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Credentialing/Provider Enrollment Specialist | Managed Care & Corporate Development

Credentialing and Enrollment Specialist

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Credentialing expert with over six years’ experience and a proven record of translating complex payor requirements into streamlined results. Adept at building and enhancing relationships with payors via clear and concise communication. Additional expertise lies in strategizing and optimizing operational workflows to support organizational goals.

Knowledgeable credentialing specialist brings knack for performing successful application checks and verifying informational resources. Several years of experience overseeing data access and security based on up-to-date trends and standards. Adept at verifying primary sources and access-level tiers. Proven communicator and relationship builder expertly tracks complex update, certification and credential requests.

Reliable Provider Enrollment Specialist with background in streamlining provider enrollment processes. Familiarity with both Medicaid and Medicare rules, regulations, and guidelines stands out as strength. Professional skills include strong communication, understanding of database systems and processing applications for healthcare providers. Previous work has brought about enhanced operational efficiency and improved regulatory compliance.


  Has good experience in Data analysis and Customer management with Healthcare, Retail, Finance and Banking domains.
  Proficient in handling customer inquiries, complaints and Providing solutions in a timely and professional manner Skilled in documenting & maintaining detailed records.
  Knowledgeable about healthcare, banking and retail industry policies, procedures and regulations Able to effectively communicate with clients and customers.
  Experienced in handling Sensitive & Confidential customer information with utmost discretion. Ability to build rapport with customers, understand their needs and provide appropriate assistance.
  Strong Problem solving Skills to identify and resolve customer issues effectively and to their satisfaction. Excellent multitasking ability to handle multiple inquiries simultaneously
  Comfortable in using customer service software and other CRM tools Excellent oral and written communication Skills.
  Great Team Player with excellent interpersonal skills to work effectively with cross functional teams and colleagues.
  Ability to pay strong attention to detail and accurately process client requests, payments and other requirements
  Capability to work in a busy target driven environment and maintain high customer Satisfaction. A responsible data specialist with a wealth of knowledge gained from working in various data entry environments.
  Well-organized and meticulous in identifying and fixing system problems to finish tasks. Analytical and decisive in solving problems.
  Proficiency with Internet Explorer, and Chrome-the three most popular internet browsers for Windows disseminating raw source documents, handling data entry, and editing.
  Assisted functional groups in sales, order entry, accounting, general ledger, contracts, and customer support. Able to oversee many concurrently operating projects with conflicting priorities.
  Skilled at entering and analysing data using Microsoft Excel's sophisticated capabilities. Exhibited proficiency with data entry duties, entering a lot of information into Excel spreadsheets quickly.
  Has experience in normalization, data extraction, data mining, data cleansing, and data manipulation in addition to process optimization.
  Ensures that all appeals are received on time to guarantee payment for administrative, clinical, authorization, among other services.
  Having experience in building and managing error-free, well-organized Excel databases for effective data management.
  Extensive background in managing and developing service solutions for data input, shipping, and database maintenance.
  Expertise in performing Data Entry, pivot tables and V-lookup, collecting data and creating daily trend.
  Strong working knowledge of Microsoft Word, Excel, and PowerPoint. Database Programming and SQL.


SHAKIRAH SHABAZZ

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Overview

Work History

Credentialing and Enrollment Specialist

Senior Support Specialist

Client Support Specialist

Team Lead

Retention Specialist

Education

Bachelor of Science - Finance

Skills

Timeline

Credentialing and Enrollment Specialist

Senior Support Specialist

Client Support Specialist

Team Lead

Retention Specialist

Bachelor of Science - Finance

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