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credentialing specialist resume example with 12+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Experienced Credentialing Specialist (Office Administrative) adept at conducting application reviews and primary source verifications, with relationship-building, problem-solving and communication skills. As an experienced administrative with professional with 8 years in provider credentialing services, works productively with facilities, provider groups and individual professionals. Highly organized and detail-oriented with in-depth knowledge and continuous learning with excellent reputation for resolving problems and improving customer satisfaction. I feel my background has provided me with strong office and client/customer service skills within the business like atmosphere.

Skills
  • Provider Relations
  • Application coordination
  • Team Building
  • Facility support
  • Software expertise
  • Administrative support
  • Service standard compliance
  • Creative problem solving
  • Recordkeeping strengths
  • Documentation and reporting
  • Customer and Client Relations
  • Conflict Resolution
  • Memorization and Recall
  • Business administration
  • Verbal and written communication
  • Organization skills
  • Multitasking Abilities
  • Deadline-oriented
  • Consistently meet goals
  • Efficient multi-tasker
Education
College of DuPage Glen Ellyn, IL Expected in 07/1989 Associate of Arts : General Studies - GPA :
Work History
Dignity Health - Credentialing Specialist
Carmichael, CA, 12/2013 - Current
  • Conducted primary source verifications such as background checks and board certifications.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Prepared records for various committees and file audits.
  • Verified & organized paperwork accuracy and checked for completion prior to processing.
  • Updated computer system with latest/updated information to keep records current and accuracy
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Assisted senior management with various credentialing reports with status and improvement recommendations.
  • Acted as staff member advocate, encouraging and supporting the department to identify and resolve issues that come arise.
Norman Regional Hospital Authority - Registrar Clerk
Noble, OK, 08/2011 - 04/2013
  • Organized, reviewed and filed paperwork for secure recordkeeping.
  • Verified paperwork accuracy and checked for completion prior to processing.
  • Updated computer system with latest information to keep records current and accurate.
  • Ordered supplies based on stock quantities, expected usage and budget limitations.
  • Responded to requests for information from various individuals by providing student documents & reports.
  • Greeted every guest with personable approach and provided knowledgeable service.
  • Processed registrations with attention to compliance with operational policies.
  • Maintained clean reception area to promote positive, professional environment for clients.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Directed automation of office procedures such as correspondence management, recordkeeping and online communications.
  • Remained solutions-oriented in face of complex problems to assist management, students and overall business direction.
  • Increased customer service success rates by quickly resolving issues.
  • Drafted common document templates for use by executives and employees.
Grandville Public Schools - High School Secretary
Grandville, MI, 06/2007 - 08/2010
  • Assisted in preparing district informational materials such as brochures and newsletters.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Participated in meetings, workshops and seminars to covey or gather information to perform functions.
  • Performed clerical and administrative support duties to optimize workflow procedures.
  • Exercised judgment within school policy guidelines to alleviate workload.
  • Continually sought methods for improving daily operations, communications with clients, recordkeeping and data entry for increased efficiency.
  • Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
  • Maintained clean reception area to promote positive, professional environment for clients.
  • Facilitated timely delivery of special projects to meet organizational and departmental objectives.
  • Volunteered to help with special projects of varying degrees of complexity.
  • Created and implemented standard operating procedures for records handling.
  • Managed calendars to strategically coordinate meetings, appointments and events.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Managed filing system, entered data and completed other clerical tasks.

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Resume Overview

School Attended

  • College of DuPage

Job Titles Held:

  • Credentialing Specialist
  • Registrar Clerk
  • High School Secretary

Degrees

  • Associate of Arts

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