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Entry Operator Data

Location:
Jacksonville, AL
Posted:
March 28, 2023

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Resume:

EnFynite H Jennings

Laceys Spring, AL, ***** • (*56) 274 - 3469

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

Qualifications Summary

Versatile, highly analytical, dedicated professional with on-going degree in General Studies/ Computer Science and hands-on experience in credentialing, business, and data analysis. Expert at collaborating cross-functionally with team members to ensure attainment of collective goals/vision. Adept at ensuring accurate and timely information for purposes of credentialing and data analysis while recommending changes to credentialing criteria and processes. Excel at maintaining all credentialing policies and processes to ensure adherence to compliance with all applicable regulations. Proven history of interacting with all customers to guarantee prompt and accurate communication.

Credentialing Analysis

Verifications

Medical Records Maintenance

Files Organization & Management

Regulatory Compliance

Business Analysis

Relationship Management

Vendor Engagement

Team Leadership & Development

Continuous Process Improvement

Data/System Analysis

Healthcare Information Systems

Database Management & SQL

Complex Problems Resolution

Education

Associate of Science in General Studies/Computer Science– GPA 3.67

Calhoun Community College, May 2023

Phi Theta Kappa Honors Society 2020 Dean’s List 2020 Sigma Kappa Delta Honors Society 2021

Professional Experience

TRS Healthcare, Remote April 2022 – Present

Credentialing Specialist II: 40 hours weekly

Maintain provider files including licensure for nurses and allied healthcare professionals. Communicate compliance requirements and deadlines to clinicians. Process and review criminal backgrounds with a focus on adverse actions on professional licensure. Verified education of the highest degree to ensure high-quality professionals are provided to each client. Schedule medical screenings and follow up for results regularly. Serve as primary contact for multiple high priority clients. Pilot efficient follow up of files to ensure clinicians start assignments on time. Assist clinicians with obtaining required certifications such as ACLS, BLS, NIHSS, and AWHONN. Occasionally negotiate contracts and start dates.

Verified that all files met Joint Commission regulatory standards and performed weekly audits of files.

Acted as a mentor and innovator for the credentialing team.

AMN Healthcare, Remote August 2021 – April 2022

Credentialing Analyst: 40 hours weekly

Perform end-to-end activities related to verification of education and licensure for all clinicians. Conduct review of routine medical records. Process and check criminal background. Manage and schedule drug and medical screenings in Escreen and Labcorp. Serve as facility contact for multiple high priority clients. Perform efficient management of files while maintaining utmost accuracy. Head processes related to sending, reviewing, and authorizing I9 forms.

Ensured adherence to compliance in accordance with state and facility regulations.

Accomplished success by collaborating and liaising with other departments.

Verizon Wireless, Remote August 2020 – August 2021

Customer Service Advocate: 40 hours weekly

Delivered exceptional assistance to customers in billing, technical support, and account management. Uncovered and resolved all complaints with the goal of one-call resolution. Communicated with various departments for resolution of tickets for system and billing issues while placing orders and providing tracking information. Followed up on open cases as required. Identified and troubleshot various issues for mobile phones, laptops, and hotspots. Developed PowerPoint presentations for team huddles while leading and assisting teams and colleagues.

Led and supervised team huddles with emphasis on encouraging team to deliver best services.

Chemtrade Logistics - Temporary, Alabama January 2018 – January 2019

SAP Administrative Assistant: 30 hours weekly

Conducted accounting functions involving quarterly and yearly end reports. Processed and managed payment invoices. Identified and resolved outstanding balances. Utilized SAP to create and receive purchase orders, as well as added vendors in database. Devised and developed Standard Operating Procedures (SOPs). Carried-out data entry with utmost accuracy.

Collaborated with team regarding training, orders, database, and tracking information.

Remington Outdoor Company - Temporary, Alabama January 2017-September 2017

Data Entry Operator: 40 hours weekly

Performed activities related to data entry of receiving and reversing purchase orders in SAP. Conducted meetings with vendors for material orders and non-conforming materials. Collaborated with Quality team to ensure specifications of assembly parts. Led and trained new team members.

Provided efficient management of serialized inventory of firearm parts.

Alorica (Briova Rx), Alabama July 2016-January 2017

Patient Care Coordinator: 30 hours weekly

Provided support to member with coordination of benefits, prior authorizations, specialty medications, and benefits eligibility. Gathered, maintained, and updated customer information as well as placed refill orders for medications as required. Collaborated with doctor’s offices for prior authorizations. Managed account encompassing special prescribed medications.

Guided and informed patient about overall benefits.

Ensured adherence to HIPAA compliance while maintaining confidentiality and providing exceptional customer service.

Technical Proficiencies

Python, SAP, Microsoft Office Suite, SQL



Contact this candidate