Post Job Free

Resume

Sign in

Credentialing Analyst

Location:
Dallas, TX
Salary:
40,000
Posted:
May 01, 2015

Contact this candidate

Resume:

Angela Jackson

214-***-****

acphbl@r.postjobfree.com

An Administrative Professional, degree in Healthcare Reimbursement, experienced in

Credentialing, Verification, Inspections Analyst, Administrative support, Customer Service.

Striving to enhance professional growth and development through education programs, current

literature and workshops

SKILLS SUMMARY

• Type 50 wpm/Alpha/Numeric 12,000 kph

• Perpetuate Confidentiality

• MS Office Suite Package, Lotus Notes, PowerPoint, Medical Manager, Excel

• Adaptability with in-house database

• Work well with others in a close environment

• Strong work ethic for perfection

• Ability to convey instructions via telephone, letter, and/or email

PROFESSIONAL EXPERIENCE

National Field Network 11/2014-04/2015

PROCESSING/ INSPECTIONS SPECIALIST

Completion of Vacant Property Registration via paper form or online per municipality's

ordinance, via completed registration form accompanied with fee or online credit card

registration. Record and maintain all inspection work orders for contracted properties, providing

data of increasing property value. Liaison between vendors and central office, Monitor

performance of contracted vendors for adequate and high level service delivery, Convey work

orders instructions via telephone, letter, and email to contracted vendors.

Extend Health 06/2014-11/2014

VERIFICATION

Evaluate application and background for licensure with Texas Department of Insurance. Produce

monthly progress reports. Process invoices for payment, while verifying all data entry, with price

adjustments relaying to accounting procedures

Generates complete review of medical professional’s work history or education, to determine

discrepancies in a FCVS application prior to being sent to state medical board

Federation of State Medical Boards 10/2013-01/2014

CREDENTIALING ANALYST

Responsible for achieving full compliance for healthcare professionals in a timely manner prior

to and throughout their assignments

Assesses healthcare professional credentials for deficiencies to standard and communicates to

production when a healthcare professional cannot be accepted

Communicates expiring documents to the assigned Recruiter and assist as necessary to ensure

that updated documentation is collected

Communicates directly with internal and external customers to ensure all requirements are

completed accurately and timely, providing excellent customer service to all internal and external

parties

Coordinates drug screen testing, criminal background checks, and case logs according to site

credentialing requirements.

Assists with the site credentialing process including gathering and documenting facility

requirements and assisting healthcare professionals in obtaining necessary requirements to

ensure assignment start dates are met

Angela Jackson

214-***-****

acphbl@r.postjobfree.com

Optum Health 10/2012-05/2013

VERIFICATION COORDINATOR

Compose professional portraits used by health care plans and hospitals to review, and evaluate

upon requesting admission into the insurance networks. Corresponds with oral and written

correspondence with providers, and or third parties, to authenticate credentials that maybe

expired or incomplete.

Republic Bank 01/2012-03/2012

TAX EXCEPTION PROCESSING

Retain Monthly/Quarterly Department Tax Inquiry and Filing system: tax logs and files for

retention. Electronic Return Originator (ERO), Duties: Oversee credits Automated Clearinghouse

(ACH) payments. ACH requests- research, send backs, rejections, check reissue request and

authorization resets, relative administrative functions.

Farmers Credit Union 03/2012-06/2012

FIRST IMPRESSIONIST/ADMINISTRATIVE ASSISTANT

Maintain intranet web page, monthly organization charts, meeting preparation and materials.

Coordinates and oversees daily management of supplies, equipment and facilities for the

organization. Developer of Standards of Operation for First Impressionist Receptionist. Guest

Liaison, greeting guest while facilitating flow of visitors throughout office environment.

Navigate account registration and e-mail creation, while attending multiple phone lines with

distribution of voice messages. Organization of procedures. Implementation of unwritten

processes into essential duties.

LakeShore Solutions 10/2005-01/2007

CUSTOMER SERVICE REPRESENTATIVE

Direct Administrative contact, coordination and liaison with other offices, clients, and agencies

on a range of operational activities. Oversee Executive calendars; maintain expense logs, travel

accommodations and voice inquiry. Adjustment Representative Standards of Operation: customer

inquiries, data entry, transaction adjustments. Customer Service Representative Call center:

Schedule reservations/delivery of customer product and services. Service contract

issues/responding with solutions to residential, commercial and industrial lines of business,

relative administrative functions new/existing accounts.

Facilities Management Services, Inc. 08/2012-01/2013

CUSTODIAN

Norton’s Healthcare 10/2012-12/2012

MEDICAL COORDINATOR

Verify physician licensures using the internet through the State Medical Broad of Licensure.

Administer and retain Continue Medical Education credits using CME Tracker software. An

analytical role: assembles a professional profile which details the medical professional’s work

history, education, and background.

EDUCATION

Spencerian College Louisville, KY Associates Degree-Healthcare Administration 06/2009-

10/2012

Relevant Coursework

Medical Administrative Techniques, Business Administration Techniques, MS Word 2007, 2010

Angela Jackson

214-***-****

acphbl@r.postjobfree.com

CHARITY VOLUNTEER

Friendship House, Garland TX 06/2013 -Present



Contact this candidate