Martha Leon
Hollywood,FL
Summary
Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
5
5
years of professional experience
Work History
Credentialing Professional
Conviva Care Solutions
03.2023 - Current
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Collaborated with managers to identify and address employee relations issues.
- Advocated for staff members, helping to identify and resolve conflicts.
- Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
Billing Specialist
Santos Medical & Diagnostic Center
07.2022 - 03.2023
- Processed vendor and supplier payments on weekly basis.
- Simplified complex billing procedures for clients by creating easy-to-understand documentation and training materials.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Monitored customer accounts to identify and rectify billing issues.
Healthcare Data Integrity Specialist
Provider Network Solutions
01.2019 - 06.2022
- Determined root cause of data quality errors and recommended long-term solutions.
- Developed comprehensive training materials, leading to increased staff proficiency in data management best practices.
- Mapped data between source systems and warehouses.
- Prepared functional and technical documentation data for warehouses.
- Developed and executed data cleanup measures.
- Performed systems and data analysis using variety of computer languages and procedures.
Skills
- Provider Relations
- Personnel Recruitment
- Data Analysis
- Procedure Compliance
- Document Review
- Insurance procedures
- Management collaboration
Timeline
Credentialing Professional
Conviva Care Solutions
03.2023 - Current
Billing Specialist
Santos Medical & Diagnostic Center
07.2022 - 03.2023
Healthcare Data Integrity Specialist
Provider Network Solutions
01.2019 - 06.2022
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