Jojan Torres
Perris,CA
Summary
Articulate Credentialing Coordinator with exemplary critical thinking and decision making talents. An energetic professional with more than 5 years' requesting credentialing documents from providers. Ready to apply talents in credentialing and document workflows with a new organization.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Credentialing Coordinator
TRS Healthcare
04.2020 - 08.2023
- Collaborated with healthcare member to gather necessary information for accurate credentialing decisions.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Facilitated communication between departments, resulting in improved collaboration during credentialing process.
- 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.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration.
- Conducted performance reviews and provided feedback to managers on employee performance.
Medical Administrative Assistant
Nephrology Associates Medical Group
06.2019 - 04.2020
- Improved patient satisfaction by efficiently managing appointment scheduling and providing clear communication regarding medical procedures.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Handled sensitive patient information with discretion, adhering to strict HIPAA guidelines and safeguarding privacy at all times.
- Coordinated referral appointments with external specialists, ensuring that relevant medical records were shared in a timely manner for optimal patient care continuity.
- Anticipated supply needs and placed orders proactively, preventing shortages that could disrupt daily clinic operations or compromise patient care quality.
- Conducted insurance verification and preauthorizations and managed patient charts.
Education
Associates - Liberal Arts. Math and Science -
Southwestern College
Chula Vista, CA05.2019
Skills
- Effective written and verbal communication
- Background Investigations
- Re-credentialing processes
- HIPAA Compliance
- Data entry proficiency
- Background Checks
- Data research and analysis
- Records and file management
- Employee Onboarding
- License Verification
- Professional Networking
- Document Review
- Teamwork and Collaboration
Languages
Spanish
Native or Bilingual
Certification
- Certificate of Achievement - Emergency Medical Technology, Southwestern College, Chula Vista, CA,
- Certificate of Achievement - Cyber Security Professional
Timeline
Credentialing Coordinator
TRS Healthcare
04.2020 - 08.2023
Medical Administrative Assistant
Nephrology Associates Medical Group
06.2019 - 04.2020
Associates - Liberal Arts. Math and Science -
Southwestern College
- Certificate of Achievement - Emergency Medical Technology, Southwestern College, Chula Vista, CA,
- Certificate of Achievement - Cyber Security Professional
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