JALYSSA BLAGMON
Mechanicsville,Virginia
Summary
Experienced administrative professional 9+ years in provider credentialing services. Works productively with facilities, provider groups and individual professionals. Knowledgeable about application requirements for hospitals, government, and private insurance plans.
Overview
10
10
years of professional experience
Work History
Credentialing Specialist II
ApolloMD
04.2020 - Current
- Onboard new providers (MDs, NPs, and PAs), complete all initial appointment and reappointment applications, track and renew licenses, DEAs, and certifications, collect all professional and personal provider information, maintain knowledge of hospital bylaws and processes for privileging purposes, submit provider files to board prior to committee meetings, track all submitted applications, follow up on applications as needed, maintain up-to-date data for each provider in credentialing software
- 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.
- Conducted primary source verifications such as background checks and board certifications.
- Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
Executive Secretary I
Virginia Department of Health
02.2019 - 04.2020
- Provide confidential administrative and executive support to the Director of Community Nutrition, coordinate daily appointments and schedule for director, manage information flow in a timely and professional manner, coordinate travel arrangements for office director and office staff, approve and input time for bi-weekly payroll, prepared purchase orders for department, reviewed and analyzed contracts before sending to director's desk
Payor Relations Specialist I
AllyAlign Health
03.2018 - 01.2019
- Executed new provider and organizational contracts, onboarded and offboarded providers, ensured new and closed locations were reported to C-level executives properly, uploaded new rosters submitted by clients, demographic updates, responded to clients by email or phone
Executive Assistant/Credentialing Manager
Civitas Health Services, Inc.
08.2014 - 03.2018
- Assisted C-Level executives with daily calendars, travel arrangements, organizational tasks, expense reports, and event planning, coordinated all organizational meetings, supervised all administrative staff, oversaw recruiting for Outpatient department, coordinated all company audits, onboarded and offboarded all Outpatient providers, completed all initial and recredentialing applications, maintained spreadsheets for all credentialing information, created all outpatient policy and procedures, enrolled providers in commercial, Medicaid, and Medicare networks, completed all follow ups on credentialing applications, provided weekly credentialing reports to C-level executives, responsible for ensuring providers are credentialed in health plans
Education
Associate of Science - Business Administration
Rappahannock Community College
Warsaw06.2013
Skills
- Medicaid/Medicare Enrollment
- Credentialing Softwares: Salesforce, Credential Stream, SilverSheet MDStaff
- States Credentialed: VA, NC, MO, FL, TX, IN, AL, AR, GA, MD, NY, IL
- Hospital Privileging (3 years)
- Commercial Payers: Aetna, Optum (UHC), Anthe, BCBS, Carefirst, Multiplan, Aetna Better Health, Cigna, Ambetter, MHN
- CAQH
- NPPES
- Payer Enrollment (5 years)
- Hospital Privileging (4 years)
Timeline
Credentialing Specialist II
ApolloMD
04.2020 - Current
Executive Secretary I
Virginia Department of Health
02.2019 - 04.2020
Payor Relations Specialist I
AllyAlign Health
03.2018 - 01.2019
Executive Assistant/Credentialing Manager
Civitas Health Services, Inc.
08.2014 - 03.2018
Associate of Science - Business Administration
Rappahannock Community College
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