Data Entry Credentialing Specialist

Jo-Ann M. Bowers, MS

*** ****** ******* ****, **** 529

Cherry Hill, New Jersey 08002

Cell: 856-***-****

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

Objective: To obtain a position with a reputable company where I can utilize skills in Administration.

Skills: Visual Cactus, Midas, Word, Excel, PowerPoint, Sorian, Data Entry, Epic, Medical Terminology. Online verifications, Midas & Med-Staff. Experian SMS, Modio, & PCOM -Single Payment System (SPS). Athena and Medical Coding.

Employment:

Quality Community Health Care 06/2023 - Present.

Philadelphia, Pa. 19132

Position: Human Resource Credentialing Specialist

Duties:

Duties: Initial Credentialing and Re-Credentialing for committee meetings.

Maintain data updates, terminations, and changes to credentialing database.

Ongoing monitoring: license, sanctions, Medicare opt-out, and Quality of Care.

HRSA – FTCA Deeming Application – Credentialing/Risk Management and Compliance.

Mid-Atlantic Social Security Center – GS- 5, F/T 10/2021 – 08/2022 Philadelphia, Pa. 19123-

Position: Legal Administrative Specialist, Benefits Authorizer – F/T Duties:

Adjusts established benefits – Payments made through Single Payment System (SPS).

Resolve 800 number issues or discrepancies.

Preparing Correspondence to beneficiaries regarding benefits

Contact with Beneficiaries

Axia Women’s Health OB/GYN – F/T 09/2021-10/2021

Voorhees, NJ. 08043

Position: Credentialing Specialist

Duties: Initial Credentialing and Re-Credentialing for committee meetings.

Maintain data updates, terminations, and changes to credentialing database.

Ongoing monitoring: license, sanctions, Medicare opt-out, and Quality of Care.

Insurance Billing.

AmeriHealth Caritas, Family of Companies 10/2019 – 4/2021 Philadelphia, Pa. 19113

Position: Credentialing Coordinator – F/T

Duties:

Initial Credentialing and Re-Credentialing for committee meetings.

Maintain data updates, terminations, and changes to credentialing database.

Ongoing monitoring: license, sanctions, Medicare opt-out, and Quality of Care.

Compliance Audits as Requested.

Lourdes Medical Center -Medical Staffing Office 02/2019 – 5/2019 Willingboro, New Jersey

Position: Credentialing Assistant – F/T

Duties:

Initial Credentialing and Re-Credentialing for committee meetings.

Maintain data updates, terminations, and changes to Credentialing database.

Ongoing monitoring: license, sanctions, Medicare opt-out, and Quality of Care.

Compliance Audits as requested.

Our Lady of Lourdes Medical Center 06/2011 – 02/2019 Camden, New Jersey 08103

Position: Nursing Unit Secretary/Admin. Assistant – F/T Duties:

Transcribe doctor orders.

Multitask on the 10-line phone system,

Prepare charts for admissions and discharges.

Thomas Jefferson University Hospital 05/2008 – 05/2009 Philadelphia, Pa 19107

Position: Medical Secretary/Pre-cert. Specialist – F/T Duties:

Transcribe doctor’s orders and set patient appointments.

Multitask 10-line phone system.

Pre-certification for patient studies and medication. Our Lady of Lourdes Medical Center 07/1999 to 02/2006 Camden, N.J. 08103

Position: Nursing Unit Secretary – F/T

Duties:

Transcribe doctor’s orders.

Multitask 10-line phone system.

Prepared charts for admissions and discharges

Education:

Wilmington University 10/2019 – 04/2023

New Castle, De. 19720

Degree: Master of Science – Cyber Security

Honors: Magna cum-laude

Rutgers University Accelerated Nursing Program 09/2012 -092012 Camden, New Jersey 08103

Argosy University Online Program 10/2012 – 10/2015 Pittsburg, Pa. 15106

Degree: Bachelor of Science – Healthcare Administration Honors: President, Dean & Honor Roll List

Cum-laude

Camden County College 09/2008- 10/2012

Blackwood, New Jersey 08021

Degree: Associate of Science – Registered Nursing

Camden County Vocational Technical Institute 09/1997 – 06/1999 Sicklerville, New Jersey 08081

Diploma – Nursing Unit Coordinator

Camden County Vocational Technical Institute 09/1992 – 06/1994 Sicklerville, New Jersey 08081

Diploma – Licensed Cosmetologist/Hairstylist

Pennsauken High School 09/1982-6/1985

Pennsauken, New Jersey, 08110

Diploma – Business

References Furnished Upon Request

Contact this candidate