Jalyssa Blagmon
Mechanicsville,VA
Summary
Adept Credentialing Specialist with a proven track record at ApolloMD, enhancing operational efficiency by streamlining credentialing processes and implementing robust tracking systems. Expert in HIPAA compliance and provider enrollment, I excel in project management and decision-making, significantly expediting provider onboarding. My expertise spans across multiple states, ensuring meticulous document review and database maintenance.
Overview
10
10
years of professional experience
Work History
Credentialing Specialist
ApolloMD
Remote
03.2018 - Current
- Prepared records for site visits and file audits.
- Streamlined credentialing processes by implementing efficient tracking systems and reducing paperwork.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- 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.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Achieved greater accuracy in database management by regularly updating provider records and tracking status changes.
- Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
- Conducted primary source verifications such as background checks and board certifications.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Credentialing Specialist
Civitas Health Services
Richmond, VA
07.2014 - 02.2018
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- 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.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Education
Associate of Science - Business Administration
Rappahannock Community College
Warsaw, VA08-2013
Skills
- HIPAA compliance
- Background checks
- Provider enrollment
- Data management
- Document review
- CredentialStream, Modio, and MDStaff expertise
- Database maintenance
- License verifications
- Solo practitioner credentialing
- Microsoft office
- Project management
- Decision-making
- State Expertise: VA, NC, FL, GA, TX, MD, NY, SC, AR, AZ, CA, PA
- Medicaid and Medicare Expertise
- CAQH, NPPES, PECOS Expertise
Timeline
Credentialing Specialist
ApolloMD
03.2018 - Current
Credentialing Specialist
Civitas Health Services
07.2014 - 02.2018
Associate of Science - Business Administration
Rappahannock Community College