Jennifer Gomez
Homestead,FL
Summary
Highly organized Senior Credentialing Specialist with over 7 years of experience in provider Credentialing services. Skilled in managing data and streamlining processes to ensure efficient and accurate credentialing. Seasoned professional looking to grow a team oriented organization.
Overview
8
8
years of professional experience
Work History
Senior Credentialing Specialist
Dental Care Alliance
02.2024 - Current
- Maintain conformity by reviewing NPDB reports and requesting updated licenses, DEA and Malpractice, resulting with on-time completion of credentialing tasks for over 300 providers.
- Demonstrate excellent problem-solving skills when confronted with out-of-network claims issues due to credentialing discrepancies.
- Assist in training employees on proper Intellisoft Software entry procedures, contributing to their rapid integration into the team environment.
- Work jointly with the delegated department to make sure they are prepared to process practitioners.
- Gather correct practitioner information and updating it into Intellisoft.
Credentialing Specialist
Dental Care Alliance
09.2016 - Current
- Establish smooth communication flow between departments by acting as a liaison between Office Staff and Insurance Reps.
- Ensure practitioners at dental facilities have the required certification, license, and credentials to start seeing patients with Insurance plans.
- Process initial Credentialing and Recredentialing applications.
- Screen practitioners' applications and documentation to make sure they are eligible to practice.
Education
High School Diploma -
Coral Reef Senior High School
Miami, FL06.2013
Skills
- Data Entry
- Team player
- Microsoft Office
- Communication skills
- Self motivated
- Detail-oriented
- Problem solver
Timeline
Senior Credentialing Specialist
Dental Care Alliance
02.2024 - Current
Credentialing Specialist
Dental Care Alliance
09.2016 - Current
High School Diploma -
Coral Reef Senior High School
Similar Profiles
Julissa J. RiggJulissa J. Rigg
Lead Dental Assistant, Treatment Plan Coordinator at Dental Care AllianceLead Dental Assistant, Treatment Plan Coordinator at Dental Care Alliance
Jennifer BandaJennifer Banda
Dental Assistant at Dental Care AllianceDental Assistant at Dental Care Alliance
Stacy Haluch, RDHStacy Haluch, RDH
Divisional Hygiene Lead at Dental Care AllianceDivisional Hygiene Lead at Dental Care Alliance