GERALD JACKSON JR
**** ********* ****** **. *, Apt. J, Columbus, OH 43231
*******************@*****.*** 614-***-****
SUMMARY
Dedicated and adaptable professional with a proactive attitude and a strong ability to learn quickly. Demonstrates excellent work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
SKILLS
• Registration and Admissions
• Document Review
• Credential Verification
• Medical Records Management
• Provider Credentialing
• Insurance Claim Processing
• Proficient at Data Entry
• Effective Written and Verbal Communication
• Prior Authorizations
• Application & Background Checks
EDUCATION
High School Diploma, Westinghouse High School – Pittsburgh, PA – June 1989
College Experience, Fortis Institute – Erie, PA – 2013 (LPN coursework)
EXPERIENCE
Credentialing Coordinator — Maximus, Columbus, OH (March 2023 – January 2025)
• Ensure employees at medical centers have proper credentials and licenses to practice.
• Act as a liaison between providers and administrators for legal compliance.
• Verify certifications, licenses, and maintain accurate credential records.
• Reviewed and processed credentialing applications.
• Performed primary source verifications including criminal history and licenses.
• Assisted in the accreditation process.
Credentialing Coordinator — Eastern Personnel Services (September 2022 – March 2023)
• Created and maintained provider credential records.
• Verified credentialing data and identified discrepancies.
• Ensured compliance with healthcare standards.
Pharmacy Technician — Mt. Carmel East Hospital (May 2022 – September 2022)
• Worked with pharmacists to ensure medication safety.
• Processed, labeled, and dispensed prescriptions.
• Prepared IV solutions and tracked medication orders.
Home Health Aide — Homecare by Blackstone (November 2019 – March 2021)
• Assisted with bathing, dressing, and grooming.
• Provided companionship and monitored client health.
• Prepared meals, assisted with mobility and accompanied clients to appointments.
Prior Authorization Specialist — Express Scripts, Dublin, OH (December 2018 – July 2019)
• Reviewed prior authorization requests and verified patient coverage.
• Worked with nurses and insurance reps to obtain approvals.
• Researched clinical criteria and interpreted benefit plans.
Home Health Aide — Homecare by Blackstone (May 2017 – November 2017)
• Assisted with personal care and monitored patient health.
• Prepared meals and escorted clients to appointments.
Housekeeper — OSU Wexner Medical Center, Columbus, OH (November 2016 – April 2017)
• Cleaned and sanitized patient rooms and public areas.
• Changed linens, cleaned bathrooms, and responded to guest requests.