To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
16
16
years of professional experience
Work History
Community Associate
Le Purlieu
03.2023 - Current
Manage process from booking and giving tours, to signing up new members, and facilitating their move-in
Maintain cleanliness, vibe, and organization of space
Address client concerns and be go-to person for members
Orient first-time members and short-term customers
Increase customer experience for events and day-to-day operations
Manage payment, billing, and lease agreements
Be available to customers in person, via phone, and email
Identify issues and ensure results are prioritized and implemented
Contribute to social media and newsletters
Assist in preparing for events and activities
Conducted tours of le purlieu, described features and promoted services.
Developed and implemented unique and engaging activities for residents
Credentialing Coordinator
Vanderbilt Medical
03.2017 - 07.2022
Responsible for CVO credentialing and providing administrative support for Vanderbilt NCQA Certified Credentials Verification
Maintains current working knowledge of CVO policies and procedures and ensures that credentialing records comply with all regulatory requirements 2
Responsible for maintaining strict confidentiality of provider information at all times
Review and data entry of provider applications, verification of provider information
Ensures that credentialing records comply with requirements of regulatory and accrediting agencies
Processing of online verifications
Demonstrate commitment to quality by credentialing in compliance with all applicable regulations and requirements
Work proactively to resolve issues before providers and/or patients are impacted
Conducted primary source verifications such as background checks and board certifications
Maintained accurate files, records and credentialing documents in well-maintained databases using Cactus.
Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing
Received and evaluated applications to look for missing and inaccurate information
Obtained NPI numbers for providers and facilities and updated existing profiles
Credentialing Coordinator
Addison Group
07.2016 - 03.2017
Review and enter providers VHAN and VUMC applications in Vistar system Process and request medical license, malpractice insurance, DEA NPDB,
Board Certification Follow up on applications sent to VHAN and VUMC providers.
Organized and detail-oriented with strong work ethic
Managed time efficiently in order to complete all tasks within deadlines
Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing
Received and evaluated applications to look for missing and inaccurate information
Credentialing Specialist
Anesthesia Services/ CPS
08.2015 - 03.2016
Conduct written and oral follow up to determine application status Process applications to be submitted to payers, obtain and renew licenses, malpractice insurance, healthcare contracts on behalf of new and existing providers as needed Document all tasks, phone calls, emails and other forms of communication during credentialing and re-credentialing process in database Communicates with Physicians, Payers, Managers and co-workers in professional and polite manner Follows up on status of applications submitted to payers 3 Scan and index completed applications Respond promptly to all questions, received via phone or email, regarding any licenses, DEA, CAQH, applications submitted to payers
EDI Provider Enrollment
Emdeon
05.2014 - 05.2015
Provide Provider, Vendor and Payer outreach and support to set up and complete EDI enrollment process with all partners Review and verify information submitted by customer and enter set-up into appropriate systems to create system access and vendor business profile expectations for customer (Vendors, Providers and Payers) Route and set up documents to appropriate customers (internal and external) for review Respond to customer inquiries or concerns via incoming telephone calls or e- mail correspondence Respond to escalated customer concerns as needed for set up and support of EDI enrollment process Gather and compile data within Siebel for internal and external reporting
Provider Enrollment Specialist
HCA
07.2007 - 05.2014
Collect initial documents and applications for new providers
Liaison between application specialist and practice manager
Train new employees on intake process
Maintain departmental Inboxes in Microsoft Outlook
Maintain Cactus software with provider documents for enrollment
Maintain and update CAQH (Council for Affordable Quality Healthcare)
Respond to customer inquiries and concerns via PBX operator
Provide relief support for Applications Specialists, Assist other Intake
Specialist and educate Managers and Team leads on efficient procedure of
process
Process all incoming departmental mail and distribute to appropriate
Education
Some College (No Degree) - Social Welfare, Women’s Studies
Tennessee State University
Nashville, TN
High School Diploma -
Madison High Sc
Madison, TN
05.1982
Skills
SPECIALIZED SOFTWARE
CACTUS
One App
Enroll Med
ECW
Proficient in Microsoft
Office Equipment
Tenant Relations
Data Entry
Billing Procedures
Administrative Duties
Timeline
Community Associate
Le Purlieu
03.2023 - Current
Credentialing Coordinator
Vanderbilt Medical
03.2017 - 07.2022
Credentialing Coordinator
Addison Group
07.2016 - 03.2017
Credentialing Specialist
Anesthesia Services/ CPS
08.2015 - 03.2016
EDI Provider Enrollment
Emdeon
05.2014 - 05.2015
Provider Enrollment Specialist
HCA
07.2007 - 05.2014
Some College (No Degree) - Social Welfare, Women’s Studies