Queency Cardenas
San Antonio,TX
Summary
Credentialing professional with proven track record in managing credentialing operations and ensuring compliance. Valued for strong collaborative skills and achieving results through efficient processes. Known for adaptability and reliability in dynamic environments, with expertise in documentation and regulatory standards.
Overview
6
6
years of professional experience
Work History
Credentialing Specialist
Bestica
10.2024 - Current
- Provided credentialing support to senior specialists and respond to Military Treatment Facilities (MTF) requests, ensuring compliance with DoD standards.
- Conduct primary source verifications for healthcare professionals, including obtaining credentials, verifying licensure, and performing databank queries.
- Review and process credentialing applications, resolve discrepancies by coordinating with applicants, and maintain accurate records in the CCQAS system.
- Liaise with medical offices, educational institutions, and certification agencies to verify credentials and ensure completeness.
- Identify and escalate potential credentialing issues to requestors and prepare detailed credential verification summaries.
- Manage provider credentialing files, ensuring timely transfers to MTF or training offices and on-time completion of credentialing tasks for multiple providers simultaneously.
Administrative Assistant
Bestica
04.2023 - 10.2024
- 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
Penn, PA01.2021
High School Diploma -
Premier High School
Laredo, TX06.2015
Skills
- Office Administration
- Data Entry
- Customer Service
- Time Management
- Computer Proficiency
- Database entry
- Dedicated Team Player
- Spreadsheet Management
- Quality Assurance
- Tech-Savvy
- HIPAA compliance
- Data management
Contact
San Antonio, TX 78244
Education
Laredo, TX,Scottsdale, AZ
Timeline
Credentialing Specialist
Bestica
10.2024 - Current
Administrative Assistant
Bestica
04.2023 - 10.2024
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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