Summary
Overview
Work History
Education
Skills
Timeline
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Teresa Jackson

Victorville,CA

Summary

Multitasking professional skilled in file efficiency and database integrity. A resourceful Credentialing Coordinator with a background in tracking the expiration of practitioner documents.

Overview

11
11
years of professional experience

Work History

Credentialing Coordinator

Teladoc
07.2018 - 11.2023
  • Streamlined the credentialing process by implementing an efficient tracking system for medical staff applications.
  • Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
  • Enhanced the organization''s reputation through meticulous maintenance of accurate, up-to-date records on all affiliated providers.
  • Collaborated with department heads to develop a comprehensive credentialing policy, ensuring compliance with industry standards.


  • Assisted in maintaining accreditation status by preparing necessary reports and materials for site visits and audits.
  • Contributed to risk management initiatives by monitoring expiring licenses, certifications, and insurances, notifying providers of renewal requirements in a timely manner.
  • Minimized potential legal complications by ensuring adherence to federal and state regulations governing healthcare practitioners'' licensure and certification requirements.
  • Upheld strict confidentiality standards, safeguarding sensitive provider information from unauthorized access or disclosure.
  • Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
  • Maintained accurate files, records and credentialing documents in well-maintained databases using Salesforce.
  • Communicated effectively with various parties each day using polished interpersonal and active listening skills.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Confirmed data and licensing information through investigations and notified violators of required changes to bring operations into compliance.
  • Maintained up-to-date knowledge of applicable laws and regulations.
  • Conducted periodic compliance audits and reviews to identify areas of improvement.



Enrollment Specialist

Livongo Health
02.2017 - 07.2019
  • Maintained a high level of accuracy by conducting thorough reviews of enrollment applications, ensuring compliance with CMS regulations.
  • Assisted members in understanding complex Medicare policies, guiding them through the enrollment process stepbystep.
  • Conducted regular audits to maintain strict adherence to regulatory guidelines, mitigating risk for non-compliance penalties.
  • Supported team members in achieving departmental goals by sharing knowledge and expertise on best practices for Medicare enrollment processes.
  • Managed a high volume of applications while maintaining attention to detail and adhering to tight deadlines.
  • Ensured timely completion of daily tasks by setting priorities based on urgency levels.
  • Handled escalated member cases with professionalism, working diligently towards a satisfactory resolution.
  • Maintained strict confidentiality of member information, adhering to HIPAA guidelines and company privacy policies.
  • Communicated with people from various cultures and backgrounds on application process.
  • Reviewed applications for different aid programs and determined which qualification criteria for individuals.
  • Assisted clients with completion of applications and paperwork.

Dispatcher

Apex Bulk Commodities
08.2012 - 01.2017
  • Managed communications between drivers and customers to ensure timely deliveries and high customer satisfaction.
  • Maintained accurate records of all dispatched vehicles, ensuring proper documentation and compliance with industry regulations.
  • Provided ongoing support to drivers during shifts, addressing any issues or concerns promptly and professionally.
  • Collaborated with warehouse staff to prioritize shipments based on delivery deadlines, maximizing efficiency in the supply chain process.
  • Assisted in the development of dispatcher training materials, leading to improved job performance throughout the team.
  • Monitored weather conditions daily to preemptively adjust routes when necessary, reducing potential delays due to adverse conditions.
  • Facilitated communication between drivers and management, ensuring a seamless flow of information and enabling quick decision-making processes.
  • Monitored and tracked status of shipments in transit to confirm on-time delivery.
  • Built professional relationships with new customers and cultivated existing ones through active listening and intelligent open-ended questioning.
  • Updated vehicle logs, cargo records, and billing statements with accuracy and efficiency.
  • Handled incoming calls and emails from customers regarding issues with deliveries.
  • Oversaw and enforced compliance with all safety regulations and DOT regulations.
  • Monitored and tracked dispatch communication systems.
  • Tracked and monitored vehicle performance and maintenance.

Education

Bachelor of Arts - Communications

California State University - Fullerton
Fullerton, CA
06.2018

Skills

  • Background Investigations
  • Data Research and Analysis
  • Practitioner Application Monitoring
  • Re-Credentialing Processes
  • HIPAA Compliance
  • Ethical Conduct
  • Medical Terminology
  • Regulatory Compliance
  • Credentialing Software
  • Report Generation
  • License Verification

Timeline

Credentialing Coordinator

Teladoc
07.2018 - 11.2023

Enrollment Specialist

Livongo Health
02.2017 - 07.2019

Dispatcher

Apex Bulk Commodities
08.2012 - 01.2017

Bachelor of Arts - Communications

California State University - Fullerton

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Teresa Jackson