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Credentialing Coordinator Enrollment Specialist

Location:
Arlington, TX
Posted:
December 26, 2022

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Resume:

Doreen Woodard

*** ***** **. – Arlington, Tx ****8

Cell: 817-***-**** – adt9v6@r.postjobfree.com

PROFILE

• Proactive, customer-focused customer service professional with ability to build productive relationships, resolve complex issues, and win customer loyalty.

• Excellent interpersonal, communication and relationship-building skills. Listen attentively, communicate persuasively, follow through diligently and successful in both team and self-directed settings.

• Proven ability to manage and complete tasks to the highest standard, with a meticulous attention to detail and within agreed deadlines. EDUCATION Tarrant County College, Arlington, TX

Major: Accounting: September 2011 – May 2012

Forrest City High School, Forrest City, AR

Computer Skills

• Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Google

• Working knowledge of the Internet, Typing 55 wpm, 10-key by touch. WORK EXPERIENCE Licensing Coordinator, October 2021 to Present. Eagle Telemedicine, Atlanta, GA.

• Licensed physicians (via compact or online web application) across the country to achieve additional licenses.

• Research, verify, process or request FCVS, ECFMG, NPDB, AMA, Veridoc, FedEx labels, license verifications from one medical board to another and update Modio daily with notes on a providers file. Licensing and Credentialing Specialist, Sept. 2019 to October 2021. The Pill Club Medical Group, Fort Worth, TX.

• Credential physicians and Non-MD providers. Medicaid enrollment

• Maintained CAQH updates for all providers. Process Collab Agreements Credentialing Coordinator, June 2018 to Sept. 2019 – Select Medical Health, Plano, TX

• Credential and recredential physical therapist to work at multiple clinics

(practice locations). Medicaid Enrollment.

• Provider Relations and Support

• Payor Delegation reporting of changes and updates within the network.

• Maintained CAQH updates for providers.

Provider Enrollment Specialist/Credentialing Coordinator, (Temp July 2014 to Oct. 2014) Oct. 2014 to February 2018. Teledoc Physicians PA, Lewisville TX.

• Credential and Recredentialing physicians and non-MD providers following NCQA guidelines.

• Assisted in the NCQA Accreditation audit for 2017 survey scoring 100%.

• Responsible for achieving Medicaid and Medicare certification for all 50 states for Teledoc Physicians, PA.

• Enrolled providers in all non-delegated health plans across US

• Licensed physicians across the country to achieve additional licenses.

• Proficient in Medicaid, Medicare, Licensing, NCQA Guidelines, credentialing and Primary Source verifications.

Credentialing Coordinator, Mar. 2013 to July 2014 – Physiotherapy Associates, Plano, TX

• Credential and recredential physical therapist to work at multiple clinics

(practice locations). Medicaid Enrollment.

• Provider Relations and Support.

• Payor Delegation reporting of changes and updates within the network.

• Maintained CAQH updates for providers.

• Navinet (application) maintenance when a provider is linked to a new location.



Contact this candidate