Jessica Claire
- , , 100 Montgomery St. 10th Floor
- (555) 432-1000
- resumesample@example.com
Summary
Qualified employee with expertise in tracking practitioner documentation and exemplary communication skills. An enthusiastic Credentialing Coordinator highly talented in maintaining files, reviewing certifications and following up with the application process.
Skills
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Experience
Credentialing Coordinator, 08/2016 to Current
Phoenix Children's Hospital – Houston, TX,
Phoenix Children's Hospital – Houston, TX,
- Used IntelliSoft and Onbase to maintain facility databases containing physician records, files and credentialing documents.
- Collaborated with physicians to ensure timely completion of hospital applications.
- Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.
- Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
- Offered high level of assistance during managed care auditing process and conducted internal file audits.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Checked applications for missing information and organized all paperwork.
- Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.
- Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
- Performed database queries, compiling information according to requests and logging logistics changes.
- Organized records to prepare for site visits by The Joint Commission, Department of Health, and NCQA representatives and associated audits.
- Developed process improvements and streamlined procedures to effectively resolve employee discrepancies.
Pharmacy Technician, 03/2005 to 08/2016
Children's Of Alabama – Vestavia Hills, AL,
Children's Of Alabama – Vestavia Hills, AL,
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Interpreted and processed medication orders under supervision of pharmacist.
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
- Transmitted daily bulk orders to maintain inventory levels.
- Prepared prescription transfers to other pharmacies.
- Participated in prescription pharmaceutical and over-the-counter product inventory audits.
- Improved drug inventory management procedures to reduce overhead and eliminate backorders or overstock.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Maintained clean and organized pharmacy shelving and work areas.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Prepared prescription labels, promoting accuracy in medication administration and dosing.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
- Supervised inventory levels to maintain adequate supply of medications and medical supplies.
- Adhered to infection control policies and procedures to prevent spread of disease.
- Closely inspected medications to determine accuracy of identities, strengths and purities.
- Communicated with nursing and medical personnel regarding medication orders or drug therapy issues.
- Prepared medications and conducted quality checks.
- Mentored pharmacy students completing practicums.
- Managed medication stocks, including conducting counts, labeling products and maintaining controls.
- Dispensed medications to patients in accordance with pharmacist orders.
- Checked medications for content, accuracy and completeness of all drug packaging and labeling.
- Placed orders for out of stock medications, enabling patients to receive prescriptions on time.
- Accurately selected, measured and combined prescription components to prepare custom orders.
- Monitored supply inventory and promptly submitted replenishment orders to prevent shortages.
- Entered patient and medication information into EPIC to generate prescription labels.
Pharmacy Technician, 04/2003 to 03/2005
Children's Of Alabama – Birmingham, AL,
Children's Of Alabama – Birmingham, AL,
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Interpreted and processed medication orders under supervision of pharmacist.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Transmitted daily bulk orders to maintain inventory levels.
- Prepared prescription transfers to other pharmacies.
- Participated in prescription pharmaceutical and over-the-counter product inventory audits.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Maintained clean and organized pharmacy shelving and work areas.
- Verified patients' identities at pickup to prevent sale of wrong medications.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Efficiently processed cash register transactions for new and refilled prescription orders.
- Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information.
- Prepared prescription labels, promoting accuracy in medication administration and dosing.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
- Established and updated patient profiles, including lists of medications and insurance details.
- Supervised inventory levels to maintain adequate supply of medications and medical supplies.
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
- Adhered to infection control policies and procedures to prevent spread of disease.
- Prepared pricing and instruction labels for placement on prescriptions.
- Compiled customer demographic, allergy and medical history background.
- Received, reviewed, dispensed and labeled over 100 prescriptions daily.
- Closely inspected medications to determine accuracy of identities, strengths and purities.
- Processed prescription transfer requests from competitors.
Education and Training
: Social Work, Expected in
Delaware Technical And Community College - Owens - Georgetown, DE
Delaware Technical And Community College - Owens - Georgetown, DE
Certification: Pharmacy Technician, Expected in 2004
National Pharmacy Technician Certification - ,
National Pharmacy Technician Certification - ,
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School Attended
- Delaware Technical And Community College - Owens
- National Pharmacy Technician Certification
Job Titles Held:
- Credentialing Coordinator
- Pharmacy Technician
- Pharmacy Technician
Degrees
- Some College (No Degree)
- Certification
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