Customer Service Data Management

HENRIETTA LEE

San Antonio, TX ***** 210-***-**** *************@*****.***

PROFESSIONAL

SUMMARY

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Dedicated professional with demonstrated strengths in customer service, time management, and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with a strong background cultivating positive relationships and exceeding goals.

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SKILLS

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• Document Review • Critical Thinking • HIPAA Compliance

• Credential verification • Data Management • Medical Terminology

• Management

Collaboration

• Benefits Administration • Customer Service

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EXPERIENCE

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September 2005 - May 2011

Medical Credentialing Specialist

Nueva Vida Behavioral Associates San Antonio, TX

• Prepared and provided information for internal and external customers as appropriate

• Kept the organization fully compliant with legal standards for EEO and ADA.

• Coordinated with practitioners to obtain missing or updated information

• Updated provider database documents and profiles according to preset schedules

• Verified professional licenses, certifications, and other credentials of healthcare providers

• Ensured adherence to HIPAA privacy regulations while handling sensitive personal information about practitioners

• Prepared and submitted provider enrollment applications to insurance carriers

• Release information to agencies and members of the public as required by law

• Keep records in licenses, credentials and insurance contracts

• Participate in the development of internal credentialing processes

• Advise staff on renewal procedures

• Monitor staff credentials and licenses

• Maintain compliance with all regulatory and accrediting institutions

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EDUCATION

June 2005

Certification - Office Medical Management

. Career Quest, San Antonio, TX

May 1985

High School Diploma

James Madison High School, San Antonio, TX

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