Credentialing Specialist with 7+ Years Experience

Tanya Moore

************@*****.*** 404-***-****

SUMMARY

Detail-oriented Credentialing Specialist with over 7 years of experience in managing credentialing and re-credentialing processes compliant with NCQA standards. Proven leader with a track record of improving team productivity by 20% and resolving 50+ escalated survivor cases while maintaining a 95% customer satisfaction rating. Skilled in communicating effectively with healthcare professionals and managing operational reporting.

PROFESSIONAL EXPERIENCE

HOUSING CREW LEAD 2017 - 2024

FEMA Washington D.C.

Processed 100 to 600 disaster survivors per week.

Negotiation with outside partners including senator's offices. Managed 10 to 15 reservists and local hires.

CREDENTIALING SPECIALIST 2005 - 2012

North Atlanta Surgical Associates Atlanta Georgia

Credentialing for 29 doctors and 7 physician assistants for group of General Surgeons. Maintain insurance database, troubleshoot billing complaints from various insurance companies. I and provided back and front office medical assistance as needed in various locations. Maintain office supplies and scheduled lunches for monthly staff meetings for 112 employees. EDUCATION

High School Diploma 1976- 1979

LaGuardia Community College 1979 -1981

Certified Medical Assistant 2005-2006

TECHNICAL SKILLS

Case Management

Compassionate Communication

NEMIS - National Emergency Management Information System Effective Communication with Outside Partners

Certified Medical Assistant

Licensed Health and Life Insurance Agent

Training

Coaching and mentoring

Scheduling Software

CAQH software

Surgical Credentialing

Specialist

CERTIFICATIONS/TRAINING

Health Life Insurance License

Certified Medical Assistant

Credentialing Specialist

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