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Title Credentialing Specialist
Target Location US-TX-San Antonio
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Candidate's Name
San Antonio, TX Street Address  PHONE NUMBER AVAILABLE EMAIL AVAILABLEProficient customer support technician with a high attention to detail and an expert at managing crisis and process improvements. Strong information engineering professional with a Bachelor&#Street Address ;s degree concentrated in Healthcare Management and Informatics and currently enrolled in Masters Program for Healthcare Administration.LEADERSHIPEXPERIENCE Manages accountspayable and receivable Customer supportliaison Customer support andtraining monitor Information SystemsRepresentative Client support Liaison Staff MentorEDUCATION B.S. HealthcareManagement/Informatics (Graduated Aug13,2020) M.S HealthcareManagement (ExpectedGraduation dateNovember 2025) Penn Foster DentalAssistant CareerDiploma (February2017)CERTIFICATIONS Basic Life SaverCertified (Adult andPediatric) Dental HygienistCertification Green DotTOOLS & TECHNOLOGIES Microsoft Office 365 Microsoft Excel Windows 10 Book Keeping(Kronos) ADPDecypher Technologies LLCCredentialing SpecialistDecember 2023 to Present40hrs per week FTE Manages full cycle credential or privilege process for all DoD candidates and clients Conducts 2nd Interview with privileged providers to discuss privilege process Presents candidates for all personal service contract approval Coordinates interviews between DoD sites and candidates Credentialing and Privileging packages: collect and primary source verify credentials, education, license(s) and certifications Completes all employment verifications and reference checks Security packages: collect security documents, ids, coordinate fingerprint appointment and eQIP Occupational Health Packages: reviews current records, compile concise list of outstanding items Coordinates first day, in-processing and onboarding between site and candidate Completes DoD employment verification form Responsible for client relations for 2  16 weeks during the credentialing/privileging Provides candidate support and engagement during process Maintains Joint Commission worksheet for Corporate office Tracks dates/delays to assist with company metrics MedTrust LLC.Operations SpecialistOctober 2021 to November 202340hrs per week FTEThe workforce is made up of physicians, nurses, mental health professionals, and many more allied clinicians.I perform primary source verification, credential collection, data interpretation and review, follow up, and enter credentialing data into specified systems. ... Serve as 1 Universal Background BlueSky HireRight iCIMS SharePoint Citrix ReliasAdditional Training: Safety Active Shooter Human Trafficking inPersonsSkills Help Desk Excel Spreadsheet Technical Support Microsoft Windows SoftwareTroubleshooting Computer Networking Sales Experience Leadership Experience Microsoft Word Microsoft Office Time Management Retail Sales Guest Services Front Desk Office Experience Organizational Skills Troubleshooting Active Directory Desktop Support System Administration Microsoft Outlook Pivot Tables Credentialing Program Management Scheduling ContractAdministration Recruiting Human Resources Healthcare Medical Terminology Federal Governmentliaison between the employees and operations to ensure that all credentials and training are current and credentialing files are complete.I am responsible for the management of workflow throughout all departments within MedTrust. I optimize daily activities and performance of the company across the board. Analyzes and extrapolates contract requirements based on the analysis on contract to compile credentialing checklist Maintains specific knowledge of departmental operations. Maintains data, providing reports of credentials and expenses Works in conjunction with the Program Manager in directing, coordinating, and administering all aspects of contracts assigned to meet the technical, operational, compliance and reporting requirements as laid out in the contracts and company policy Assists leadership with operational and standardization efforts as needed to maintain efficiency and effectiveness Develops and maintains positive relationships with staff, leadership internally and external Assists with the organization and implementation of operational practices Assists with onboarding and orienting of new staff members and contract resources Manages field employees, as assigned by the program manager through the entire employment life cycle from candidate status to ex-employee status. Manages issue resolution for all constituencies on a real time basis including; field employees, teaming partners, and subcontractors. Collaborates with and assists the credentialing team to ensure candidates are processed expeditiously and in compliance with the contract requirements and company policy. Develop work schedules for field staff at all contracted facilities. NEXUS EnterpriseMedical Credentialing SpecialistApril 2021 to September 202140hrs per week FTEI ensure that medical staff members' maintain current credentials and licenses to work legally in their field or specialty. I monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials. I also work heavily with Excel spreadsheet, Adobe, andMicrosoft Office on a daily basis Maintain compliance with all regulatory and accrediting institutions Monitor staff credentials and licenses Advise staff on renewal procedures Participate in the development of internal credentialing processes Keep records in licenses, credentials and insurance contracts Release information to agencies and members of the public as required by law Carenet HealthcareCare