Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jessica Milliken

Dudley,MA

Summary

I am a knowledgeable Credentialing Coordinator with solid background in managing credentialing processes for healthcare professionals. I have successfully coordinated credentialing activities to ensure compliance with regulatory standards, enhancing overall operational efficiency. I Demonstrate proficiency in database management and detailed record-keeping, ensuring accuracy and promptness in all tasks. I am an extremely hardworking and passionate job seeker with strong organizational skills eager to secure a new position. Ready to help team achieve company goals.

Overview

8
8
years of professional experience

Work History

Anesthesia Credentialing Coordinator

SCA Health
03.2023 - Current
  • Ensured smooth communication flow between departments by acting as a liaison between medical staff services and other administrative units.
  • Fostered a positive work environment through active participation in team meetings, collaborating on strategies to improve departmental performance.
  • Reduced errors in documentation by thoroughly auditing provider files for completeness and accuracy.
  • Contributed to risk management initiatives by monitoring expiring licenses, certifications, and insurances, notifying providers of renewal requirements in a timely manner.
  • Strengthened relationships with external agencies by responding promptly to verification requests and inquiries regarding providers'' credentials.
  • Worked closely with admins to help each provider obtain credentialing at assigned healthcare facilities.
  • Tracked expiration dates on CAQH, Licenses, and Malpractice Insurance and communicated with appropriate staff to avoid expiration.
  • Streamlined the credentialing process by implementing MD Staff, Intellisoft, and Conga for medical staff applications.
  • Completed all Linking and Credentialing requests per state guidelines and insurance companies policies for multiple states across the United States.
  • Maintained accurate files, records and credentialing documents in well-maintained databases using MD staff, Intellisoft and Excell.
  • Enrolled providers and Medicaid, Medicare, and private insurance plans.
  • Maintained up-to-date knowledge of applicable laws and regulations.
  • Work closely with RCM and Sr Director of Credentialing to correct any previous claim denials.
  • Maintained composure in stressful situations, confrontations, interviews and records searches.
  • Work closely with administrators at the ASC's (Ambulatory Surgical Centers) on status of any pending providers, claim denials, or if any documents are needed.
  • Handle over 400 individual Anesthesiologists at 20 different ASC's to ensure they stay in current credentialing status.

Contract Coordinator

SCA HEALTH
10.2022 - 03.2023
  • Compiles and maintains current and accurate data for all providers.
  • Completes ASC credentialing and re-credentialing applications; monitors applications and follows-up as needed.
  • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all facilities.
  • Maintains corporate ASC contract files.

• Maintains knowledge of current health plan and agency requirements for credentialing facilities.

• Sets up and maintains ASC information in online credentialing databases and system.

• Tracks license and certification expirations for all facilities to ensure timely renewals.

• Ensues practice addresses are current with health plans, agencies and other entities.

• Processes applications for appointment and reappointment of privileges (ASC).

• Tracks license, DEA and professional liability expirations for appointed ASC providers.

• Maintains ASC appointment files, and information in credentialing database.

• Audits health plan directories for current and accurate provider information.

Front Desk Receptionist

Saint Vincent Medical Group
01.2022 - 10.2022
  • Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
  • Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
  • Scheduled, coordinated and confirmed appointments and meetings.
  • Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
  • Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
  • Collected room deposits, fees, and payments.
  • Enhanced customer satisfaction by providing efficient and professional front desk services.
  • Scheduled appointments accurately using reservation software, reducing conflicts or double bookings.
  • Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
  • Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
  • Developed strong working relationships with team members, fostering a positive work environment.
  • Completed data entry and filing to keep records updated for easy retrieval.
  • Expedited check-in and check-out procedures for guests, ensuring seamless experiences during their visits.
  • Resolved customer issues quickly and notified supervisor immediately when problems escalated.
  • Completed all tasks in compliance with company policies and procedures.
  • Increased guest retention by maintaining a welcoming and organized reception area.
  • Maintained confidentiality of sensitive data to protect customer and business information.
  • Maintained accurate records of visitor logs for security purposes and compliance with company policies.
  • Resolved billing discrepancies promptly with thorough attention to detail, fostering trust between clients and the organization.
  • Maintained strict confidentiality of sensitive information, upholding privacy standards.
  • Facilitated smooth communication between departments by accurately relaying messages and information.
  • Enhanced guest experience by maintaining welcoming and organized reception area.
  • Compiled and submitted daily reports on front desk activities, offering insights for process improvements.
  • Provided information and assistance to visitors and clients, addressing inquiries and resolving issues promptly.
  • Contributed to team effort by accomplishing related results as needed, fostering collaborative work environment.
  • Greeted visitors warmly, creating positive first impression of organization.
  • Improved office efficiency with diligent management of appointment scheduling and calendar coordination.

