Hardworking and passionate job seeker with strong organizational skills eager to secure an entry-level position. Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Credentialing Specialist
Randstad – Vanguard
12.2021 - Current
Assist financial investors with financial products and services
Assist with IRA transfers
Assist with retirement rollovers
Assisting clients with opening of brokerage account applications
File CMS claims
Assist with gifting between accounts and account transitions
Investigate claims using BPM system
Inputting data using excel and dynamics system
Account maintenance
Assist with foundational needs
Incoming and outgoing calls
Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and ensure customer satisfaction
Maintain and update all credentialing systems with current information
Other duties include data entry, answering phones, scanning documents.
Credentialed Medical Assistant
Duke Health Care – Urgent Care
02.2018 - 07.2021
Organize and maintain medical documents at practice
Responsible for managing medical records of facility, including preparing, storing, and retrieving patient health records
Initiate Credentialing Packets to individual provider/practitioner for completion within designated timeframe
Triage patients over phone
Patient Intake
Measures vital signs
Request patient refills
Schedule appointments
Perform phlebotomy – Peripheral blood draws
Operate cbc, blood glucose, and triage machines
Administer vaccinations and medication injections
Work closely with Revenue Cycle Managers and billing staff to identify and resolve any denials
Authorization issues related to provider/service location credentialing
Handled billing issues and answered billing questions patient may have
Made request for Certificates of Medical necessity from hospitals, doctor offices, clinics etc for certain durable medical equipment
Processed payments that customers made on their accounts email address and insurance information
Removal of sutures
Removal of IV’s
Wound care for minor emergent wounds, cyst packing, and suture placements
Check patients in and out of clinic
Benefit Verification
Prior Authorization
EMR/HER
CODING
Coordinate with team members and seek clarity from medical providers before and after care when necessary
Responded to inquiries from other departments regarding medical records
Enter and track progress for patients to ensure access for other team members and insurance
CPR Instructor and Office Administrator
Assist providers with navigating Provider Portal
Check status of orders
Data corrections for patients
Helping providers with login/portal issues
Assisting with Inventory Management
Assisting with weekly allocations for providers
Password resets for providers
Sending tickets to designated teams (clinical, storage & handling)
Making sure providers are compliant with storage and handling regulations
Credentialed Medical Assistant
UNC Health Care
02.2017 - 02.2018
Helping patients with login/portal issues
Assisting with Inventory Management
Assisting with weekly allocations for providers
Password resets for providers
Sending tickets to designated teams (clinical, storage & handling)
Making sure providers are compliant with storage and handling regulations
Authorization issues related to provider/service location credentialing
Handled billing issues and answered billing questions patient may have
Made request for Certificates of Medical necessity from hospitals, doctor offices, clinics etc for certain durable medical equipment
Processed payments that customers made on their accounts email address and insurance information
Enter and track progress for patients to ensure access for other team members and insurance
CPR Instructor and Office Administrator
Assist providers with navigating Provider Portal
Check status of orders
Data corrections for patients
Perform phlebotomy - Peripheral blood draws
Administer vaccinations and medications
Perform venipunctures, injections and diagnostic procedures
Measures vital signs
Insertion and removal of IV’s
Wound care for pressure ulcers, traumatic draining wounds, and surgical incisions
Under direct supervision, assist physician with procedures and treatments
Hands instruments and materials to physician as directed
Cleans and sterilizes instruments
Perform splenectomies
Triage patients
Benefit Verification
Prior Authorization
EMR/EHR
Coordinate with team members to effectively complete clinical documentations
CNA
Comfort Keepers
04.2016 - 02.2017
Measures vital signs to maintain patient stability
Administer vaccinations and medications
Respond to urgent care calls
Assist with nebulizer treatments
Documents actions by completing forms, reports, logs, and records
CNA
Visiting Angels
07.2015 - 06.2016
Measures vital signs to maintain patient stability
Administer vaccinations and medications
Empty and calculate urine output
Incontinence care
Documents actions by completing forms, reports, logs, and records
Education
Associates Degree of Applied Science - Medical Assistant
Miller-Motte Technical College
Raleigh, NC
12.2013
Skills
BUSINESS COMPETENCIE-SKILLS
Word document
Word processing
Microsoft office
Excel
Google Suites
Customer Service
EMR/EHR
HIPAA
Coding
Insurance Claims
Epic System
Insurance Credentialing Processes
Benefits Administration
Complaint Handling
Regulatory Compliance
Problem Resolution
Remote Conferencing and Communication
Additional Information
VOLUNTEER SERVICES
Garner Road Community Center; Raleigh, North Carolina
Timeline
Credentialing Specialist
Randstad – Vanguard
12.2021 - Current
Credentialed Medical Assistant
Duke Health Care – Urgent Care
02.2018 - 07.2021
Credentialed Medical Assistant
UNC Health Care
02.2017 - 02.2018
CNA
Comfort Keepers
04.2016 - 02.2017
CNA
Visiting Angels
07.2015 - 06.2016
Associates Degree of Applied Science - Medical Assistant
Miller-Motte Technical College
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