Summary
Overview
Work History
Education
Skills
Timeline
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Kathryn Martin

Raeford,NC

Summary

Efficient Credentialing Specialist known for high productivity and the ability to complete tasks swiftly. Specializes in credential verification, compliance management, and process improvement. Excels in communication, problem-solving, and organization, ensuring a smooth credentialing processes and effective collaboration with healthcare professionals.

Overview

8
8
years of professional experience

Work History

Credentialing Specialist

Optim Healthcare
Savannah, Georgia
05.2017 - Current
  • Organized records to prepare for site visits by representatives and associated audits.
  • Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
  • Checked applications for missing information and organized all paperwork.
  • Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
  • Provided guidance and support to new providers throughout the credentialing process.
  • Assisted in developing and implementing departmental procedures related to provider enrollment and maintenance activities.
  • Addressed and resolved discrepancies in provider documentation during credentialing.
  • Facilitated communication between departments to resolve credentialing issues efficiently.
  • Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
  • Maintained and updated organizational charts, employee handbooks or performance evaluation forms.
  • Maintained up-to-date records of credentialing statuses in database systems.
  • Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
  • Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
  • Maintained detailed records of provider data in the credentialing database system.
  • Managed end-to-end provider credentialing process, ensuring compliance with industry standards.
  • Performed primary source verifications such as criminal histories, licenses and board certifications.
  • Coordinated with healthcare professionals to collect necessary documentation for credentialing.
  • Performed database queries, compiling information according to requests and logging logistics changes.
  • Developed and implemented credentialing policies and procedures to improve workflow.
  • Processed re-credentialing applications for existing providers according to contractual requirements.
  • Worked effectively in team environments to make the workplace more productive.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Updated and maintained databases with current information.

Education

High School Diploma -

William Henry Shaw High School
Columbus, GA
05-2006

Some College (No Degree) -

Columbus Technical College
Columbus

Skills

  • Credentialing compliance
  • Primary source verification
  • Database management
  • Documentation organization
  • Policy development
  • Attention to detail
  • Effective communication
  • Problem solving
  • Regulatory compliance
  • Accreditation information management
  • Microsoft Excel expertise
  • Reliability
  • Organizational skills
  • Remote conferencing and communication
  • Goal setting
  • Time management
  • Process improvement

Timeline

Credentialing Specialist

Optim Healthcare
05.2017 - Current

High School Diploma -

William Henry Shaw High School

Some College (No Degree) -

Columbus Technical College

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