacturing Assembly Technician

PushCorp
01.2019 - 01.2021

Team Leader / Trainer /Visual Merchandiser

Target
01.2015 - 01.2019

Visual Merchandiser

Charming Charlies
01.2011 - 01.2015

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Hayden Land