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STEPHANIE CAMPOS-ABREU
Baldwin
Summary
Highly organized healthcare administration professional with extensive experience managing complex credentialing processes and regulatory compliance. Proven success in facilitating interdepartmental communication with physicians, leadership, and multidisciplinary teams while ensuring accuracy, efficiency, and compliance with organizational and accreditation standards. Skilled in process improvement, data management, documentation, problem-solving, and coordinating multiple priorities in fast-paced healthcare environments. Adept at managing confidential information, analyzing data, streamlining workflows, and supporting organizational initiatives. Seeking opportunities to leverage strong administrative, operational, and project coordination experience in a broader healthcare or business environment.
Overview
22
22
years of professional experience
Work History
Credentialing Specialist
NYU Langone Hospitals-Long Island
Mineola
08.2016 - Current
- Evaluated provider credentials for compliance with regulatory standards.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Coordinated with departments to efficiently gather required documentation, streamlining the credentialing process.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Facilitated interdepartmental communication, enhancing collaboration during credentialing processes and reducing delays.
- Maintained accurate records of credentialing activities and statuses.
- Researched discrepancies between submitted provider data and verified sources when necessary.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Expedited onboarding for new providers by ensuring timely completion of all required documentation and verifications, supporting seamless integration into the organization.
Personal Injury Protection Claims Representative
GEICO, Government Employees Insurance
Woodbury
07.2012 - 07.2016
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
- Ensured compliance with industry regulations through strict adherence to established claims handling procedures and guidelines.
- Reviewed insurance contracts, consulted with involved parties, secured medical information, and reviewed associated reports and billing documentation.
- Evaluated the validity of personal injury insurance claims and monitored case files over the course of treatment.
- Processed large volumes of claims in fast-paced work environment, ensuring accuracy and efficiency.
- Facilitated effective communication and timely resolutions as liaison among clients, adjusters, and other parties in claims process.
Computer Data Entry Operator
Alere Health Care
Westbury
03.2011 - 07.2012
- Collaborated with team members to complete large-scale data entry projects, ensuring timely delivery and accuracy.
- Verified data files prior to entry, enhancing data integrity and reliability.
- Assisted with file organization, categorizing documents for improved accessibility and efficiency for team members.
Office Coordinator
Next Generation Pediatrics
Woodbury
05.2009 - 03.2011
- Provided administrative support to staff, assisting with daily tasks to facilitate smooth operations across the organization.
- Interacted with customers via phone, email, or in-person to deliver accurate information and enhance customer experience.
- Managed incoming and outgoing calls, recording messages for timely distribution to office staff.
Receptionist
Ananda And Poulose Medical Associates
Mineola
11.2004 - 05.2009
- Greeted visitors and customers, providing friendly and knowledgeable assistance to enhance their experience.
- Confirmed appointments and updated client records while ensuring clear communication with clients.
- Resolved patient problems and complaints, ensuring satisfaction and maintaining a positive office environment.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Education
Bachelor of Science - Mathematics Education
St. John's University
Queens, NY05-2009
Skills
- Database Management
- Data Analysis & Reporting
- Documentation and Recordkeeping
- Confidential Records Management
- Provider Credentialing
- Provider Relations
- Regulatory Compliance
- Policy & Procedure Compliance
- Cross-Functional Collaboration
- Process Improvement
- Problem Solving
Languages
Spanish, Native or Bilingual
Technical Skills
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Microsoft Teams
- CAQH Provider Data Portal
- Symplr Provider (Provider Credentialing Software)
- New Innovations
- Adobe Acrobat Pro
- Internet Research
Timeline
Credentialing Specialist
NYU Langone Hospitals-Long Island
08.2016 - Current
Personal Injury Protection Claims Representative
GEICO, Government Employees Insurance
07.2012 - 07.2016
Computer Data Entry Operator
Alere Health Care
03.2011 - 07.2012
Office Coordinator
Next Generation Pediatrics
05.2009 - 03.2011
Receptionist
Ananda And Poulose Medical Associates
11.2004 - 05.2009
Bachelor of Science - Mathematics Education
St. John's University