NICOLE J BOND

OLD HICKORY, TN ***** • 615-***-****

PROFESSIONAL SUMMARY

Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills. SKILLS

SPECIALIZED SOFTWARE

Siebel

Vistar

CACTUS

One App

Enroll Med

ECW

Proficient in Microsoft Office 2010 Suite

WORK HISTORY

Community Associate

Le Purlieu 03/2023 - Current

Manage process from booking and giving tours, to signing up new members, and facilitating their move- in

Maintain cleanliness, vibe, and organization of our space.

Address client concerns and be go-to person for our members.

Orient first-time members and short-term customers

Help scale up customer experience of our events and day-to-day operations.

Manage payment, billing, and lease agreements.

Be available to customers in person, via phone, and email.

Identify issues and ensure results are prioritized and implemented.

Contribute to social media and newsletters.

Assist in preparing for events and activities.

Credentialing Coordinator

Vanderbilt Medical 03/2017 - 07/2022

Responsible for CVO credentialing and providing administrative support for the Vanderbilt NCQA Certified Credentials Verification Organization (CVO)- Vanderbilt Stallworth Rehabilitation Hospital

Maintains a current working knowledge of CVO policies and procedures and ensures that credentialing records comply with all regulatory requirements.

Responsible for maintaining strict confidentiality of provider information at all times.

Review and data entry of provider applications, verification of provider information

Ensures that credentialing records comply with requirements of regulatory and accrediting agencies.

Processing of online verifications

Demonstrate commitment to quality by credentialing in compliance with all applicable regulations and requirements.

Work proactively to resolve issues before providers and/or patients are impacted. Credentialing Specialist

Anesthesia Services/ CPS 08/2015 - 03/2016

Conduct written and oral follow up to determine application status.

Process applications to be submitted to payers, obtain and renew licenses, malpractice insurance, healthcare contracts on behalf of new and existing providers as needed.

Document all tasks, phone calls, emails and other forms of communication during credentialing and re- credentialing process in database.

Communicates with Physicians, Payers, Managers and co-workers in an professional and polite manner

Follows up on status of applications submitted to payers.

Scan and index completed applications.

Respond promptly to all questions received via phone or email, regarding any licenses, DEA, CAQH, applications submitted to payers.

EDI Provider Enrollment

Emdeon 05/2014 - 05/2015

Provide Provider, Vendor and Payer outreach and support to set up and complete EDI enrollment process with all partners.

Review and verify information submitted by customer and enter set-up into appropriate systems to create system access and vendor business profile expectations for customer (Vendors, Providers and Payers)

Route and set up documents to appropriate customers (internal and external) for review.

Respond to customer inquiries or concerns via incoming telephone calls or e-mail correspondence.

Respond to escalated customer concerns as needed for set up and support of EDI enrollment process.

Gather and compile data within Siebel for internal and external reporting. Provider Enrollment Specialist

HCA 07/2007 - 05/2014

Collect initial documents and applications for new providers.

Liaison between application specialist and practice manager

Train new employees on intake process

Maintain departmental Inboxes in Microsoft Outlook

Maintain Cactus software with provider documents for enrollment.

Maintain and update CAQH (Council for Affordable Quality Healthcare)

Respond to customer inquiries and concerns via PBX operator.

Provide relief support for Applications Specialists, assist other Intake Specialist, and educate Managers and Team leads on efficient procedure of process.

Process all incoming departmental mail and distribute to appropriate Applications Specialist EDUCATION

No Degree: Social Welfare, Women's Studies

Tennessee State University - Nashville, TN

High School Diploma

Madison High School - Madison, TN 05/1982

Contact this candidate