Tara Martins
SimiTree Healthcare
Port St. Luci,FL
1
Certification
8
years of professional experience
Results-driven professional with a strong background in credentialing and provider enrollment. Expertise in data management and document review enables efficient operations within healthcare settings. Ready to leverage skills to ensure compliance and enhance provider onboarding processes.
Work History
Credentialing Specialist
5 Years 7 Months- Oversaw credentialing processes for healthcare providers, ensuring compliance with industry standards and regulations.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Enrolled providers in Medicaid, Medicare, and private insurance plans.
- Mentored junior staff on best practices in credentialing and provider enrollment procedures.
- Evaluated applicant qualifications against organizational criteria, maintaining high accuracy in records management.
- Collaborated with cross-functional teams to resolve discrepancies in provider credentials and documentation.
- Trained new employees on credentialing software systems and procedural guidelines for optimal performance.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Executive Assistant to the Chief Executive Officer
9 Months- Managed confidential correspondence and communications for the CEO, ensuring professionalism and discretion.
- Coordinated executive schedules, meetings, and travel arrangements to optimize daily operations.
- Assisted in preparing reports, presentations, and materials for board meetings and corporate events.
- Developed and maintained filing systems, enhancing document retrieval efficiency and organization.
- Prepared meeting agendas and briefing papers for members of the board of directors and executive team.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
Medical Receptionist
7 Months- Managed patient scheduling and appointment confirmations to optimize clinic workflow.
- Utilized electronic health record (EHR) systems to maintain up-to-date patient information.
- Coordinated insurance verification and processing for accurate billing procedures.
- Assisted in developing office protocols that enhanced patient check-in efficiency.
- Monitored inventory levels of medical supplies, ensuring availability for daily operations.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Adhered to strict HIPAA guidelines to protect patient privacy.
Education
Bachelor of Arts - English Literature
- Coastlines Marketing Team Member (FAU's Literary Magazine)
Skills
Provider credentialing
Facility credentialing
Solo practitioner credentialing
Provider enrollment
HIPAA compliance
Data management
Document review
Microsoft Office Suite
Critical thinking
Active listening
Accomplishments
- Maintain provider roster of 250+ providers across 25 Commercial, Medicare, and Medicaid enrollments
Certification
- Certified Provider Credentialing Specialist Certification - Anticipated 2027
Timeline
Credentialing Specialist
SimiTree Healthcare
01.2021 - CurrentRead More
Executive Assistant to the Chief Executive Officer
Nutritional Products International
03.2019 - 12.2019Read More
Medical Receptionist
West Boca Eye Center
08.2018 - 03.2019Read More
Florida Atlantic University
Bachelor of Arts from English Literature
Read More