Stephanie Faith Guerrero
San Antonio
Summary
Obtain a position that allows me to apply my extensive credentialing and administrative experience to support a growing organization while ensuring accuracy, compliance, and operational efficiency.
Experienced with credentialing processes and regulatory compliance. Utilizes effective communication and meticulous documentation to manage credentialing for healthcare providers. Knowledge of industry standards and best practices ensures thorough and efficient credentialing operations.
Overview
21
21
years of professional experience
Work History
Credentialing Specialist
Deer Oaks- A Behavioral Health Organization
San Antonio, TX
12.2014 - Current
- Managed all aspects of provider credentialing, re-credentialing, and privileging across 37 states, ensuring compliance with regulatory and accrediting bodies. Verified and maintained provider enrollment with Medicare, Medicaid, and commercial health plans, including CAQH, NPI, TINs, malpractice coverage, and licensure. Ensured providers were properly credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. Maintained accurate provider data, tracked license and certification expirations, and ensured timely renewals. Initiated and finalized payer agreements including Aetna, BCBS, Optum, Molina, Centene, and Cigna. Audited health plan directories for accuracy and compliance, and assisted with training and onboarding new credentialing staff.
Patient Care Coordinator Team Lead
Deer Oaks- A Behavioral Health Organization
San Antonio, TX
04.2011 - 12.2014
- Collected and maintained medical data from multiple cities and states to support accurate billing. Processed referrals and verified Medicare, Medicaid, and third-party insurance coverage. Obtained consents to treat from responsible parties and powers of attorney. Provided daily workflow support and clerical assistance to clinicians. Conducted daily audits of plans of care and testing, maintained productivity reports, and trained all new department employees.
Cashier/Clerk
Petco
San Diego, CA
04.2009 - 11.2010
- Handled and balanced cash transactions accurately. Answered and transferred incoming calls while providing courteous customer service. Assisted the public with questions and issue resolution. Maintained store organization through restocking and zoning merchandise. Provided daily care for animals, including feeding, cleaning habitats, and administering medications as needed.
Fitness Trainer/Assistant Manager
Curves
El Paso, TX
04.2007 - 05.2008
- Provided nutritional support and guidance on healthy eating habits. Facilitated orientation for new members of the fitness facility. Conducted monthly client reviews to support progress toward individual fitness goals. Delivered exceptional customer service to clients, members, and guests throughout the club. Oversaw all incoming accounts and managed payroll responsibilities.
Assistant Manager
Target
El Paso, TX
01.2005 - 03.2007
- Increased customer satisfaction by directly assisting customers and resolving issues at the store level. Delivered high-quality customer service while supporting management through sales training for new employees. Drove daily sales by engaging customers and maintaining effective merchandising and window displays.
Education
Mental Health Coaching - Mental Health Coaching
Light University
San Antonio, TX04.2022
Medical Assistant/Medical Administration
Anamarc College
El Paso, TX12.2006
General Studies
Americas High School
El Paso, TX05.2004
Skills
- HIPAA compliance
- Background checks
- Data management
- Provider Credentialing, Re-Credentialing & Privileging
- Multi-State Credentialing & Provider Enrollment
- Medicare, Medicaid & Commercial Payer Enrollment
- Regulatory Compliance & Credentialing Audits
- CAQH, NPI & Provider Data Management
- Payer Contracting & Health Plan Portals
- Healthcare Administration & Operations Support
- Training & Onboarding of New Employees
- Data Accuracy, Reporting & Documentation
- Professional Communication & Customer Service
Timeline
Credentialing Specialist
Deer Oaks- A Behavioral Health Organization
12.2014 - Current
Patient Care Coordinator Team Lead
Deer Oaks- A Behavioral Health Organization
04.2011 - 12.2014
Cashier/Clerk
Petco
04.2009 - 11.2010
Fitness Trainer/Assistant Manager
Curves
04.2007 - 05.2008
Assistant Manager
Target
01.2005 - 03.2007
Medical Assistant/Medical Administration
Anamarc College
General Studies
Americas High School
Mental Health Coaching - Mental Health Coaching
Light University