Provider Credentialing Specialist Resume Example
Talented secretary adept at managing complex responsibilities in high-volume settings. Resourceful and proactive with strengths in building professional, focused teams. Seeking to use advanced experience and skills to improve department efficiency, accuracy and productivity in busy managed-care environment.
Superb in Customer Service and skilled at balancing customer needs and company demands. Effectively builds loyalty and long-term relationships with customers while achieving all individual sales goals.
Knowledgeable Credentialing Specialist successful at performing application checks and verifying provider information at primary sources like discipline governing boards. Good relationship-builder, skilled communicator and complex problem-solver.
Personable administrator with experience employing exceptional relationship-building abilities to cultivate positive rapport among clients, staff and management. Highly-developed communicator with outstanding skills in complex problem-solving and conflict resolution. Expertise in resource allocation and schedule management.
- Employee development and management
- Mentoring and training
- Teaching and learning assessments
- Curriculum development and oversight
- Invoicing and receipts
- Strong organizational skills
- Analytical abilities
- Call control skills
- Performance monitoring
- Communicating with clients
- Interpersonal skills
- Professional telephone voice
- Report preparation
- Vital sign assessment
- Field patient assessments
- Emergency management
- Calm under pressure
- Strong communication skills
- School improvement committee
- Professional demeanor
- Learning management system proficiency
- Data-driven instruction
- Safety understanding
- Team collaboration
- Reporting requirements
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Checked applications for missing information and organized all paperwork.
- Developed process improvements and streamlined procedures to effectively resolve employee discrepancies.
- Interpreted, explained and enforced human resources policies to keep staff in compliance with standards.
- Created and implemented highly effective and individualized human resource solutions for clients.
- Diminished obstacles and saved time, spearheading special projects through effective emergency resolution.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Set up NPI numbers for providers and facilities and updated current profile information.
- Planned and facilitated relevant, needs-based professional learning tools, resources and educational materials to enhance teaching skills.
- Partnered with administrative leadership to improve discipline practices based on data findings.
- Set up repair appointments with service professionals.
- Took full advantage of upsell opportunities with new and potential customers.
- Answered customer/parent requests with friendly, knowledgeable service and support.
- Managed a staff of staff members and teachers.
- Followed all policies and procedures in preparation of the school budget and disseminated it to all school board members.
- Verified achievement of educational program objectives and standards through continual performance monitoring and evaluation.
- Cultivated strong student and parent relationships to help resolve situations and positively affect behavior, as well as academic performance.
- Monitored the details in regards to student discipline.
- Developed a platform for instructional practices design through data-driven decision making.
- Met with, hired, oversaw and provided guidance to all school employees while giving feedback.
- Assessed emergency situations and prioritized medical care accordingly.
- Executed reasoned and logical decision making in emergent situations.
- Maintained complete confidentiality in accordance with organization and legal requirements.
- Consistently served as a liaison between collecting agencies and medical facilities.
- Kept department clean, organized and professional.
- Scanned incoming documentation.
- Designed improved training procedures to help new staff acclimate quickly.
- Consolidated diverse medical records.
- Entered information on computerized systems to verify locations and notify nearest responders.
- Certified in CPR to provide First Point of Contact emergency assistance to callers.
- Executed proficiency in digital telephone systems.
- Prioritized responses to public emergency and non-emergent calls to efficiently dispatch police, fire and EMS while tracking data in real-time.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Checked applications for missing information and organized all paperwork.
- Verified and updated account information in company computer system.
- Identified and corrected data entry errors to prevent duplication across systems.
DISCLAIMER
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is theuser who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
- Word choice
- Length
Resume Overview
School Attended
- Texas A&M University - Kingsville
- Pocono Mountain West High School
Job Titles Held:
- Provider Credentialing Specialist
- Head Director of Operations
- Medical Technician
Degrees
- Medical Assistance
High School Diploma
Similar Resumes
