Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
7
7
years of professional experience
9
9
years of post-secondary education
Work History
Licensing Specialist
Talkiatry
Remote
05.2022 - Current
Revenue cycle team and own all aspects of assisting, obtaining, and renewing various state medical, DEA and CSR licenses for our providers. My responsibilities include completing license applications and coordinating and following up with state agencies, providers, and working closely with our credentialing team. I will drive the licensing process in a proactive and streamlined manner. I accomplish this by using our innovative software platform that stores provider information and allows you to assign and request providers to complete tasks.
Case Resolution Specialist II
Envision Physician Services
Remote
11.2021 - 05.2022
Work directly in Case Reconciliation Application and GE Billing platform, Triage unmatched cases for resolution, Triage inquiries from Providers and Conduct outreach to Providers in effort to resolve outstanding cases.
Licensing/Credentialing Specialist
Envision Physician Services
Remote
02.2021 - 11.2021
Completion of initial and renewal state licensing applications, Support completion of state specific verifications and follow-up with facilities to ensure proper delivery to licensing boards and Maintain specific departmental workflow responsibilities as assigned (i.e. renewal workflows, tasks, etc.)
Licensing Coordinator
SBG Healthcare
Hollywood, FL
07.2019 - 04.2020
Establish working relationships with internal personnel in order to facilitate new licensure, renewal licensure and reinstatement licensure for contracted providers and Maintain accurate records of licensure progress using Microsoft Excel spreadsheets.
Team Health
Credentials Coordinator
Tamarac, FL
04.2017 - 02.2019
Works closely with Clinician Onboarding Liaison, Open/close credentials file in Teamworks and Conduct verification of information submitted by clinicians.
Charge Entry Specialist
Schumacher Clinical Partners
Hollywood, FL
09.2016 - 04.2017
Ensure all required documents are included in the chart for accurate coding and billing, Identify high important charts and flag for review, Assist with medical records, Review provider documentation for accuracy, Identify patient charts that are non-billable to Schumacher Group and eliminate from billing system.
Charge Entry Specialist
Randstad Staffing Account Schumacher Clinical -
Hollywood, FL
05.2016 - 09.2016
Ensure all required documents are included in the chart for accurate coding and billing, Identify high important charts and flag for review, Assist with medical records, Review provider documentation for accuracy, Identify patient charts that are non-billable to Schumacher Group and eliminate from billing system.
Credentialing Specialist II / Career Coordinator
Parallon Workforce Solutions
Sunrise, FL
06.2014 - 01.2016
Serves as liaison between PWS field offices, facilities and employees, Maintains database for all employee credentials, Notifies employee of pending expiration of credentials, Ensures copies of proper licenses and other required documents are present in employee's files prior to employee starting.
Education
Associate of Arts -
Broward College
Fort Lauderdale, FL
01.2014 - 05.2022
Associate of Applied Science - Information Technology Project Management
Broward College
Fort Lauderdale, FL
05.2022 - Current
Skills
Database Management
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Software
Windows
Timeline
Licensing Specialist
Talkiatry
05.2022 - Current
Associate of Applied Science - Information Technology Project Management
Broward College
05.2022 - Current
Case Resolution Specialist II
Envision Physician Services
11.2021 - 05.2022
Licensing/Credentialing Specialist
Envision Physician Services
02.2021 - 11.2021
Licensing Coordinator
SBG Healthcare
07.2019 - 04.2020
Team Health
Credentials Coordinator
04.2017 - 02.2019
Charge Entry Specialist
Schumacher Clinical Partners
09.2016 - 04.2017
Charge Entry Specialist
Randstad Staffing Account Schumacher Clinical -
05.2016 - 09.2016
Credentialing Specialist II / Career Coordinator
Parallon Workforce Solutions
06.2014 - 01.2016
Associate of Arts -
Broward College
01.2014 - 05.2022
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