credentialing coordinator resume example with 6+ years of experience

Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,
Professional Summary

Competent Credentialing Coordinator with amazing self-confidence and a background preparing files for committee reviews. Offering more than 2 years performing initial credentialing of providers. Considered a smart individual with dynamic time management and organizational skills. Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills. Multitasking professional skilled in file efficiency and database integrity. A resourceful Credentialing Coordinator with a background in tracking the expiration of practitioner documents. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

  • Proficiency in Excel & Microsoft Word
  • Issue identification and resolution
  • Records and file management
  • Effective written and verbal communication
  • Re-credentialing processes
  • Practitioner application monitoring
  • Documentation workflows
  • Provider enrollment
  • Insurance credentialing processes
  • Application coordination
  • Group assistance
  • File and records management
  • Team Building
  • Training and mentoring
  • Experience in CAQH & OHP
Work History
04/2019 to Current Credentialing Coordinator Phoenix Children's Hospital | Hoboken, NJ,
  • Communicated effectively with various parties each day using polished interpersonal and active listening skills.
  • Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Conducted primary source verifications such as State License Verifications, Controlled Substance verifications, and Drug Enforcement Administration(DEA).
  • Maintained accurate files, records and credentialing documents in well-maintained databases using Visual Vault.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Advocated for staff members, helping to identify and resolve conflicts.
  • Assisted management with making key decisions by developing and a system to keep track of all OD's with status updates and employment information.
  • Trained new hires on Initial credentialing, Re-credentialing, CAQH, Out of state moves, pulling and submitting reports to CVO for employed optometrist.
  • Successfully completed Internal and External Audits on credentialing files.
01/2018 to 03/2019 Sales Associate Century Park Associates | Longmont, CO,
  • Engaged with customers to effectively build rapport and lasting relationships.
  • Helped customers locate products and checked store system for merchandise at other sites.
  • Prepared merchandise for sales floor by pricing or tagging.
  • Grew sales and boosted profits, applying proactive management strategies and enhancing sales training.
  • Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise.
  • Increased sales by offering advice on purchases and promoting additional products.
  • Solved customer challenges by offering relevant products and services.
  • Provided positive first impressions to welcome existing, new and potential customers.
  • Maintained records related to sales, returns and inventory availability.
  • Processed product returns and assisted customers with other selections.
  • Evaluated inventory and delivery needs and optimized strategies to meet customer demands.
06/2015 to 07/2018 Sales Associate Century Park Associates | Sandpoint, ID,
  • Helped customers complete purchases, locate items and join reward programs.
  • Restocked and organized merchandise in front lanes.
  • Answered questions about store policies and addressed customer concerns.
  • Maintained cash drawer of $1,000 or more per shift.
  • Worked closely with shift manager to solve problems and handle customer concerns.
  • Collected and authorized payments of guests.
  • Maintained secure cash drawers, promptly resolving discrepancies in daily totals.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
  • Replenished sales floor merchandise and organized shelves, racks and bins for optimal appearance.
  • Promoted customer loyalty and consistent sales by delivering friendly service and knowledgeable assistance.
  • Mentored new team members on store operation, customer service strategies and sales goals.
  • Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
  • Operated cash register to record transactions accurately and efficiently.
  • Learned duties for various positions and provided backup at key times.
  • Performed cash, card and check transactions to complete customer purchases.
Expected in 05/2018 to to High School Diploma | Central Gwinnett High School, Lawrenceville, GA GPA:

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Resume Overview

School Attended

  • Central Gwinnett High School

Job Titles Held:

  • Credentialing Coordinator
  • Sales Associate
  • Sales Associate


  • High School Diploma

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