Jalena Pardun
Spokane Valley,WA
Summary
Experienced with credentialing processes and regulatory compliance. Utilizes effective communication and meticulous documentation to manage credentialing for healthcare providers. Knowledge of industry standards and best practices ensures thorough and efficient credentialing operations.
Overview
12
12
years of professional experience
Work History
Credentialing Specialist
Symplr
07.2023 - 10.2025
- Managed credentialing processes for healthcare providers, ensuring compliance with regulatory standards.
- Streamlined application reviews to enhance processing efficiency and accuracy.
- 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 background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Collaborated with cross-functional teams to resolve discrepancies in provider documentation.
Senior Specialist
Molina Healthcare Inc.
11.2019 - 03.2023
- Reviewed provider and facility files for quality issues at initial credentialing as well as recredentialing
- Made sure that files would pass in an NCQA audit
- Sent files back to specialist if issues were found
- Effectively communicate what information was missing
- Discontinued files if they did not meet requirements
- Reviewed 250 or more files a week
Associate Specialist
Molina Healthcare Inc.
09.2016 - 11.2019
- Processed provider and facility files at initial credentialing as well as recredentialing
- Printed in verifications that were needed such as licenses, education, and more.
- Called provider’s offices and facilities if missing information was needed.
- Completed data entry into Cactus from files
- Processed 125 or more files a week
Ribbon Printer/Manufacturer
Ramax Award and Engraving
03.2016 - 08.2016
- Answer phones, take messages for owner as well as orders
- Complete order requirements such as printing different numbers/colors of ribbons
- Delegate tasks to other employing as well as keeping track of due dates for orders
- Cut and produced rosettes as well as ribbons for orders
Epic Support Specialist
Providence Health and Services
05.2015 - 01.2016
- Primary point of contact between Providence clinical care team members and those who use Epic to interact with patients on a regular basis and the One IS organization
- Provided real-time support to physicians, nurses, and other caregivers throughout the care continuum.
- Responsible for accurately gathering details of reported Epic or Epic-related technology incidents or requests, and working to either restore service by providing education to support users, including the electronic health record (EHR), or triage to the appropriate IS resource.
- Provided excellent customer service skills, EHR workflow knowledge as well as technical troubleshooting abilities.
- Built and presented training materials on different parts of Epic such as reporting work bench, media manager, as well as Smart Phrases.
Independent Consultant
Divurgent
03.2015 - 04.2015
- Provided at the elbow support for physicians’ and nurses who are learning to use Epic with documentation, orders, and general workflow
Senior EMR Specialist
Essia Health (Formally Scribe Stat, Inc.)
09.2013 - 02.2015
- Provided at the elbow support for physicians’ and nurses who are learning to use Epic with documentation, orders, and general workflow
- Provided one-on-one support for optimization of note templates, order sets, preference lists, and patient lists
- Provided mentor role to new and inexperienced EMR tutors by teaching classes on different workflows
- Has knowledge of complex workflows such as surgeon, anesthesia, inpatient, cardiology, obstetrics/gynecology, as well as emergency medicine.
- Inputted data from tally sheets and phone logs into excel spreadsheet
- Answered and triaged phone calls that were received by the Provider Engagement Center
- Acted as onsite supervisor which required leading shift-change meeting, releasing zone assignments, and tracking attendance
- Participated in hospital go-lives in Alaska, California, and Washington
Education
BS - Biological Sciences, Psychology
Washington State University
05.2013
Skills
- Knowledge of NCQA requirements
- Strong Data Entry Skills
- Strong Communication
- Credentialing oversight
- Medical Office Knowledge
- Problem Solving
- HIPAA compliance
- Background checks
Timeline
Credentialing Specialist
Symplr
07.2023 - 10.2025
Senior Specialist
Molina Healthcare Inc.
11.2019 - 03.2023
Associate Specialist
Molina Healthcare Inc.
09.2016 - 11.2019
Ribbon Printer/Manufacturer
Ramax Award and Engraving
03.2016 - 08.2016
Epic Support Specialist
Providence Health and Services
05.2015 - 01.2016
Independent Consultant
Divurgent
03.2015 - 04.2015
Senior EMR Specialist
Essia Health (Formally Scribe Stat, Inc.)
09.2013 - 02.2015
BS - Biological Sciences, Psychology
Washington State University