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Skills

  • Problem resolution
  • Candidate Sourcing
  • File and records management
  • Credentialing System Transition
  • Team management
  • Audit and quality control
  • First Aid/CPR
  • Regulatory compliance
  • Pre-Employment Screening
  • Deadline management

Work Experiences

  • Ensured standard.
  • Audited credentials of high-risk providers.
  • Achieved 83% error reduction in re-verification.
  • Collaborated with government authorities to maintain compliance with evolving credentialing standards and successfully passed every audit over 7 years.
  • Assisted medical staff and HR teams.
  • Was in charge of administering benefit programs, analyzing compensation and other competitive data, and creating budgets.
  • Ensured adherence to credentialing protocols.
  • Created and maintained open lines of communication with healthcare providers.
  • Coordinated with licensing boards.
  • Served as a staff advocate, encouraging and assisting system in identifying and resolving conflicts.

Summaries

  • Adapted well to high-pressure environments.
  • Costs were consistently reduced while profits were increased.
  • Achieved a 31% punctuality rate in meeting deadlines.
  • Analyzing company needs and developing long-term solutions to meet personnel objectives is second nature to me.
  • Accomplished Credentialing Clerk.
  • Credentialing Clerk with 2 years of successful vendor management and team leadership experience.
  • Conducted compliance checks.
  • Achieved a 69% reduction in error rates.
  • As a Credentialing Clerk, I efficiently reduced credentialing-related errors by 80% by auditing files regularly and utilizing metric, leading to improved compliance rates.
  • Achieved 42% re-approval within system.

Accomplishments

  • Monitored credential expiration notifications, eliminating credential-related service interruptions by ensuring 10% of active clinicians were always up-to-date.
  • Developed a new credential tracking system that increased accuracy by 70% and improved consistency in provider compliance status reports.
  • Produced quarterly credentialing performance reports used by C-suite executives to allocate resources effectively and plan future workforce gaps.
  • Maintained a 58% error-free record by leveraging category, ensuring continuous compliance with accreditation and licensure standards.
  • Implemented improvements to credentialing data capture that cut down processing time by 13 hours per week.
  • Provided system support for the credentialing process, ensuring 21% adherence to internal policy and external requirements.
  • Created tailored reporting systems that allowed senior management visibility into key credentialing metrics, facilitating strategic workforce planning.
  • Trained and supervised a team of 7 junior credentialing clerks resulting in a 64% increase in task completion rates and optimized workflow.
  • Regularly participated in cross-department meetings to ensure credentialing deadlines were met without delays, leading to a 83% improvement in department efficiency.
  • Implemented a secure digital filing system for credentials, improving data accessibility and retrieval by 76%

Affiliations

  • Association of Clinical Research Professionals (ACRP)
  • American Society of Safety Professionals
  • Federation of State Physician Health Programs (FSPHP)
  • National Association of Social Workers
  • Project Management Institute
  • Institute for Credentialing Excellence (ICE)
  • Association of Perioperative Registered Nurses (AORN)
  • National Commission for Certification of Medical Assisting (NCCMA)
  • Medical Group Management Association (MGMA)
  • Board of Certification in Professional Credentialing (BOCPC)

Certifications

  • Certified Healthcare Administrative Professional (cHAP)
  • Certified Provider Enrollment Specialist (CPES)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Lean Six Sigma Green Belt – Healthcare
  • Credentialing Specialist Certificate (NAMSS)
  • Apple Certified Associate (ACA)
  • Certified Public Accountant
  • ServSafe
  • CompTIA Security+
  • Advanced Medical Claims Processing Certification

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