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
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
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
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