MICHELLE A. WORKMAN

**** ******** ****** ***. * Phila, PA. 19152 Phone: 215-***-****

ad1e6m@r.postjobfree.com

Objective: To be an effective and efficient team member for an organization where I can display my Credentialing experience, competence, and capabilities for the development and growth of the company.

EXPERIENCE

JANUARY 2021 - CURRENT

CREDENTIALING SPECIALIST, DELTA-T GROUP, BRYN MAWR, PA

Prepare, evaluate, and monitor Expiration reports. Certify contractor files for file completion by reviewing, & credentialing documentation to ensure that it meets client and company standards. Assist in the administration process of a new contractor and new contractor information. Verify degrees, certifications, liability insurance, LPN, RN, & CNA licenses, and other forthcoming relevant client credentialing requirements. Process criminal records and child abuse clearances. Provide excellent service to contractors by promptly responding to contractor inquiries.

FEBRUARY 2019 – JANUARY 2021

QUALITY CONTROL SPECIALIST, FOX CHASE HOME CARE/ADULT DAY CARE INC, PHILA, PA

QCS works closely with the Home Care Billing team and Home Care Operations to ensure credentials are retrieved & authorizations are obtained, maintained, and entered in to HHA Exchange in a timely manner. Check all Home Care & Adult Day Care clients’ eligibility in the Promise portal 3 times a week. Monitor eligibility through Navinet, PAHW, and UPMC portals. Build professional relationships with all MCO reps., and Service Coordinators.

MAY 2016 – FEBRUARY 2019

BEHAVIORAL HEALTH WORKER, PROGRESSIONS, PHILA, PA

Models’ treatment interventions establish by BSC or MT as documented in treatment plan. Provide specific interventions in school, home, or community settings as outlined in the treatment plan. Attend 2 weekly supervision to facilitate communication & exchange dialogue about client’s progress throughout the week. Develop progress notes describing each client contact and how the contact relates to treatment goals. Collaborate with other members of the treatment team and other professionals working in the school, home, or community settings, and participated in all trainings. Assistant to the Associate Program Director and STS/BHRS Case Mangers with running EVS eligibility Credentialing client files, scanning, faxing, typing, copying, and filing. Organized all incoming E-counter forms, box them, and ship them to the corporate office.

EDUCATION

Katherine Gibbs School, Associates in Criminal Justice- March 2009

SKILLS

• Detail Oriented

• Strong verbal and personal communication skills

• Proficient in Epic EMR Computer System

• Certified Medication Administrator

• Familiar with LGBTQIA

• First Aid CPR AED • Strong leadership Skills

• Proficient in Navinet, PAHW and UPMC portal

• Microsoft Office Proficiency

• Problem Solving Skills

• Solution Driven

ACTIVITIES

My passion is creating custom ribbons for Family and Friends, I currently have a home-based business that I do as a part time hobby. I also enjoy traveling and experiencing different cultures and have always enjoy sharing my knowledge and experience with others.