Front Desk Receptionist

Mass Lung and Allergy
08.2021 - 11.2021
  • Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
  • Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
  • Scheduled, coordinated and confirmed appointments and meetings.
  • Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
  • Scheduled appointments accurately using reservation software, reducing conflicts or double bookings.
  • Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
  • Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
  • Developed strong working relationships with team members, fostering a positive work environment.
  • Completed data entry and filing to keep records updated for easy retrieval.

Intake Supervisor

Behavioral Healthcare Services
09.2020 - 07.2021
  • Reduced wait times for clients through effective scheduling and staff allocation strategies.
  • Implemented new software solutions to streamline workflow processes, resulting in increased efficiency within the department.
  • Enhanced team productivity with thorough training sessions and regular performance evaluations.
  • Mentored junior staff members, providing guidance and support to help them grow professionally within their roles.
  • Spearheaded the development of new client intake forms, ensuring all necessary information was gathered effectively and efficiently during the initial contact.
  • Ensured accurate data collection and reporting by implementing strict quality control measures.
  • Completed intake assessment forms and filed clients' charts.
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
  • Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
  • Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
  • Enhanced office productivity by handling high volume of callers per day.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
  • Conducted initial assessments of patient needs and eligibility for various programs or services offered by the organization.
  • Managed high-volume caseloads efficiently while maintaining strong attention to detail throughout each case''s progression.
  • Trained new staff members on intake procedures, contributing to a well-prepared team.
  • Coordinated with healthcare providers to ensure accurate and timely sharing of patient information, enhancing continuity of care.
  • Collaborated with administrative staff to manage appointment schedules effectively, reducing wait times and optimizing resource use.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.

Business Development Coordinator

Harr Motor Group
02.2019 - 09.2020
  • Collaborated with cross-functional teams to develop innovative strategies for business growth.
  • Boosted revenue by bringing in and cementing relationships with new clients and optimizing servicing of existing customer accounts.
  • Managed a portfolio of existing clients, consistently exceeding sales targets and maintaining high levels of client satisfaction.
  • Coordinated trade show appearances including booth design, staffing, and promotional materials to maximize company exposure and generate leads.
  • Trained new hires on product offerings, sales techniques, and company procedures to ensure consistent performance across the team.
  • Implemented CRM systems to track leads, sales data, and customer interactions for better reporting and analysis.
  • Organized and participated in networking events, effectively promoting the company''s brand and services.
  • Assisted management in setting annual revenue goals based on historical data analysis and market projections.
  • Engaged with customers to build business relationships.
  • Managed needs of more than 100customers at once using strong prioritization and multitasking abilities.
  • Proactively engaged customer in various departments in order to provide in-depth product knowledge in non-commissioned environment
  • Analyzed and reported on KPIs to validate and demonstrate success of marketing campaigns.

Visual Merchandising Team Lead

Forever 21
05.2018 - 02.2019
  • Organized special events such as fashion shows or product launches, providing an immersive experience for customers while showcasing new collections or offerings.
  • Continuously developed professional skills by attending industry conferences, workshops, and webinars to stay current on the latest trends and best practices in visual merchandising.
  • Boosted sales performance through strategic placement of high-demand products and promotional materials.
  • Conducted regular store audits to ensure compliance with company policies and visual presentation standards.
  • Enhanced store aesthetics by designing and implementing visually appealing merchandise displays.
  • Oversaw window displays that captured shopper attention, driving foot traffic into the store.
  • Streamlined internal communication processes within the visual merchandising team, resulting in increased efficiency and improved collaboration between departments.
  • Created eye-catching signage and promotional materials that effectively communicated key messages to customers.
  • Adapted quickly to changing market trends by continuously updating product assortments and display concepts accordingly.
  • Trained and supervised a team of visual merchandisers, consistently meeting or exceeding company standards for productivity and presentation quality.
  • Analyzed sales data and customer feedback to make informed decisions on product placement and display effectiveness.
  • Contributed to a positive work environment by fostering teamwork among fellow employees and consistently providing constructive feedback.
  • Managed inventory levels efficiently, ensuring optimal product availability and timely replenishment.
  • Supervised and trained team of merchandising associates, verifying accuracy and efficiency in work processes.
  • Worked with store managers to implement new displays, promotions and store layout changes.
  • Monitored and replenished display inventory and restructured according to available stock.
  • Managed aesthetically pleasing displays to showcase company products and increase sales.
  • Analyzed sales data and customer feedback to develop creative solutions to improve customer experience.
  • Enhanced overall store appearance by applying careful consideration to product and display locations.
  • Built properly lit and well-maintained displays, creating inviting atmosphere in stores.
  • Created interior displays to promote products in alignment with corporate sales objectives.
  • Developed innovative approaches to store layout to optimize customer flow and optimize sales potential.
  • Evaluated store performance and made recommendations for changes to optimize sales.
  • Managed installation of visual merchandising displays, urging team to with speed and accuracy.
  • Organized store merchandise racks by size, style, and color.
  • Created visual displays to highlight new and featured products.
  • Utilized paper, fabric and props to create displays.
  • Used props and lighting to enhance appearance and visibility of displays.
  • Monitored store traffic and customer engagement to determine display effectiveness.

