YAIZA BOU-DOOLEY
Jacksonville,FL
Summary
Experienced administrative professional with 4+ years in provider credentialing services. Works productively with facilities, provider groups and individual professionals and adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
17
17
years of professional experience
Work History
Credentialing Specialist II
Parallon Business Performance Group
2022.10 - Current
- Responsible for credentialing activities as it relates to initial credentialing, re-credentialing, and credentials modification
- Assist in credentialing process by data entry of information into credentialing system for initial, updated; add on applications and maintenance processes
- Review for completeness of information, identify deficiencies
- Pursue incomplete information
- Monitor collection of all information received; follow up on missing items and/or incomplete forms per policy and procedure, and submission of follow up requests for verifications
- Maintain all credentials files ensuring that all correspondence regarding credentialing and reappointment process is accurately filed and current on process and legal/regulatory requirements.
- Enhanced credentialing processes by streamlining documentation and verification procedures.
- Improved turnaround time for credentialing applications by implementing efficient online system.
Credentialing Verifier
Parallon Business Performance Group
2019.03 - 2022.10
- Improved verification accuracy by implementing thorough quality control processes and procedures.
- Enhanced team efficiency by streamlining workflows and optimizing communication between departments.
- Reduced turnaround time for verification tasks by prioritizing workload and managing resources effectively.
- Developed strong relationships with clients, ensuring timely delivery of accurate information.
- Maintained high levels of customer satisfaction through consistent attention to detail and prompt resolution of issues.
- Trained new employees on company policies, procedures, and verification techniques, contributing to overall team success.
- Collaborated with colleagues on special projects, ensuring successful completion within deadlines.
Admit Clerk/Patient Access Registrar
HCA Florida Orange Park Hospital
2015.11 - 2019.03
- Accomplish admissions and hospital mission by completing related results as needed
- Review and request insurance coverage for newborn accounts and update insurance information once coverage is active
- Register patients; update demographic and insurance information to help maintain accuracy
- Verify insurance and other eligibility criteria
- Review insurance information on accounts to help minimize billing errors
- Prepare and process all admitting forms relating to patient admission
- Communicate patient rights, billing and payment procedures to patients or their families.
- Increased efficiency by streamlining filing systems and organizing important documents.
- Improved customer satisfaction by promptly answering inquiries and providing accurate information.
- Managed incoming calls professionally, directing callers to appropriate personnel or taking detailed messages when necessary.
Credit Customer Service and Data Integrity Associate
General Electric Company
2007.01 - 2015.08
- Processing new credit application and correcting incorrect information already submitted, by contacting customer by phone within stipulated period
- Collected customer feedback and made process changes to exceed customer satisfaction goals
- Plans and coordinate learning projects for benefit of peers
- Developed strong client relationships through timely and thorough follow-up on inquiries and concerns.
- Led training sessions for new employees to ensure smooth integration into company culture and workflow.
- Increased customer satisfaction by resolving complex issues and providing exceptional service at all times
Education
BBA - Business Management
University of Puerto Rico - Bayamon
Bayamon, PR06.2003
BBA - Business-Marketing
University of Puerto Rico - Bayamon
Bayamon, PR06.2004
MBA - Global Management
University of Phoenix
Guaynabo, PR09.2011
Master of Science - Management and Leadership
Western Governors University
Salt Lake City, Utah01.2024
Skills
- Bilingual
- Excellent written and verbal communicator
- Self-directed
- Collaborative
- Active listening skills
- Credentialing Oversight
- Provider Relations
- Data Management
- Cactus Expertise
- Facility Support
- Accreditation Information Management
- Ethical Conduct
- Analytical Skills
- Report Generation
Accomplishments
NCAA Olympic Weightlifting Medalist
References
Available upon request
Languages
Spanish
Native or Bilingual
English
Full Professional
Affiliations
- National Black MBA Association
Timeline
Credentialing Specialist II
Parallon Business Performance Group
2022.10 - Current
Credentialing Verifier
Parallon Business Performance Group
2019.03 - 2022.10
Admit Clerk/Patient Access Registrar
HCA Florida Orange Park Hospital
2015.11 - 2019.03
Credit Customer Service and Data Integrity Associate
General Electric Company
2007.01 - 2015.08
BBA - Business Management
University of Puerto Rico - Bayamon
BBA - Business-Marketing
University of Puerto Rico - Bayamon
MBA - Global Management
University of Phoenix
Master of Science - Management and Leadership
Western Governors University
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