Customer Service Behavioral Health

CASTA GUZMAN

**** *. *** ****** ****. Irving, TX 75063 310-***-****

Customer Service & Operations professional

OBJECTIVE

A desire to build a long-term career where I have the opportunity to grow and progress my experience. Results driven professional with excellent organizational and customer service skills.

SKILLS & ABILITIES

8 plus years of credentialing experience

Knowledge in verifying Licenses, Life Certifications, Boards, etc.

Knowledge in credentialing Physicians, NP’s, PA’s, CNA’s, Allied, Behavioral Health, Non-Clinical

Provider Credentialing and Enrollment/ Payor Application

CAQH

Bilingual – Spanish

Administrative Support

Proficient with MS Word, Excel, Power BI and PowerPoint

Service Hub, Time to Reply, Outlook

Experience Sales Force, Adapt, SharePoint and SB Dev, Optimizer/Nova

EXPERIENCE

CREDENTIALING SPECIALIST III – VIZIENT INC / VAYA WORKFORCE

MAY 2019 – April 2024

Sustain multiple clients with 80-100+ resources at any given time

Work with implementations by speaking with clients to define their wants and needs

Maintain 99.5+% in compliance for all in progress assignments

Prioritize on time starts to ensure 90%+ start weekly

Specialize in Nursing/Allied/Per Diem/Locum/Non-Clinical

Work with agencies to provide quality, time efficient process

Meet with clients weekly to discuss their status with supportive data

Mentor team members on communication and desk management

Validate all credentials within 12 hours of upload

Provide technology trainings for other CS teams

RECRUITING COORDINATOR -AMN HEALTHCARE

OCTOBER 2018- MAY 2019

Schedule shift for locum providers for their upcoming assignments

Phone screening for potential locum providers

Pull monthly reports regarding locum providers, assignments, potential extensions and more

Provide ongoing support for Account Director and Account Services Team

Ensure continuity and quality in servicing client’s needs

Assist with updates and day-to-day management of client request

CREDENTIALING ANALYST-AMN HEALTHCARE

SEPTEMBER 2015-OCTOBER 2018

Prefill various applications from all over the US

Approve healthcare professionals for quality assurance before assignments

Assist client with obtaining needing documents such as work history verifications, affiliations verifications, case logs, malpractice information and any other needed information for credentialing process

Help providers with reappointment process with their hospital or clinic location

Review and complete provider credentialing according to client, state and AMN requirements.

Effectively maintain current and accurate provider information in compliance with company policy and computer system.

Credential many specialties including, physicians and nursing across the United States

Held large key accounts in MO and PA

Delegate work to assigned credentialing coordinator

Been Awarded 100% Audit in Q2 2017

Been Awarded 95% Audit in Q3 2017

Nominated for Team Player of the Year in 2017

Received multiple Service Hero awards from managers, team members and credentialing director

COLLECTIONS ADMINISTRATOR-LEGEND MOTORCARS

FEBRUARY 2014-JUNE 2015

Responsible for a high volume of collection calls

Coordinated the repossession of vehicles

Maintained and updated GPS (global position system) information on all vehicles

Managed all customer files

Handled insurance claims on damaged vehicles from claim to payment

OFFICE MANAGER-GENESIS TEAM

NOVEMBER 2006-SEPTEMBER 2013

Facilitated the handling of all client’s needs

Contributed creative ideas

Handled title clerk duties

Coordinated insurance claims on damage vehicles from claim payment

Maintained and updated GPS unites

Maintained all customer files and spare keys

Responsibilities included accounts payable, accounts receivables, payroll, collections and repossessions

ACCOUNT PAYABLES-MISSION FOODS

APRIL 2000-JUNE 2002

Responsible for month end reports

Provided aging balances for meetings

Performed general Office duties suck as faxing, copying, filing and answering calls

Accounts payables processing utilizing 2- and 3-way matching

Arranged meeting, appointments and travel

Handled lease contract for copiers and fax machines company-wide

Processed expense reports

EDUCATION

EL CAMINO COLLEGE

BUSINESS ADMINISTRACTION

REFERENCES

Available upon request

Contact this candidate