Credentialing Specialist
Resume:
Peggi Jones
Tustin, CA *****
**********@*****.***
OBJECTIVE
Seeking a Credentialing Specialist position with a progressive Healthcare organization, while advancing my knowledge in the healthcare industry.
PROFESSIONAL EXPERIENCE
12/20-present Gemini Diversified Services
Credentialing Specialist
I am responsible for credentialing and recredentialing all types of healthcare professionals, across all states. My experience entails Managed Care including Prospect, MedPoint and MedPoint FTCA, NMM, and many others. I manage E2E process including Data Entry to Quality Assurance and all points in between. I am versed in Word, Sharepoint, DocuSign, Excel, NAVCP, MD Staff and more as well as NPDB, AMA, NCCPA, ANCC, AANP, Freida, and more. I focus on quality and productivity, and I strive to always achieve my goals.
PREVIOUS HISTORY
I have twenty plus years of retail experience and background with an emphasis on luxury brands.
I am highly motivated with excellent people, relationship building, managerial and forecasting skills.
I have expertise in organization, coordination, training and execution of company initiatives and promotions.
I was responsible for recruiting, hiring, training, leading, managing and monitoring daily activities of department staff.
I have excellent speaking and writing skills.
10/15-8/20 SAKS FIFTH AVE, Costa Mesa, CA
Selling and Client Development Manager
3/13-10/15 BED BATH AND BEYOND, Tustin, CA
Harmon Department Manager
09/10-3/13 TALBOTS, INC. Costa Mesa, CA
Assistant Store Manager/ Interim Store Manager
2/09-08/10 D&G DOLCE & GABBANA Costa Mesa, CA
Assistant Store Manager
SKILLS
Highly motivated, detail-oriented, dependable, focused, a self-starter, take ownership, focus on quality and speed. Excellent troubleshooting, problem solving and negotiation skills. Fast learner, and love of learning new skills.
PROFICIENCY
SharePoint, CAQH, Microsoft Office including Excel, Word, PowerPoint, Salesforce, Workforce Management.
EDUCATION
Bachelor of Science, Central Connecticut State University
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