Laqwanna Coleman
Charlotte,NC
Summary
An energetic and self-motivated team member that is seeking growth, new challenges and advancement within the credentialing office setting to enhance experience with the Business System Analyst team.
Overview
17
17
years of professional experience
Work History
Credentialing Coordinator
Novant Health Credentialing & Medical Staff Ops
12.2020 - Current
- Processing incoming streamline applications for completion
- Gathering training and education documents to create provider profile
- Prioritizing files
- Verifying provider license information
- Creating provider profile packet for release to Medical staff
- Sending evaluations to department chairman
- Communicating with providers and clinic Administrators
Credentialing Application Service Representative
Novant Health Credentialing & Medical Staff Ops
01.2020 - 12.2020
- Processing the incoming provider credentialing application request including prioritizing urgent requests
- Assisting providers with the online provider portal related to challenges on the Initial, Streamline and/or Practitioner Support Staff applications
- Analyzing the Practitioner Support Staff providers application request including criteria for scope of practice and requested facilities
- Processing delegates for medical staff as requested
- Updating credentialing databases adhering to required correctness and completeness outlined by the policy/process
Administrative Specialist III
Novant Health Central Verification Office
06.2019 - 01.2020
- Operating the Sr
- Director & Director’s calendar (any scheduling needs)
- Accounts Payable/ Accounts Receivable
- Processing the incoming credentialing application request from Medical staff
- Processing delegates for medical staff as requested
- Answering all calls for reappointment staff and new credentialing staff
- Works closely with credentialing coordinators
- Answering a number of emails and calls daily
Patient Service Coordinator IV (Referrals Coordinator)
Novant Health Gynecologic Oncology Associates
05.2016 - 06.2019
- Responsible for entering incoming/outgoing referrals
- Triage high volume of phone calls daily
- Responsible for obtaining some insurance authorizations
- Responsible for creating office orders
- Knowledge of medical terminology and urgency of conditions that need to be prioritized in practice
- Responsible for putting in patient insurance and demographic information
- Works closely with doctors, nurses, and other medical staff
- Organizing doctors and mid-levels files
- Template building
- Creates the End of Day reports for office
- Ability to edit patient and provider’s schedule
- Knowledge of CPT codes
- Serves as back up surgery coordinator in scheduling surgeries
- Serves as back up to front desk staff
Patient Service Coordinator III
Novant Health Gynecologic Oncology Associates
05.2015 - 05.2016
- Triage high volume of phone calls daily
- Responsible for checking patients in and out of clinic
- Knowledge of medical terminology and urgency of conditions that need to be prioritized in practice
- Responsible for putting in patient insurance and demographic information
- Works closely with doctors, nurses, and other medical staff
- Serve as back up for referral coordinator in scheduling appointments
- Template building
- Cash handling
- Ability to edit patient and provider’s schedule
Pharmacy Customer Service Representative
Novant Health Presbyterian Pharmacy
10.2012 - 05.2015
- Handles cash transactions
- A lot of interactions with customers/ patients in regard to any questions and concerns on prescriptions, etc
- Responsible for doing the entire over the counter ordering for the pharmacy
- Answering a high volume of phone calls daily
- Knowledge on putting in refills for prescriptions to be billed to insurance
- Work with Insurance policies and claims
Sales Associate-PT
Rack Room Shoes
05.2012 - 06.2013
- Responsible for greeting customers as they enter the store
- Organizing shelves, and making sure everything stays nice and neat for the next guest
- Handling any transactions on the register when the cashier is needed
- Meeting daily sales quotas
Training Manager
Dunkin Donuts
06.2008 - 03.2012
- Interact with customers by ringing up their purchases
- Responsible for the collection and process of daily transactions dealing with cash or credit cards for food and drink purchases
- Responsible for performing exchanges and returns, and training employees
Education
Information Technology BS -
Strayer University
09.2025
Business Administration - Human Resources Management
Central Piedmont Community College
12-2018
Diploma -
Hopewell High School
01.2010
Skills
- Customer Service Oriented
- Customer Relations Development
- Microsoft Word
- Microsoft Office
- Effective Problem Solving
- Leadership Skills
- Ability to Multi-task
- Organizational Skills
- Project Management
- Time management
- PowerPoint
- Outlook
- Excel
- Epic
- HER
- ECHO
Personal Information
Title: Human Resource Generalist
Timeline
Credentialing Coordinator
Novant Health Credentialing & Medical Staff Ops
12.2020 - Current
Credentialing Application Service Representative
Novant Health Credentialing & Medical Staff Ops
01.2020 - 12.2020
Administrative Specialist III
Novant Health Central Verification Office
06.2019 - 01.2020
Patient Service Coordinator IV (Referrals Coordinator)
Novant Health Gynecologic Oncology Associates
05.2016 - 06.2019
Patient Service Coordinator III
Novant Health Gynecologic Oncology Associates
05.2015 - 05.2016
Pharmacy Customer Service Representative
Novant Health Presbyterian Pharmacy
10.2012 - 05.2015
Sales Associate-PT
Rack Room Shoes
05.2012 - 06.2013
Training Manager
Dunkin Donuts
06.2008 - 03.2012
Information Technology BS -
Strayer University
Business Administration - Human Resources Management
Central Piedmont Community College
Diploma -
Hopewell High School