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