Results-driven Credentialing Specialist skilled in optimizing credentialing workflows and enhancing interdepartmental communication. Successfully improved accuracy in data management and compliance through meticulous oversight of credentialing processes.
Overview
4
4
years of professional experience
Work History
Credentialing Specialist
Ascension Health Care ( Contract
Remote
04.2026 - Current
Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
Received and evaluated applications to look for missing and inaccurate information.
Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Achieved greater accuracy in database management by regularly updating provider records and tracking status changes.
Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
Worked 120 accounts a day
Credentialing Associate
Baylor Genetics (Contract Job)
Remote
11.2025 - 03.2026
Reviewed and processed credentialing applications for accuracy and completeness.
Maintained up-to-date records in credentialing database to ensure compliance standards.
Assisted in the development of streamlined workflows for credentialing processes.
Collaborated with cross-functional teams to enhance efficiency of credentialing operations.
Trained new team members on best practices for data entry and documentation management.
Implemented tracking systems for monitoring credentialing progress and deadlines.
Liaised with healthcare providers to obtain necessary documentation for accurate credentialing.
Credentialing Specialist
Sutherland Global
Remote
12.2024 - 01.2026
Assisted in developing streamlined workflows to enhance credentialing efficiency.
Facilitated communication between various departments regarding provider credentialing status.
Conducted regular audits of credential files to ensure ongoing compliance and accuracy.
Supported onboarding processes by providing timely credentialing updates to stakeholders.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
Enhanced credentialing processes by streamlining documentation and verification procedures.
Managed 40-50 accounts per day
Credentialing Specialist
HCA Parallon
Remote
11.2022 - 08.2024
Managed credentialing processes for healthcare providers, ensuring compliance with regulatory standards.
Reviewed and verified provider applications for accuracy and completeness.
Coordinated with medical staff to gather necessary documentation for credentialing purposes.
Maintained up-to-date knowledge of industry regulations and best practices in credentialing.
Obtained NPI numbers for providers and facilities and updated existing profiles.
Conducted primary source verifications such as background checks and board certifications.
Managed 40-50 accounts a day
Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.