LaToya Sanders
Huntsville,AL
Summary
Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
15
15
years of professional experience
Work History
Credentialing Specialist
Delta Dental
03.2023 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted primary source verifications such as NPDB reports, Streamline, DEA, death master and board certifications.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Screen provider credentialing and re-credentialing packets for missing information, request missing information from provider, resolve discrepancies between information supplied and findings of other sources (State, Dental or etc.).
- Facilitated communication between departments, resulting in improved collaboration during credentialing process.
- Received and evaluated applications to look for missing and inaccurate information.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Creates and updates provider information in credentialing system to ensure that credentials are completed within timely manner and at high level of accuracy.
- Receives provider inquiries via phone and correspondence. Researches and verifies detailed information on provider participation status. Perform verification of all applicable credentials.
- Performs miscellaneous duties as assigned.
- Receive and process emails, attach documents to providers case number, request for missing information if all documents are not received
Home Health Aide-Senior Helpers
Senior Helpers
09.2021 - 03.2023
- Assist with personal care, basic food preparation, general health care, mobility assistance, transportation, and health monitoring.
- Maintained a clean and safe home environment for patients, reducing falls and accidents.
- Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
- Traveled to clients' homes to complete healthcare services and promote continuity of care.
- Completed thorough documentation of patient care activities, maintaining accurate records for effective communication amongst the healthcare team.
- Administered medications as prescribed, ensuring proper dosage and timely administration for optimal health outcomes.
- Utilized effective communication skills when interacting with diverse populations including non-English speakers or individuals with cognitive impairments.
Driver-ElderRide
ElderRide
05.2018 - 03.2020
- Purchased supplies and equipment, drove clients to their destinations, reported back to supervisor, and operated wheelchair lifts.
- Followed all relevant traffic laws and safety regulations.
- Utilized GPS and other navigation tools to plan routes and stay on schedule.
- Cleaned and maintained vehicle and assessed vehicle for damage after each shift.
- Maintained professional and friendly demeanor during deliveries to uphold company reputation.
- Improved customer satisfaction by maintaining punctuality and adhering to strict delivery schedules.
- Developed strong relationships with clients, fostering trust through professionalism and reliability in transportation services provided.
- Communicated with dispatchers and other personnel to coordinate transportation schedules.
- Kept detailed mileage and fuel reports to track overall fuel costs.
Support Specialist-JCPenney
JCPenney
06.2016 - 02.2017
- Provided support during sales process, helped customers resolve sales-related issues, and assisted with non-standard requests.
- Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
- Optimized internal workflows to expedite incident escalations, leading to faster problem-solving efforts from specialized teams.
- Resolved complex customer issues, ensuring high satisfaction rates with personalized support solutions.
Area Office Assistant U.S. Department of Agriculture (Rural Development)
U.S. Department of Agriculture (Rural Development)
11.2009 - 03.2011
- Worked closely with Loan Specialist, collected and assessed information, completed clerical and technical assignments, answered customer inquiries, and performed administrative tasks.
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Enhanced office efficiency by managing schedules, organizing files, and maintaining clean workspace.
- Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
- Contributed to positive work environment by fostering open communication among colleagues.
- Reviewed files, records and other documents to obtain information to respond to requests.
- Performed background checks to loan applicants to see if applicants qualify for housing loans.
Education
A.A.S in Health Information Technology -
Devry University
Naperville, IL06.2009
Certificate of Completion in Medical Transcription -
Huntsville Business Institute
Huntsville, AL10.2001
Skills
- HIPAA Compliance
- Background Checks
- Provider credentialing
- Data Management
- Excel
- Microsoft Outlook
- Microsoft Teams
- Strong work ethic
- Credentialing oversight
- Microsoft Office
- Remote Conferencing and Communication
- Problem-solving abilities
- Multitasking Abilities
- Excellent Communication
- Attention to Detail
Timeline
Credentialing Specialist
Delta Dental
03.2023 - Current
Home Health Aide-Senior Helpers
Senior Helpers
09.2021 - 03.2023
Driver-ElderRide
ElderRide
05.2018 - 03.2020
Support Specialist-JCPenney
JCPenney
06.2016 - 02.2017
Area Office Assistant U.S. Department of Agriculture (Rural Development)
U.S. Department of Agriculture (Rural Development)
11.2009 - 03.2011
A.A.S in Health Information Technology -
Devry University
Certificate of Completion in Medical Transcription -
Huntsville Business Institute
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