credentialing specialist resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • :

Flexible hard worker ready to learn and contribute to team success. Enthusiastic [Job Title] supports attorneys in managing heavy caseloads and achieving strategic goals. Displays strong communication skills when interacting with court personnel, opposing counsel and clients. Quickly develops institutional knowledge and expertise of firm and products to accomplish tasks. Detail-oriented and methodical in preparing case files, investigating issues and producing legal paperwork. Background includes organizing exhibits and filing pleadings for [Type] cases. Known for meticulous work. Talented [Job Title] promoting high-level [Skill] and [Skill] skills. Knowledgeable in [Area of expertise] and [Area of expertise] with proven history of superior organization and document management skills. Excellent command of legal terminology and court procedures. Hardworking and reliable [Job Title] with strong ability in [Task]. Offering [Skill] and [Skill]. Highly organized, proactive and punctual with team-oriented mentality. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.

  • Excellent writing, listening and oral communication skills
  • Team player willing to help others with their workload
  • Effective time management skills
  • Strong computer skills including MS Word, Excel, Outlook, Adobe, Quicken (some Quickbooks), database management and internet research
  • Documentation and Recordkeeping
  • Willingness to Learn
  • Understands Confidentiality
  • Verbal and Written Communication
  • Trial Preparation Assistance
  • Database Searching
  • Filing System Organization
  • Calendar Management
  • Critical Thinking
  • Legal Correspondence
  • Relationship Building
  • Correspondence and Legal Forms Drafting
  • Document Management
  • Summary Writing
  • Strong Research Skills
  • File and Records Management
  • Office Administration
  • Professional and Courteous
  • Database and Client Management Systems
  • Ease with Computers and Technology
  • Strong Organizational Skills
  • Document and File Management
  • Appointment Coordination
  • Confidentiality and Data Protection
  • Multitasking and Time Management
  • Judgment and Decision Making
  • Task Prioritization
  • Meticulous Attention to Detail
  • Office Equipment Operation
  • Schedule Management
  • Inventory Purchasing
  • Prioritization and Time Management
  • Vendor Relations Skills
  • Event Planning
  • Writing and Editing Skills
  • Highly Efficient and Productive
  • Customer Service
  • Clerical Staff Oversight
  • Fast Learner
  • Staff Orientation and Training
  • Cash Drawer Management
  • Data Entry
Credentialing Specialist, 09/2021 to Current
PacificsourceBoise, ID,
  • Conduct primary source verifications such as medical license, hospital privileges, DEA/CDS registration, education and training, board certifications, background check, OIG, SAM, NPDB, and malpractice insurance and claims history
  • Review applications for completion and accuracy; communicate with providers for necessary information
  • Maintain up-to-date data in credentialing database.
Sole Proprietor, 2009 to Current
AB Record RetrievalCity, STATE,
  • Obtain medical and employment records for personal injury and malpractice attorneys; prepare request letters, review records for accuracy, manage communications with numerous medical providers and attorneys
  • Manage all finances and day to day operations.
Legal Assistant/Paralegal, Staff Counsel, 2000 to 2007
Allstate Insurance CompanyCity, STATE,
  • Direct support to three attorneys
  • Assisted with legal cases from inception through trial or settlement
  • Drafted pleadings and correspondence, maintained attorney calendars, requested, reviewed and summarized medical records, summarized depositions and interrogatories, corresponded with adjusters on files, and oversaw work of legal secretaries
  • Also responsible for tracking and ordering office supplies, keeping computer database current, generating all month end reports, coordinating new technology conversion for the office, and planning team bonding outings and events for staff.
  • Maintained knowledge on case status by reviewing relevant records and reporting back to clients.
  • Corresponded daily with clients, insurance adjusters, doctors and attorneys.
  • Participated in client interviews, observed questioning process and documented information.
  • Filed pleadings and paperwork with court clerk to meet strict deadlines.
  • Provided administrative support and conducted research to assist attorneys in civil litigation preparation.
  • Drafted legal complaints, summonses and interrogatories.
  • Filed clients' legal documents in relevant courts for processing.
  • Evaluated medical histories and case records to develop summaries and chronologies of care.
Restaurant Accountant, 1996 to 2000
TGI FridaysCity, STATE,
  • Reconciled daily sales reports, prepared month end reports and payroll, coded and posted invoices for payment, data entry for all new hires
  • Conducted all new hire orientations, classroom and on the job training
  • Maintained personnel files and supervised front of house staff during peak hours of business.
Education and Training
Bachelor of Science: Business Management/Management Information Systems, Expected in 05/2004 to Maryville University - St. Louis, MO,

Graduated Summa Cum Laude, Dean’s List, Member Delta Mu Delta National Honor Society

  • Dean's List
  • Graduated Summa Cum Laude
  • Member Delta Mu Delta National Honor Society
Certificate in Paralegal Studies: , Expected in 2004 to Southeast Missouri State University - ,

Ranked in top three of class

: , Expected in 05/2002 to St. Charles County Community College - St. Charles, MO,
  • Member Phi Theta Kappa National Honor Society
  • Dean’s List

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Resume Overview

School Attended

  • Maryville University
  • Southeast Missouri State University
  • St. Charles County Community College

Job Titles Held:

  • Credentialing Specialist
  • Sole Proprietor
  • Legal Assistant/Paralegal, Staff Counsel
  • Restaurant Accountant


  • Bachelor of Science
  • Certificate in Paralegal Studies

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