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facility credentialing coordinator resume example with 10+ years of experience

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

Accomplished and motivated Credentialing Specialist proudly offering over 7 years of utilizing exemplary time management skills in office and remote environments. An enthusiastic individual with a strong knowledge of initial and continual credentialing of practitioners and Healthcare facilities. Composed and driven with great communication skills. Highly talented in maintaining files, reviewing certifications and following up with the application and reappointment process.

Skills
  • Microsoft Office, Adobe, PDF and All supporting software
  • VA Security/Background Clearance
  • HIPPA/ PPO/Medicare/ Insurance enrollments
  • Cash Register/handling
  • Social Media/ Event Marketing
  • Retail training/management
  • Rectrac/Facility Focus/PeopleSoft/ Ris/ Biz
  • Volunteer and Charity
  • Modeling/ Promoter
  • Mixologist
  • Database Management
  • License Verification
  • Licensing Regulations
Experience
09/2016 to Current
Facility Credentialing Coordinator Sentry Insurance Dallas, TX,
  • Credentialed Cardiologists and Radiologists to various Healthcare Facilities, Hospitals and Imaging Centers to perform telemedicine services Worldwide.
  • Used Biz, NPDB, CAQH, PECOS and other databases to maintain physician records, affiliations and credentialing documents.
  • Processed enrollment process for Insurances such as Medicare, Medicaid, Aetna and BCBS.
  • Conducts routine verification of Physicians' credentialing documents such as licenses, degrees and Malpractice Claims.
  • Works In conjunction with our clients in order to ensure adequate coverage and better TATs.
  • Offered high level of assistance during managed care auditing process and conducted internal file audits.
  • Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
  • Boosted employee morale by establishing Holiday Potlucks, Birthday Cards and Fun Outings in accordance with the company's standards.
08/2017 to 08/2018
Night Auditor State Of Indiana Ferdinand, IN,
  • Created reservations and assisted with Walk-in based on availability and special request.
  • Bartender and Barista.
  • Cooks savory late-night menu items per request.
  • Assist with housekeeping/maintenance issues.
  • Balanced accounts and conducted nightly audits to keep bookkeeping current.
  • Audited and balanced cash and credit transactions daily and reset register for next day's operations.
  • Generated daily, weekly and monthly reports to close out day and meet objectives.
  • Documented wake-up requests and set up automatic calls in system.
05/2014 to 10/2016
Account Clerk Kiva Confections Alameda, CA,
  • Processed and records daily paperwork for banks and deposits from all on staff, Gloval pick-up and creates appropriate documentation to be sent to accounting liaison.
  • Collected payments for rental sites, special events and sporting goods over the phone and in person as well as online reservations.
  • Used Excel to construct spreadsheets to collect payroll information, special events rooster along with corresponding numbered wristbands, registration slips and waivers.
  • Submitted payment receivables and payable forms for third party on PeopleSoft Software.
  • Collaborated with members of public, vendors and management to resolve issues quickly.
  • Maintained accounts payable operations by entering vendor bills, printing checks and setting up electronic debits.
08/2012 to 03/2016
Brand Ambassador Banana Republic City, STATE,
  • Assisted with customer purchases online, over the phone and in person.
  • Promoting the benefits of the banana card with every purchase in order to meet monthly quota.
  • Completed inventory of items routinely and created logs of items damaged or stolen for the month.
  • Participated in volunteer programs for Boys and Girls Club along with others organizations that were sponsored by Gap, Inc.
  • Styled new merchandise throughout the store by room or seasonal themes.
  • Processed purchases using POS systems to complete cash and credit card transactions.
  • Promoted positive company image through superior customer service experiences.
  • Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items.
  • Initiated friendly conversation with each customer to determine level of assistance required.
  • Drove sales by effectively upselling and cross-selling products to maximize profitability.
08/2012 to 12/2015
Elderly Nurse Aid Glenna VanWhervin, MD City, STATE,
  • Helped clients handle all personal needs, from simple cleaning and daily exercise to bathing and personal grooming.
  • Oversaw and planned resident schedules by coordinating doctor appointments, exercise routines, recreational activities and family visits.
  • Monitored vital signs and medication use, documenting variances and concerning responses.
  • Completed general housekeeping work to help clients, including preparing healthy meals and keeping personal areas neat.
  • Planned and prepared nutritious meals and snacks to meet client dietary requirements such as diabetic, low sodium and high protein.
  • Administered all necessary medications as directed by care plan.
Education and Training
Expected in 2015 to to
Associate of Science: Health Science
Broward College - Davie, FL,
GPA:
  • 3.5 GPA
Expected in 2012 to to
High School Diploma:
Nova High School - Davie, FL,
GPA:
  • 4.2 GPA
  • Key, Exchangettes, Environmental, Asian, Ping Pong, NAASU, Theater Club Member
  • ROTC Drill Team Member
  • NAASU Secretary and Vice President
  • Completed continuing education in Dual Enrollment at Broward College

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Resume Overview

School Attended

  • Broward College
  • Nova High School

Job Titles Held:

  • Facility Credentialing Coordinator
  • Night Auditor
  • Account Clerk
  • Brand Ambassador
  • Elderly Nurse Aid

Degrees

  • Associate of Science
  • High School Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

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