Veronica Nieves
Boca Raton,FL
Summary
Experienced administrative professional with 10+ years in provider credentialing services. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Credentialing Coordinator
Integrated Dermatology Group
Boca Raton, FL
10.2013 - Current
- Enroll physicians/groups with Medicaid, Medicare and commercial insurance plans. (Complete Applications)
- Obtain NPI numbers for physician groups and update existing profiles.
- Maintain accurate files, records and credentialing documents in well-maintained databases.
- Work closely with practitioners to help each obtain privileges at assigned healthcare facilities.
- Communicate effectively with various parties each day using polished interpersonal and active listening skills.
- Track expiration dates on documents and communicate with appropriate staff to avoid late filing/delays.
- Receive and evaluate applications to look for missing and inaccurate information. (Quality Assurance)
Credentialing Coordinator
MEDNAX
Sunrise , FL
02.2011 - 09.2013
- Received and evaluated applications to look for missing and inaccurate information.
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Maintained accurate files, records and credentialing documents in well-maintained databases using various software's.
- Enrolled providers with Medicaid, Medicare and commercial insurance plans.
Administrative Assistant
Columbia Presbyterian Medical Center
NEW YORK, NY
03.2007 - 03.2011
- Organized paperwork such as charts and reports for office and physician needs.
- Managed master calendar and scheduled meetings for physicians based on optimal patient loads and clinician availability.
- Reviewed physician letters and corrected grammar and spelling errors.
- Supported office staff and operational requirements with administrative tasks.
- Supported physicians in outpatient medical office through coordinating administrative operations.
Education
No Degree - Business Administration
DELHI UNIVERSITY
Delhi, NYHigh School Diploma -
Grover Cleveland High School
Ridgewood, NY06.1997
Skills
- Decision Making
- Willingness to Learn
- Relationship Building
- Adaptable to Changing Conditions
- Microsoft Office
Timeline
Credentialing Coordinator
Integrated Dermatology Group
10.2013 - Current
Credentialing Coordinator
MEDNAX
02.2011 - 09.2013
Administrative Assistant
Columbia Presbyterian Medical Center
03.2007 - 03.2011
No Degree - Business Administration
DELHI UNIVERSITY
High School Diploma -
Grover Cleveland High School
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