Customer Service Data Entry

Tracey Carter

Credentialing Analyst

*** **** **** ** *********, TX 76018

915-***-**** *********@***.***

CAREER GOALS

Dedicated and focused professional, who excels at prioritizing, completing multiple

tasks simultaneously and following through to achieve project/company goals and

time frames. Seeking a company who offers a position where I can thrive and and

flourish within the company.

SKILLS & STRENGTHS

● Communication & decision making

● Ability to work well under pressure & time management

● Computer skills

● Self-motivation

● Conflict Resolution skills

● Leadership skills

● Adaptability to new or changing environments

● Works well with group or as an individual

● Creativity & Innovation

EXPERIENCE

AMN Healthcare, Coppell, TX - Credentialing Analyst

AUGUST 2015 – May 2018

Credentialing and re-credentialing of providers for Behavioral Health, Anesthesia, Primary Care, Internal Medicine, Emergency Medicine and Dentistry at Hospitals, clinics, private practices, Government and VA facilities and Indian Facilities.

Ensuring CAQH is up to date and complete.

Enrollment in Pecos system.

Run Background checks, completion of I9’s for employment, scheduling of drug screens and scheduling vaccines for Staff care health physicians as needed per facility contracts.

Build and maintain professional relationships with Healthcare clients and Staffcare

physicians nationwide.

Responsible for communicating with and assisting facilities and staffing vendors in

achieving and managing full candidate compliance per Joint Commission standards

and / or client specific requirements.

Ensures all expiring documents are communicated to our agency staff and ensure that updated documents are obtained.

Healthsmart, Irving, TX -Intake Coordinator

JUNE 2014 - AUGUST 2015

Answers incoming calls and retrieves phone mail requests and facsimile requests for

Authorization.

Obtains information required to complete or initiate the pre-certification process

Obtains and codes diagnosis and planned procedure(s)

Performs data entry of new requests for authorization of services

Assists with returning calls, providing accurate responses to providers and members

Prepares Utilization Management letters and memos as requested

Participates in monitors and gives feedback to the Internal Quality Committee

Acts as liaison for customer service and other outside entities as required

Collaborates with other departments within the organization.

Utilizes network system to identify network providers

Credit Protection Association, Dallas, Collections Specialist

JANUARY 2014 - JUNE 2014

Collections of outstanding auto accounts

Adecco, Fort Worth, TX Collections Specialist

MARCH 2013 - DECEMBER 2013

Collections of outstanding accounts

ADP, El Paso, TX Collections Specialist

JUNE 2008 – April 2012

Collections of outstanding payroll account

Setup payment arrangements

Process payments for delinquent accounts

EDUCATION

Western Technical College, El Paso, TX - Coding Certification

JANUARY 2000 - OCTOBER 2000

Andress High School

AUGUST 1984 - JUNE 1988

References

● Jennifer Jones- Credentialing Analyst 214-***-****

● Vanessa Williams Credentialing Coordinator - 972-***-****

● Essence Hoyle Credentialing Coordinator 817-***-****

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