Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Johely Queen

New York,USA

Summary

To obtain a position utilizing my knowledge and experience while gaining an opportunity for professional growth and advancement. Dedicated professional with proven performance in management, leadership and communication. Detail-oriented in problem-solving and planning. Ready to make an immediate contribution to your organization.

Overview

15
15
years of professional experience

Work History

Credentialing Manager

Morris Heights Health Center
06.2018 - 12.2022
  • Enroll Providers into managed care plans
  • Review managed care roster and compare provider's panel to assure there is appointments available for new patients
  • Verified credentials and worked alongside with Human Resources
  • Worked alongside the Billing department to assure any discrepancies were resolved in a timely manner
  • Ensure providers had NPI, CAQH, Medicaid, Medicare
  • Answer any audit questions regarding insurance plans
  • Maintain strict patient confidentiality in accordance to HIPAA policy

Assistant Manager

Dig Inn
01.2015 - 06.2017
  • Cash and Credit depositing
  • Strategized on the best way to increase profit margins
  • Trained new hires on company policies and procedures
  • Resolved customer complaints efficiently and effectively
  • Provided guidance to staff members regarding their job responsibilities
  • Monitored staff morale to ensure a positive work environment was maintained
  • Managed daily inventory levels, ensuring adequate stock levels were maintained at all times

Store Manager

Hale & Hearty Soups
03.2008 - 06.2013
  • Cash and Credit depositing
  • Ensuring proper, while maintaining store cleanliness
  • Train new hires for success within the company
  • Strategized on the best way to increase profit margins

Education

Bachelor of Science (B.S.) - Health Administration

Monroe College
12.2015

Skills

  • Provider enrollment
  • Application processing
  • Documentation review
  • Accreditation compliance
  • Customer service
  • Time management
  • Attention to detail
  • Multitasking
  • Excellent communication
  • Computer skills
  • Organizational skills
  • Problem resolution

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Credentialing Manager

Morris Heights Health Center
06.2018 - 12.2022

Assistant Manager

Dig Inn
01.2015 - 06.2017

Store Manager

Hale & Hearty Soups
03.2008 - 06.2013

Bachelor of Science (B.S.) - Health Administration

Monroe College
Johely Queen