Credentialing Analyst
Resume:
Angela Jackson
********@*****.***
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
********@*****.***
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
********@*****.***
CHARITY VOLUNTEER
Friendship House, Garland TX 06/2013 -Present
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