Administration assistance

TEKELIA SAVAGE

**** * ****** ***** *, Plano, TX, 75023

214-***-****

************@*****.***

Demonstrated the organizations 5-star performance. Excellent people skills and always promoted a cheerful outlook. Always dependable and punctual, impressive people skills, telephone etiquette, and secretarial skills. Knowledge of hospital and clinical office operations. Strong PC and data entry skills. EXPERIENCE

10/2019 – 6/2022 LEAD CREDENTIALING SPECIALIST- WELLCARE HEALTH PLANS, INC Responsible for coordinating, monitoring, and maintaining the credentialing and recredentialing process with accuracy and integrity of the credentialing database. Check system and related applications for third party payer credentialing of medical staff, consulting physicians, facilities as well as allied health professionals. Insuring interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. Compiles and maintains current and accurate data for all providers using CAQH applications or WellCare applications. Completes provider credentialing and recredentialing applications, monitors applications and follow-up as needed. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. Maintains corporate provider contract files and knowledge of current health plan and agency requirements for credentialing providers. Set up and maintains provider information in online credentialing databases and systems Cactus, Omni Flow & Xcelys 6/2016 – 9/2019 CREDENTIALING SPECIALIST – SENIOR TIME INSURED Maintain credentialing files on all members including current providers, updating current licensure and other certifications. Process employment verification for current and previous providers Ensure all necessary is timely and accurate. Provide technical and administrative support to Credentialing Processing center including completion of the standardized credentialing applications and provider forms for initial and reappointment cycles. Update and maintain current standards and policies. Explain the credentialing database system to providers. CAQH and update any information needed if the providers are unable to update. Process any red flags and present files to credentialing committee for review and approval also notify all providers regarding approval or denials. EDUCATION

2018***DCCCD- HEALTHCARE & HUMAN RESOURCES

SKILLS

Medical Billing/Coding, Health Care Management, A/R & A/P, Medical Collections, Excel, Word, Vision, OmniFlow, Xcelys.