ROSELYNE JOSEPH
Boca Raton,FL
Summary
Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills. Aiming to leverage my abilities to successfully fill the vacancy at your company. Adaptable professional with 10+ years of work experience.
Overview
11
11
years of professional experience
Work History
Credentialing Specialist II
TRS Healthcare
05.2022 - 07.2023
- Serves as the point of contact for new and current health care professionals regarding compliance processes
- Prepared profiles and completed permanent files for 10-12 facilities for review and approval
- Ensure healthcare professionals are providing all required compliance documentation in a timely manner
- Review initial and ongoing Live Scan results
- Conducted reference or background checks on job applicants
- Ensure all permits, credentials and licenses are clear of issues and legally compliant during hiring process
- Track and follow up prior expiration of permits, credentials, and licenses to ensure ongoing compliance
- Prepare and accurately maintain a variety of reports
- Update VMS compliance records for new and current healthcare professionals
- Update changes to personal information, such as address, phone email
- Identify problems or issues of concern of hiring healthcare professionals
- Propose changes in procedures and identify problem area
- Committed to delivering excellent customer service while working in a fast-paced environment to meet deadlines of 10-20 files at 88% success rate
- Participated in ongoing training to enhance own job skills and knowledge by interacting with interdepartmental communications
Onboarding Ambassador
Cross Country Healthcare
01.2020 - 05.2022
- Oversight of the credentials for healthcare professionals confirmed for an assignment and currently on assignment
- Follow up for results of criminal background searches, metabolic drug screenings and infectious disease titers and other clinical testing with appropriate vendors
- Ensure accurate background searches are started and complete in a timely and efficient manner to meet the mandated documented due date
- Inspect HCP documents prior to sending to imaging storage system
- Work with licensure team to facilitate the issuance of licensure in order to meet the start date requirement
- Promote, foster and maintain optimal relationships across departmental and company lines to influence positives results
- Create an average of 25 document plans for healthcare professionals for upcoming assignments to include setting deadlines and expectations
- Attended trainings for internal and external processes to maintain detailed knowledge base in order to assist with any questions or concerns a professional may have
Customer Service Representative
Teleperformance
10.2019 - 01.2020
- Answer incoming calls and respond to customer’s emails
- Management and resolve customer complaints place customer orders in the computer system
- Identify and escalate issues to supervisors
- Provide product and service information to customers
- Research required information using available resources
- Research, identify, and resolve customer complaints using applicable software
- Process orders, forms, and application
- Route calls to appropriate resources
- Document all call information according to standard operating procedures
- Follow up customer calls where necessary, Liaison
- Labor Relations, Onboarding of Staff
- Regulations and Compliance Management
- Accounts Payable & Receivable Management
Discharge Planner
Boca Raton Regional Hospital
02.2017 - 05.2019
- Clinical and Clerical processing for Case Managers of patient and family information
- Physician and Clinical Team Liaison
- Assist Hospital Case Managers with difficult discharge planning process and those patients with large Case Management needs
- Verification of patient benefits, coordination of benefits for service/care utilization
- Care Coordination with DME, Home Health Agency, Hospice, SNF, LTAC and any other type of Care communities
- Assorting of packets for all acute rehabs and SNF transfer/discharges
- Coordinating Transportation
- Modification of treatment plans to comply with changes in clients' status
- Using Allscripts to send referrals to facilities.
Health Unit Coordinator
Boca Raton Regional Hospital
01.2015 - 02.2017
- Support Nurse Manager on Stepdown Unit with processing patient admissions, transfers and discharges.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Assembled and maintained patient medical records and other documents related to patient care.
- Responded to patient call lights to expedite appropriate follow-through.
- Transcribe doctor's orders
- Maintain the appointment calender, schedules, and medical charts
- Communicate with patients, families, medical staff and caregivers to guarantee smooth operations
- Train new employees on hospital processes
- Resolve all patient complaints and collect reviews to help improve functionality
Customer Service
Metro Pcs
09.2012 - 10.2014
- Sales and Marketing for New and Old Accounts
- Staffing and Scheduling
- Management of sales activity and weekly reporting
- Direct Customer/Consumer Relations
- Accounts Payable
- Maintained Inventory
Education
Associate of Science - Occupational Therapy Assistant
Keiser University
Fort Lauderdale, FL12.2013
Diploma -
Plantation High School
Plantation05.2005
Skills
- Management Collaboration
- Applications Coordination
- Americans with Disabilities Act (ADA)
- Business/ Clerical Experience
- Computers and Electronic Systems
- Customer and Patient Services
Timeline
Credentialing Specialist II
TRS Healthcare
05.2022 - 07.2023
Onboarding Ambassador
Cross Country Healthcare
01.2020 - 05.2022
Customer Service Representative
Teleperformance
10.2019 - 01.2020
Discharge Planner
Boca Raton Regional Hospital
02.2017 - 05.2019
Health Unit Coordinator
Boca Raton Regional Hospital
01.2015 - 02.2017
Customer Service
Metro Pcs
09.2012 - 10.2014
Associate of Science - Occupational Therapy Assistant
Keiser University
Diploma -
Plantation High School
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