Kenickay Prendergast
Credentialing
Jacksonville,FL
Summary
Passionate Credentialing Specialist privy to working with an array of allied health professionals and medical doctors with six experienced years of providing credentialing support to practitioners and three skilled years supervising and leading a team. I possess strong multi-tasking skills to stay organized, meet deadlines, and prioritize files. I am tech-savvy, Diligent, and focused, and I can quickly learn new software and processes. I am highly resilient, handle a large influx of assignments and projects, and prioritize when working with physicians and on a team.
Overview
10
10
years of professional experience
Work History
CREDENTIALING ANALYST
NURSEFINDERS-AMN HEALTHCARE
05.2021 - Current
- Review healthcare providers’ submitted requirements using a data platform system, including licensure, certifications, screens, and other critical documents.
- Create urgency with healthcare providers via email and phone to encourage timely and accurate document submission by establishing target dates and monitoring document submission progress to deliver comprehensive documentation to the client facility for an on-time assignment start date
CREDENTIALING SPECIALIST
NTT DATA SERVICES
01.2021 - 06.2021
- REMOTE – 5 MONTHS
- I implemented and monitored procedures, activities, and projects related to credentialing and re-credentialing of Centene network providers.
- I processed provider applications by updating and maintaining a provider database and scheduled follow-up communication on expired documents, credentialing status, and missing items.
- Ensures all files are processed via a paperless process using Adobe Professional, Citrix, and Nuance PDF
- I was responsible for analyzing all information sent in by the physician/provider and verifications received through Federal and State queries— processes primary source verifications, as necessary.
- I assisted the Credentials Manager in tracking and reporting on files for initial credentialing and re-credentialing
- Assisted in Auditing, completed files of other team members, and aided in training.
CREDENTIALING SPECIALIST
MTI AMERICA
, Florida
11.2019 - 11.2020
- I was a part of a new project in creating a new credentialing department for the organization
- I implemented credentialing processes, policies, and procedures for initial and re-credentialed providers and facilities
- I organized training, orientation, and coaching for new team members
- I presented information to new providers in the process with email and phone correspondence
- I provided follow-ups regarding claims and procedural guidelines for the authorization of services
- Creates, manages, and edits provider profiles
- In addition, I conducted provider credentialing activities to ensure compliance with MTI America’s policy and procedure.
CREDENTIALING SPECIALIST
Parallon Workforce Solutions
Orange Park, United States
04.2017 - 10.2019
- Responsible for processing all initial and renewal applications for providers requesting access to HCA facilities
- I Maintained a 99.5% average for file quality and efficiency with 95% required standard with 115% daily productivity on the tracker within 90 days after training.
- I Verified that all submitted credentials are current and complete.
- I was responsible for primary source verification on all licenses and applicable certifications.
- I had to maintain accurate records of all files in the Staff PM system and Cactus.
- Evaluate all Backgrounds and ensure proper flagging of malpractice or discrepancies found
- Ensures all files are processed via a paperless process using Adobe Professional. Commits all DHP completed files to On Base.
- Imaging Systems Communicates applicable updates and notices to agencies.
- Per CPC policy, ensure that all credentials’ files are current and complete according to the expiration date of medical licenses, board certification, professional liability insurance coverage, DEA, and other pertinent information.
- Accurately perform various administrative duties such as: placing calls, processing incoming mail, processing facsimile verifications, scanning, sending written inquires, filing, copying, and other duties as needed.
CREDENTIALING SPECIALIST
CROSS COUNTRY HEALTHCARE, BOCA RATON
, FL
01.2015 - 11.2015
- Obtain copies of all required documents from healthcare providers, including, but not limited to, CPR cards, ACLS cards
- Verify nursing license online—order background checks
- Arrange for drug screening and all pre-employment health testing
- I Process I-9 and e-verify on healthcare providers according to government specifications.
