Sonya E. Morrison
Jonesboro
Summary
Experienced QA Credentialing Specialist with over 10 years in regulatory compliance and credential verification within healthcare. Streamlined workflows and enhanced data accuracy to meet contract and regulatory standards. Analyzed reports to identify gaps and drive performance improvement initiatives.
Overview
20
20
years of professional experience
Work History
QA Credentialing Services Specialist III
ModivCare Solutions LLC
College Park
01.2018 - 01.2026
- Ensured compliance with federal and state laws, regulations, and contract standards for quality assurance.
- Verified provider documents to confirm compliance with contract requirements, enhancing operational integrity.
- Ensures accurate and timely data review and reporting.
- Proactively partners across all departments to manage the timely satisfaction of ModivCare's obligations under all contract agreements.
- Prepare and organize provider files for healthcare audits.
- Create, analyze, and provide reports to both internal and external customers.
- Provided quality reporting feedback to aid development of performance improvement goals and training programs.
- Served in various roles at LogistiCare
Customer Service Representative Team Lead
LogistiCare
College Park
01.2015 - 01.2018
- Oversee functions of Customer Service Representatives (CSR's)
- Establish and maintain good working relationships with providers, clients, co-workers, and regional office personnel.
- Compiled agent reports and communicated stats to Call Center management.
- Supported Call Center management in conducting 90-day and annual evaluations of CSRs.
- Coordinate work schedules, vacation, and leave requests of CSRs.
- Facilitated transportation services by managing health care contracts effectively.
- Collaborated with transportation providers and health care facilities to resolve issues.
Front Desk Staff / Receptionist / Administrative Assistant
LA Fitness
Morrow
01.2014 - 01.2015
- Operations Assistant
- Greeted members upon entry and exit, fostering a welcoming atmosphere.
- Managed incoming and outgoing calls to members.
- Managed member retention, collections, sign-ups, and cancellations to enhance member satisfaction.
- Processed cash and checks for payments, ensuring accurate financial transactions.
- Accessing member accounts and making changes to the system as requested.
Customer Service Representative / Cash Rep
Bank of America
West Hempstead
01.2013 - 01.2014
- Coordinated communication for effective corporate account management.
- Executed timely deposits to optimize account balance management.
- Cash Vault Associate
Administrative Assistant
Best Metropolitan
Hempstead
01.2011 - 01.2012
- Managed data entry tasks to maintain information accuracy and support operational needs
- Created and organized records using word processing software for easy access and retrieval
- Handled telephone communications to provide customer service and resolve inquiries
Cashier
Wal-Mart
Greensboro
01.2010 - 12.2010
- Managed all cash and credit card transactions in the department store environment.
- Balanced cash drawer at end of each shift, ensuring accurate financial reporting.
- Engaged diverse customers, providing tailored service to enhance satisfaction.
Customer Service Representative
KGB
McLeansville
01.2009 - 01.2010
- Handled high volume of inbound calls, delivering accurate information to customers.
- Assisted customers with inquiries and resolved issues efficiently.
- Resolved billing issues and addressed customer inquiries to enhance satisfaction.
- Processed orders and managed customer accounts accurately.
- Provided product information to enhance customer understanding.
Cashier/ Switchboard / Receptionist
J.C. Penney
01.2006 - 01.2009
- Processed cash and credit card transactions, ensuring accuracy and efficiency in a department store environment.
- Balanced cash drawer at end of each shift, verifying accuracy and resolving discrepancies.
- Resolved billing issues and addressed customer inquiries, enhancing overall customer satisfaction.
Education
Nassau Community College
Garden City, NY01-2007
High School -
Uniondale High School
Uniondale, NY01-2005
Skills
- Credentialing management
- Quality assurance and reporting
- Regulatory compliance
- Healthcare compliance
- Data analysis and interpretation
- Performance improvement
- Process optimization
- Contract negotiation
- Stakeholder engagement
- Cross-functional collaboration
- Detail-oriented performance
- Provider experience optimization
Websites
Timeline
QA Credentialing Services Specialist III
ModivCare Solutions LLC
01.2018 - 01.2026
Customer Service Representative Team Lead
LogistiCare
01.2015 - 01.2018
Front Desk Staff / Receptionist / Administrative Assistant
LA Fitness
01.2014 - 01.2015
Customer Service Representative / Cash Rep
Bank of America
01.2013 - 01.2014
Administrative Assistant
Best Metropolitan
01.2011 - 01.2012
Cashier
Wal-Mart
01.2010 - 12.2010
Customer Service Representative
KGB
01.2009 - 01.2010
Cashier/ Switchboard / Receptionist
J.C. Penney
01.2006 - 01.2009
Nassau Community College
High School -
Uniondale High School