Post Job Free

Resume

Sign in

Creadentialing Supervisor

Location:
United States
Posted:
March 17, 2014

Contact this candidate

Resume:

Objective

Seeking a position with a company that will allow me to gain knowledge,

capitalize on the skills I have previously acquired and that offers an

opportunity for advancement.

Experience

Credentialing Supervisor - Health Velocity, Houston, Texas

August 2006 - August 2013

. Responsible for the supervision of all administrative aspects of

credentialing activities.

. Supervision of day-to-day operations related to provider data. Maintain,

develop and implement credentialing processes and procedures.

. Responsible for employee payroll.

. Administer interfaces and interdependencies between departments,

consistently maintaining knowledge and understanding of the impact to

providers.

. Oversee the daily audit of outgoing files, tracks compliance data and

follows up with staff members as necessary.

. Identifies staff training needs, and develops plans to ensure staff

members are trained in their assigned activities.

. Experience with office operations: faxing, copying, scanning and data

entry of dental claims as needed.

. Answer multiple phone lines

. Verify insurance for Amerigroup members

. Daily use of credentialing sites such as DEA, DPS, OIG, NPDB and TSBDE

Office Assistant - Gary Corps Center, San Marcos, Texas September 2005 -

June 2006

. Database Entry: typed correspondences and memos as needed. Performed

research and data gathering activities and may prepare reports or

summaries of information. Maintained reports and records and other

statistical or quantitative data for office manager.

. Office Management: Maintained office filing and storage systems,

monitored and ordered office supplies, distributed incoming and processed

outgoing mail, and general reception duties.

File Clerk - Sergi & Associates, San Marcos, Texas September 2005 - June

2006

. Answered phone, faxed, gathered and filed information for client accounts

. Assisted lawyers in preparing depositions

. Prepared memorandums and agendas

. Obtained knowledge in various software such as Bankruptcy Pro, I-Got-

Notices, Amicus Attorney

Education

Willowridge High School, Houston, Texas August 2001 to May 2005

Earned high school diploma.

Skills

OS: Microsoft Windows, Software: Word Perfect, Microsoft Office (Word,

Excel, PowerPoint, Outlook), 47 WPM,

Strong organizational and administrative skills as a manager with over five

years of credentialing experience



Contact this candidate