Manager Specialist
Resume:
Jennifer Carney
**** ******** **** *********, ** 372**-***-*** 8253 ***************@*****.***
Credentialing Coordinator/Specialist
Five years of credentialing experience working in corporate and healthcare office environments.
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Expertise in coordinating provider applications and the re credentialing process.
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Solid knowledge of NCQA and DHS credentialing standards.
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Proven ability to work independently and efficiently with superior results.
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key Skills
Interface between providers and hospital staffs to collect required information.
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Perform credential verification and request information from appropriate data banks.
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Submit applications to manager, medical director and Credentialing Committee for review.
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Education
Tennessee State University Nashville, TN
B.S. Speech Communication 2005
Professional experience
A Brighter Future Inc. Fayetteville, NC 2006 2010
Credentialing Coordinator
Review provider files for appropriate documentation required for the credentialing process.
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Prepare files for audits and maintain electronic data input activities.
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Coordinate credentialing and re credentialing applications and conduct document research.
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Collect and maintain files in relation to credentialing of network providers, including application,
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contracts, current physician licenses, DEA licenses, malpractice insurance, board
certifications and other pertinent forms.
Prepare documents for Credentialing Committee review.
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Forward applications to providers and ensured accuracy and completeness of information.
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SunTrust Banks Inc. Nashville, TN 2003 2006
Loan Servicing Specialist
Handled inbound service calls from clients.
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Resolved complex issues and complaints about banking products and services.
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Answer questions from branch personnel concerning HELOC and boat loan products.
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Participated in ongoing training classes to stay abreast on new policies/procedures.
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