Keisa Ali
Brunswick,GA
Summary
Dynamic Credentialing Specialist with a proven track record at Citizant, excelling in regulatory compliance and provider relations. Expert in data management and conflict resolution, I streamlined credentialing processes, enhancing efficiency and accuracy. Recognized for fostering collaboration and training teams, I consistently delivered timely results while maintaining high standards of documentation and oversight.
Overview
4
4
years of professional experience
Work History
Credentialing Specialist
Citizant
Brunswick, GA
02.2024 - Current
- Supported compliance with regulatory standards during credentialing processes.
- Learned to navigate various credentialing software and management tools effectively.
- Monitored timelines for credentialing approvals to ensure timely processing.
- Engaged in training sessions to enhance knowledge of industry best practices in credentialing.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
- Received and evaluated applications to look for missing and inaccurate information.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Enhanced credentialing processes by streamlining documentation and verification procedures.
- Developed strong relationships with external organizations, leading to increased cooperation during verification processes.
- Contributed positively to team dynamics by fostering a collaborative and supportive work environment.
- Updated and maintained accurate records in credentialing databases, ensuring timely renewals and verifications.
- Collaborated with IT department to enhance credentialing software functionalities, improving user experience for staff.
- Implemented continuous improvement strategies for credentialing process, leading to more efficient operations.
- Improved office efficiency by effectively managing internal communications and correspondence.
- Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
- Advocated for staff members, helping to identify and resolve conflicts.
Dispatcher
Chenega Infinity
Brunswick, GA
08.2022 - 02.2024
- Coordinated dispatch operations to ensure timely delivery of services.
- Monitored and managed communication between drivers and clients efficiently.
- Utilized routing software to optimize delivery routes and reduce delays.
- Responded promptly to emergency situations, prioritizing safety and efficiency.
- Maintained accurate records of dispatch activities and service requests.
- Collaborated with team members to streamline processes and improve service quality.
- Assisted in training new staff on operational protocols and systems usage.
- Managed high-stress situations calmly and effectively, ensuring timely assistance to those in need.
- Implemented feedback mechanisms for continuous improvement in dispatch operations.
- Directed dispatching, routing, and tracking of Number fleet vehicles.
- Communicated with drivers and personnel to coordinate timely delivery of goods and materials.
- Collaborated with fellow dispatchers to maintain a seamless workflow during shift changes.
- Maintained accurate records of all dispatched calls, improving data tracking for future analysis.
- Managed conflict resolutions with customers, drivers and other personnel to encourage professional relationships and promote respect.
- Provided exceptional customer service to callers, remaining empathetic and patient during emergencies.
- Promoted teamwork among colleagues by proactively assisting others when needed.
- Maintained updated and detailed records of calls in physical and electronic database.
- Tracked delivery progress to identify possible delays and provide real-time updates to customers.
- Trained new dispatchers on company protocols, contributing to a well-prepared team of professionals.
- Generated reports to track deliveries and maintain proper records and documentation.
- Trained and provided guidance to new team members to apply best practices and comply with protocols and regulations.
- Consistently met performance metrics for call handling, contributing to the overall success of the department.
- Reduced errors in dispatch logs by implementing a thorough double-check system for all entries.
- Streamlined the dispatch process by organizing resources and routes, optimizing response efforts.
- Demonstrated adaptability in evolving situations by adjusting strategies in real-time as new information became available.
- Processed invoices and payments for dispatched orders to provide proof of transaction.
- Facilitated smooth transitions between shifts by properly documenting unresolved calls and ongoing incidents.
- Ensured compliance with local, state, and federal regulations related to emergency communications.
- Oversaw route and condition of field units to manage daily schedule and maintain organized shifts.
- Analyzed customer feedback and provided solutions to improve customer service.
- Enhanced communication with first responders by maintaining updated contact information and utilizing clear, concise language during dispatches.
Billing Specialist
Coastal Community Health
Brunswick, GA
04.2021 - 08.2023
- Processed billing inquiries and resolved discrepancies efficiently to ensure customer satisfaction.
- Managed accounts receivable, ensuring timely invoicing and accurate payment tracking.
- Collaborated with cross-functional teams to streamline billing procedures and enhance overall efficiency.
- Implemented new software tools for improved invoice management and reporting accuracy.
- Reviewed and reconciled monthly statements to maintain financial integrity across accounts.
- Trained new staff on billing protocols, fostering a knowledgeable team environment.
- Researched and resolved billing discrepancies to enable accurate billing.
- Developed comprehensive documentation for billing processes, ensuring compliance with company standards.
- Worked with multiple departments to check proper billing information.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Contributed to positive work environment by offering support and guidance to junior billing staff.
- Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
- Enhanced interdepartmental communication to ensure accuracy and completeness of billing information.
- Increased revenue retention by setting up follow-up system for outstanding payments.
- Played key role in annual audit process by providing comprehensive billing records and explanations for variances.
- Streamlined billing process efficiency by implementing updated billing system.
- Implemented cost-saving measures by identifying and eliminating inefficiencies in billing process.
Education
No Degree - Nursing Education
Coastal
Brunswick, GANo Degree - Education
Fort Valley State University
Fort Valley, GAHigh School Diploma -
Brunswick High School
Brunswick, GA05.1992
Skills
- HIPAA compliance
- Background checks
- Provider enrollment
- Data management
- Credentialing oversight
- Provider relations
- Application coordination
- Report generation
- Insurance procedures
- Application management
- Document review
- Data acquisition
- Proofreading
- Regulatory compliance
- Database maintenance
- Employee onboarding
- Group assistance
- License verifications
- Accreditation information management
- Facility credentialing
- Credentialing documentation
- Background check
- Community health center credentialing
- Credential verification
- Solo practitioner credentialing
- Documentation and recordkeeping
- Microsoft office
- Procedure compliance
- Project management
- Training and mentoring
- Organizational development
- Analytical and critical thinking
- Conflict resolution
- Customer relationship management
- Transfer coordination
- Data analysis
- Relationship building
- Human resources support
- Applicant qualification
- New hire onboarding
- Report preparation
- Human resources management systems
- Employee hiring
- Business intelligence
- Employment recordkeeping
- Employee orientation
- Employee relations
- Employment data tracking
- Personnel management
- Recruitment
Timeline
Credentialing Specialist
Citizant
02.2024 - Current
Dispatcher
Chenega Infinity
08.2022 - 02.2024
Billing Specialist
Coastal Community Health
04.2021 - 08.2023
No Degree - Nursing Education
Coastal
No Degree - Education
Fort Valley State University
High School Diploma -
Brunswick High School