Sales Associate

Forever 21
09.2017 - 05.2018
  • Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
  • Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
  • Built relationships with customers to encourage repeat business.
  • Managed returns, exchanges and refunds in accordance with store policy.
  • Prepared merchandise for sales floor by pricing or tagging.
  • Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
  • Helped customers locate products and checked store system for merchandise at other sites.
  • Answered customer questions about sizing, accessories, and merchandise care.
  • Provided positive first impressions to welcome existing, new, and potential customers.
  • Rotated stock and restocked shelves to maintain product availability and store appearance.
  • Engaged with customers to build rapport and loyalty.
  • Accurately processed POS transactions, returning coin, currency, payment cards, and receipts to customers.
  • Increased sales revenue by building strong rapport with customers and recommending appropriate products based on their needs.
  • Educated clients on current promotional offerings and products using persuasive selling tactics.
  • Engaged with customers to effectively build rapport and lasting relationships.
  • Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
  • Achieved monthly sales targets consistently by implementing effective sales strategies and maintaining a high level of product knowledge.
  • Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
  • Managed conflict resolution with dissatisfied customers professionally, resulting in improved customer retention rates.
  • Provided personalized shopping experiences for repeat customers by remembering their preferences and offering tailored recommendations.
  • Organized in-store promotions and events to increase foot traffic and drive additional sales opportunities.
  • Collaborated with management team to develop sales strategies and goals, aligning with company objectives.
  • Participated in visual merchandising, creating attractive displays that stimulated customer interest and sales.
  • Provided training to new staff on sales techniques and store procedures, ensuring consistent customer service experience.
  • Managed efficient cash register operations.
  • Stocked merchandise, clearly labeling items, and arranging according to size or color.
  • Opened, shelved and merchandised new products in visually appealing and organized displays for optimal sales promotions.
  • Performed cash, card, and check transactions to complete customer purchases.

Customer Service Cashier

Domino's Pizza
11.2016 - 03.2017
  • Maintained a clean and organized workspace, promoting a welcoming environment for customers.
  • Handled high-pressure situations calmly, maintaining composure during busy periods or difficult interactions.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Processed customer orders and accurately handled payment transactions.
  • Counted money in drawers at beginning and end of each shift.
  • Redeemed coupons to discount purchases.
  • Ensured cleanliness and organization of checkout area, contributing to positive shopping environment.
  • Facilitated seamless returns and exchanges, maintaining customer trust and loyalty.
  • Performed cash, card, and check transactions to complete customer purchases.
  • Handled cash with high accuracy and took care to check bills for fraud.
  • Learned duties for various positions and provided backup at key times.
  • Processed refunds and exchanges in accordance with company policy.
  • Maintained current knowledge of store promotions and highlighted sales to customers.
  • Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.

Education

High School Diploma -

Doherty Memorial High School
Worcester, MA
05-2018

Skills

  • Staff training and development
  • Deadline management
  • Data research and analysis
  • Professionalism and ethics
  • Listening skills
  • Procurement processes
  • Effective written and verbal communication
  • CRM management
  • Reliability and punctuality
  • Administrative skills
  • Practitioner application coordination
  • Data entry proficiency

Timeline

Anesthesia Credentialing Coordinator

SCA Health
03.2023 - Current

Contract Coordinator

SCA HEALTH
10.2022 - 03.2023

Front Desk Receptionist

Saint Vincent Medical Group
01.2022 - 10.2022

Front Desk Receptionist

Mass Lung and Allergy
08.2021 - 11.2021

Intake Supervisor

Behavioral Healthcare Services
09.2020 - 07.2021

Business Development Coordinator

Harr Motor Group
02.2019 - 09.2020

Visual Merchandising Team Lead

Forever 21
05.2018 - 02.2019

Sales Associate

Forever 21
09.2017 - 05.2018

Customer Service Cashier

Domino's Pizza
11.2016 - 03.2017

High School Diploma -

Doherty Memorial High School
Jessica Milliken