Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
18
18
years of professional experience
Work History
Credentialing Specialist
Wipro Technologies
Atlanta, GA
11.2018 - Current
Conducted primary source verifications such as background checks and board certifications
Obtained NPI numbers for providers and facilities and updated existing profiles
Collaborated with physicians to ensure timely completion of hospital applications
Checked applications for missing information and organized all paperwork
Technical Support Representative
Computer Generated Solutions Inc.
Atlanta, GA
04.2016 - 11.2018
Answered 40+ incoming calls from commercial and individual customers
Verify and update customers' contact information to include phone numbers, address and email for warranty and non warranty repairs
Used ticketing systems to manage and process actions taken
Maintained high departmental standards for quality and productivity metrics
Researched, troubleshot and resolved complex problems independently
Customer Service Representative
Perimeter Staffing
Atlanta, GA
03.2015 - 04.2016
Answered an average of 80+ calls per day by addressing customer inquiries, solving problems and providing new product information
Answered customer telephone calls promptly and in an appropriate manner
Directed calls to appropriate individuals and departments
Resolved all customer complaints in a professional manner while prioritizing customer satisfaction
Preserved a perfect attendance record for four months
Customer Service Representative
Pitney Bowes Inc.
Atlanta, Georgia
12.2006 - 01.2015
Answered 90+ calls per day regarding merchandise and pricing
Logged call information and solutions provided into company database
Documented all customer inquiries and comments thoroughly and quickly
Processed refunds and credit card payments quickly and accurately
Resolved all customer complaints in a professional manner while prioritizing customer satisfaction
Education
Lenovo Certified Repair Technician - undefined
Lenovo Business Services, Morrisville, NC
2017
Skills
Application coordination
Proficiency in Sales Force and CAQH
Records and file management
Issue identification and resolution
Background investigations
Re-credentialing processes
Practitioner application monitoring
Documentation workflows
Provider enrollment
Insurance credentialing processes
Timeline
Credentialing Specialist - Wipro Technologies
11.2018 - Current
Technical Support Representative - Computer Generated Solutions Inc.
04.2016 - 11.2018
Customer Service Representative - Perimeter Staffing
03.2015 - 04.2016
Customer Service Representative - Pitney Bowes Inc.
12.2006 - 01.2015
Lenovo Business Services - Lenovo Certified Repair Technician,