- Obtain other documents to meet the client's requirements
- (Each client/VMS may have a slightly different requirement list; must know what the client requires and obtain it from the healthcare providers)
- Maintains data in the appropriate software/systems following company policy and time frames and ensures all the necessary HCP credentials are current, compliant, and filed
- Provide reports as required.
OVERNIGHT TEAM LEAD – MDLIVE
MDLIVE
SUNRISE, FL
10.2013 - 02.2015
- I worked in a fast-paced, structured virtual health center environment to enforce quality customer care by addressing all escalation emails in a timely and efficient manner— documenting necessary account information and offering solutions that benefit the patient.
- My responsibility was supervising and assisting Health Service Specialists with questions or concerns with overnight telemedicine appointments.
- I provided guidance and instruction to senior and novice team members and used my knowledge and skills to motivate my team in production quarterly.
- Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skills.
- I established open and professional relationships with team members to resolve various issues quickly.
MANAGER TRAINEE
AMERICAN KIOSK MANAGEMENT
SUNRISE, FL
08.2011 - 01.2014
- Assist the Retail Store Manager in planning and implementing strategies to attract customers— coordinate daily customer service operations (e.g., sales processes, orders, and payments)
- Track the progress of team members' weekly, monthly, quarterly, and annual objectives, and productivity
- Monitor and maintain store inventory
- Evaluate employee performance and identify hiring and training needs: coach and support new and existing Sales Associates
- Communicate with clients and evaluate their needs
- Conduct regular audits to ensure the store is presentable
- Make sure all employees adhere to the company's policies and guidelines.
- I maintained positive customer relations by addressing problems and implementing successful corrective actions.
- I directed employee training and retraining to boost performance and enhance business results.
- Opened and closed locations and monitored shift changes to uphold successful operations strategies and maximize business success.
- I have established employee performance goals and provided feedback on methods for reaching those milestones.
Education
Associate of Science - INFORMATION MANAGEMENT
BROWARD COLLEGE
Davie, FL2024
DIPLOMA - General Studies
DILLARD HIGH SCHOOL
Fort Lauderdale, FL06.2010
Skills
- Strong interpersonal & communication skills
- MS Office Suite
- Problem Solving
- Leadership
- Meticulous attention to detail
- Excellent Organizational skills
- Poised under Pressure
Timeline
CREDENTIALING ANALYST
NURSEFINDERS-AMN HEALTHCARE
05.2021 - Current
CREDENTIALING SPECIALIST
NTT DATA SERVICES
01.2021 - 06.2021
CREDENTIALING SPECIALIST
MTI AMERICA
11.2019 - 11.2020
CREDENTIALING SPECIALIST
Parallon Workforce Solutions
04.2017 - 10.2019
CREDENTIALING SPECIALIST
CROSS COUNTRY HEALTHCARE, BOCA RATON
01.2015 - 11.2015
OVERNIGHT TEAM LEAD – MDLIVE
MDLIVE
10.2013 - 02.2015
MANAGER TRAINEE
AMERICAN KIOSK MANAGEMENT
08.2011 - 01.2014
Associate of Science - INFORMATION MANAGEMENT
BROWARD COLLEGE
DIPLOMA - General Studies
DILLARD HIGH SCHOOL
Interests
Karaoke
Personal Fitness
Reading Audible Books
Travel
Volunteering for the Community
Interests
Karaoke
Personal Fitness
Reading Audible Books
Travel
Volunteering for the Community
Similar Profiles
Chinyere OnyiohaChinyere Onyioha
LVN Travel Nurse at AMN Health Care and NursefindersLVN Travel Nurse at AMN Health Care and Nursefinders
Jordyn TylerJordyn Tyler
Travel Registered Nurse, Labor and Delivery at AMN Healthcare & AYA HealthcareTravel Registered Nurse, Labor and Delivery at AMN Healthcare & AYA Healthcare
Rich RodriguesRich Rodrigues
Recruiting & Operations Support at MSDR Healthcare Staffing, part of AMN HealthcareRecruiting & Operations Support at MSDR Healthcare Staffing, part of AMN Healthcare