Summary
Overview
Work History
Education
Skills
Timeline
Generic

Keshia Powell

Carrollton

Summary

Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.

Overview

11
11
years of professional experience

Work History

Patient Financing/ Credentialing Specialist

Jefferson Dental & Orthodontics
11.2020 - Current
  • Performs Revenue Cycle functions, ensures departmental quality and productivity standards are met
  • Provides continuous updates and information to department regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience
  • Responsible for ensuring providers are credentialed, appointed, and privileged with health plans
  • Tracks license and certification expirations for all providers to ensure timely renewals
  • Maintains JDO appointment files, and information in credentialing database
  • Sets up and maintains provider information in CAQH
  • Collects performance data and generates reports for both individual and team performance
  • Maintain department workload status reports and communicate provider credentialing status internally and externally, when necessary.
  • Conducted primary source verifications such as board certifications, DEA, NPI, and state licensing.

Retail Associate

GAP INC
02.2022 - Current
  • Maintained clean sales floor and straightened and faced merchandise.
  • Greeted customers, helped locate merchandise, and suggested suitable options.
  • Helped customers complete purchases, locate items, and join reward programs.
  • Answered questions about store policies and addressed customer concerns.
  • Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
  • Refunded payments for returned items, processed exchanges, and offered store credit to achieve customer satisfaction.

Customer Service Specialist

Etex Communication
04.2019 - 03.2020
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
  • Took payment information and other pertinent information such as addresses and phone numbers to place orders.
  • Resolved concerns with products or services to help with retention and drive sales.
  • Complied with company policies and procedures by encouraging positive and effective work environment among employees.
  • Answered customer telephone calls promptly to avoid on-hold wait times.

Customer Service Representative IV / Trainer

Public Safety
09.2012 - 09.2017
  • Meet with the public in a professional and courteous manner, answer general questions pertaining to applications for various types of driver licenses and identification cards
  • Questions pertaining to traffic laws, voter registration, and driver responsibilities
  • Also train new hire employees on how to issue driver licenses and on the policies and procedures
  • Completed audits of employees’ work and submitted them to supervisors.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Maintained up-to-date knowledge of product and service changes.
  • Optimized day-to-day instruction to align educational strategies with industry best practices.
  • Initiated new learning methods, eliminating instructional gaps and improving comprehension.
  • Applied various teaching aids to minimize learning gaps and instruct and motivate new employees.

Education

AAS - Criminal Justice

Remington College

Skills

  • Microsoft office proficiency, specifically Excel, Outlook, and Word
  • Verbal and Written Communication
  • Self-Directed Learning
  • Active Listening
  • Typing Proficiency
  • Recordkeeping Strengths
  • Customer Service
  • Microsoft Office
  • Provider Relations
  • Problem Resolution
  • Provider Enrollment
  • Credentialing Documentation

Timeline

Retail Associate

GAP INC
02.2022 - Current

Patient Financing/ Credentialing Specialist

Jefferson Dental & Orthodontics
11.2020 - Current

Customer Service Specialist

Etex Communication
04.2019 - 03.2020

Customer Service Representative IV / Trainer

Public Safety
09.2012 - 09.2017

AAS - Criminal Justice

Remington College

Similar Profiles

CREATE PROFILE
Keshia Powell