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Office Manager Credentialing Specialist

Location:
Phoenix, AZ
Posted:
June 25, 2022

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Resume:

Saudonna Durham

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

602-***-****

Professional Summary

Highly organized detailed-oriented credentialing specialist with 30+ years of experience in healthcare

Credentialing / Re-Credentialing: Specialist, General Surgeons, Anesthesiologist, Dermatologist, Psychiatrist, Podiatrist, Nurse Practitioners, Pharmacist, Ophthalmologist, Audiologist,

Family Practice, Certified Nurse’s Aides

Primary Source Verification:

●Maintain provider database updating all expired credentials as needed

●Obtaining proof from Licensing boards, review license applications, obtain proof of education and prior work history

●Verified using NPDB, DEA, NPI, CAQH, OIG

●Ensure proper follow-up within established timeframes, monitoring checking the credentialing progress

●Complete hospital applications for privileges

●Enrolled new providers with all applicable health plans and hospitals

●Excellent people skills in handling interactions with operational staff, providers, other agencies, groups, and team members

●Ability to work well as a cooperative and supporting member of the team working remotely

Professional Experience

Desert Careers Credentialing Assistant -Temp 02/2021 - 03/2021

Matrix Providers Credentialing Re-credentialing 02/2018 - 02/2019

Anesthesia Specialty Credentialing Re-credentialing 01/2016 - 02/2017

Affiliated Dermatology Credentialing / Human Resources 05/2007 - 01/2016

Philip Melmed, MD Front Office Manager 01/2001 - 05/2007

References upon request



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