Summary
Overview
Work History
Education
Skills
Timeline
SoftwareEngineer
Shawquannia Young

Shawquannia Young

Credentialing Specialist
Forney,TEXAS

Summary

Dynamic Credentialing Specialist with a proven track record at Signify Health, adept at streamlining processes and enhancing team collaboration. Expert in credential verification and documentation, while demonstrating exceptional customer service and relationship-building skills. Successfully reduced onboarding wait times, ensuring compliance and accuracy in provider credentialing.

Overview

21
21
years of professional experience

Work History

Credentialing Specialist

Signify Health
02.2021 - 12.2024

Executed credentialing tasks for multiple providers concurrently, maintaining adherence to deadlines.

  • Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
  • Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
  • Updated and maintained accurate records in credentialing databases, ensuring timely renewals and verifications.
  • Conducted primary source verifications such as background checks and board certifications.
  • Enrolled providers and Medicaid, Medicare, and private insurance plans.
  • Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
  • Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
  • Enhanced team collaboration by implementing centralized database for tracking credentialing statuses.
  • Streamlined provider credentialing process, significantly reducing wait times for new provider onboarding.

Patient Service Representative

Touchstone Imaging
06.2019 - 02.2021
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Verified insurance eligibility and coverage for patients.
  • Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Managed patient registration process, confirming data accuracy and completeness.
  • Used Software to schedule appointments.
  • Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
  • Handled customer service inquiries in person, via telephone and through email.
  • Assisted patients in filling out check-in and payment paperwork.
  • Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.

Access Service Representative

Baylor Scott & White Medical Center
01.2016 - 02.2019
  • Improved interdepartmental collaboration by maintaining open lines of communication with other Access Service Representatives within the organization.
  • Proactively identified potential areas for improvement within department processes, proposing solutions that were ultimately implemented successfully across the organization.
  • Provided back-up support for reception desk duties when necessary, demonstrating flexibility in adapting to various roles within the department as needed.
  • Collaborated closely with medical records personnel in order to ensure timely processing of requests for patient documents.

Administrative Assistant

Alpha Healthcare Services
03.2004 - 01.2016
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.

Education

Diploma - Basics

Eisenhower High School
Houston

Skills

  • Microsoft office
  • Remote conferencing and communication
  • Calendar management
  • Professional telephone demeanor
  • Customer relations skills
  • Customer relations
  • Meeting scheduling
  • Insurance procedures
  • Software expertise
  • Document review
  • License verifications
  • Credential verification
  • Credentialing documentation
  • Background check
  • Facility credentialing
  • Information protection
  • Analytical and critical thinking
  • Data analysis
  • Customer relationship management
  • Data management
  • Provider enrollment
  • Background checks
  • HIPAA compliance
  • Microsoft office
  • Insurance verification
  • Credentialing
  • Excellent phone demeanor
  • Data entry skills
  • Microsoft office
  • Microsoft office
  • Microsoft office
  • Microsoft office
  • Microsoft office
  • Deadline management
  • Telephone and email skills
  • Problem-solving
  • Multitasking
  • Verbal and written communication
  • Computer proficiency
  • Data entry
  • Interpersonal skills
  • Prior authorization processing
  • Appointment scheduling
  • Written communication
  • Paperwork processing
  • Office equipment operation
  • Time management
  • Verbal communication
  • Scheduling
  • Microsoft Office Suite
  • Microsoft PowerPoint
  • Spreadsheets
  • Spreadsheet management
  • Confidential document control
  • Workflow optimization

Timeline

Credentialing Specialist

Signify Health
02.2021 - 12.2024

Patient Service Representative

Touchstone Imaging
06.2019 - 02.2021

Access Service Representative

Baylor Scott & White Medical Center
01.2016 - 02.2019

Administrative Assistant

Alpha Healthcare Services
03.2004 - 01.2016

Diploma - Basics

Eisenhower High School
Shawquannia YoungCredentialing Specialist