Coordinator January 2021-April 202140hrs per week FTE2 Department Of Defense Contracts Healthcare Informatics HealthcareManagement Military Services Provide exceptional customer service via telephone. Ensures customer satisfaction by providing quality service, identifying customer needs and assisting them with issues/concerns related to health care issues. Research, identify and problem solve, verify eligibility of service and place call backs as required Meet and support established service goals and business objectives by meeting and exceeding performance standards. Adapts communication style to persons representing diverse personal, professional, cultural, and socioeconomic backgrounds. Ability to multitask; simultaneously thinks, talks, and types. Uses excellent listening skills to receive detailed information. Responds to the needs of a 24/7/365 operation. Other duties may be assigned by the supervisor.Home DepotService Desk Associate/Millwork Sales Specialist  January 2018 thru Nov 2020 36-40hrs per week FTE Overseas special orders, corrects discrepancies, and produces physical reports. Provides training for new associates, maintains store appearance and outstanding customer service. Manages and coordinates service associates to include: time, performance, and recommend processes of improvement. Implements active listening and critical thinking to formulate solutions for organizational concerns. Actively engages customers and associates to effectively convey information. Responsible for cash management, administrative services, and customer functions. Overseas accounting transactions and financial reports. Prints and distributes reports and ensures proper functions of computer software and hardware. Ensures maintenance, security, identity administration, system troubleshooting and routine system backups. Sales Specialists support Customers First by providing fast, thorough, and friendly service to customers. interact with customers by welcoming them to the store, assessing their needs, locating merchandise, providing information on products and services, and making purchasing recommendations. support In Stock initiatives by assessing stock levels and performing light pack down and pack out activities as needed. support the Store Appearance priority by ensuring products are displayed and signed, cleaning shelves, and removing debris from aisles and showrooms to promote a shopping environment that is appealing. drive sales to support department and store goals. Actively seek out customers, offer a friendly greeting, smile and make eye contact Help customers locate merchandise Ask customers open ended questions and listen to responses about their projects and product needs Describe features and benefits of merchandise as well as steps involved in completing projects Demonstrate expert product and services knowledge in answering customer questions Be the customers' expert on special orders and installed sales Execute Key Standards Processes Perform basic customer services including cutting keys and rope and mixing paint 3 Thank customers for shopping at Home Depot Support In Stock Priority: Maintain stock on a daily basis to ensure products are available Maintain showroom in stock position by working with MET and Supervisor to get samples in stock Review Ads to ensure items are in stock and escalate issues to Supervisor Perform pack-down and pack out process to fill in stock and restock returns Support Store Appearance Priority: Review merchandise presentation, signing and pricing daily and escalate issues to Supervisor Clean and dust displays, products and shelves Maintain showroom integrity and assist with minor resets, cross-merchandising as necessary Drive Sales: Know store sales goals and set personal goals to support store results Serve as expert on showroom products in given department Provide advanced product knowledge of other categories in department to customers Sell the whole project by suggesting related items and services to purchase that supplement a customer's merchandise or project needs Develop knowledge of competitor pricing, and makes decisions on markdowns to satisfy customers Follow up on job quotes to complete the sale Promote Home Depot credit initiatives to customers Promote services offered at the Special Services Desk, Tool Rental and Pro Desk Department of Defense; Yokota Air Base InnsOperations Representative  May 2017 thru Nov 2017 32-36hrs per week PT Confirms room reservations via telephone, email, or personal contact. Registers and assigns rooms to guests, issues room keys, and if needed escort guests to rooms. Ensure only authorized personnel access government-sponsored quarters. Calculates and post charges to guests' accounts and balances totals with control records. Ensues accuracy of payments and corrects discrepancies. Maintains accurate guest checkout list. Creates backup reports from property management system. Records and notifies appropriate personnel/organization of maintenance issues. Conducts audit procedures and credit card systems. U.S. Air Force; Headquarters United States Forces Japan Administrative Assistant J1  Jun 2016 thru Aug 2016 40hrs per week FTE Answers telephones and provides information to callers. Documents phone calls, take messages, or transfer calls to appropriate individuals. Creates, maintains, and enters information into databases. Set up and manage paper or electronic filing systems, recording information, updating paperwork, maintaining attendance records, and correspondence. Conducts office operations to include: fax machines, copiers, scanning of documents, phone systems and coordinated repairs when equipment malfunctions. 4

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