Experienced and meticulous professional with a strong track record in healthcare-provider credentialing and regulatory compliance. Proficient in processing applications and privileging requests with strict adherence to regulations. Utilize expertise in maintaining accurate records to facilitate seamless operations in a healthcare facility or similar organization.
Overview
6
6
years of professional experience
Work History
Administrative Assistant
Bestica
04.2023 - Current
Conduct thorough reviews of records for regulatory compliance and quality assurance, ensuring adherence to relevant regulations
Maintain meticulous records and documentation of applications and verifications
Monitor application progress and conducted follow-ups as necessary to ensure timely completion
Respond promptly to providers' requests for information, demonstrating strong communication skills and customer service.
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Ensured accurate record-keeping with diligent data entry and database management for vital company information.
Managed filing system, entered data and completed other clerical tasks.
Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
Credentialing Specialist
Sutherland Global Inc.
11.2021 - 03.2023
Facilitated practitioner application process, including receipt, analysis, and verification of practitioner documents to ensure completeness for credentialing
Conducted accurate data entry in credentialing software/databases, ensuring integrity and confidentiality of provider information
Participated in weekly team meetings to enhance work product quality, share best practices, and streamline processes for increased efficiency
Expertise in credentialing software and databases such as Facets, CAQH, Cactus
Prioritized workload effectively to meet end-of-week deadlines while maintaining attention to detail
Developed training materials and resources to streamline the learning process, enhancing the efficiency of the training program
Provided ongoing support and guidance to the coworker, fostering a collaborative and productive work environment
Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
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.
Received and evaluated applications to look for missing and inaccurate information.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Data Entry Clerk / Credentialing Assistant / Hiring Clerk
Magnum Opus Technologies Inc.
10.2018 - 10.2019
Verified provider credentials, including licenses, immunizations, and other required documentation
Prepared and entered data into database, ensuring accuracy and completeness of information
Conducted employment verifications with previous employers to validate work history and credentials
Conducted thorough reviews of resumes and cover letters to identify qualified candidates
Collaborated with hiring managers to understand staffing needs and requirements for various roles
Collaborated with team members to ensure data consistency and resolve discrepancies
Maintained confidentiality and security of sensitive information
Organized, sorted, and checked input data against original documents.
Verified accuracy of data entered into system to produce error-free reports.
Enhanced data accuracy by meticulously reviewing and correcting errors in spreadsheets and databases.
Created and maintained data entry logs to track data entry activities.
Performed regular audits on database content to identify outdated or inaccurate records requiring updates or removals.
Education
Sterile Processing Career Diploma -
Penn Foster
Scottsdale, AZ
01.2021
High School Diploma -
Premier High School
Laredo, TX
06.2015
Skills
Office Administration
Computer Skills
Data Entry
Customer Service
Time Management
Computer Proficiency
Database entry
Dedicated Team Player
Spreadsheet Management
Quality Assurance
Tech-Savvy
Prioritization
Timeline
Administrative Assistant
Bestica
04.2023 - Current
Credentialing Specialist
Sutherland Global Inc.
11.2021 - 03.2023
Data Entry Clerk / Credentialing Assistant / Hiring Clerk
Magnum Opus Technologies Inc.
10.2018 - 10.2019
Sterile Processing Career Diploma -
Penn Foster
High School Diploma -
Premier High School
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