Customer Service Data Entry

***** * *** ****** ***** ***

Phoenix, AZ ***** Tel. 602-***-****

E-mail – *********@*****.***

Trudy James

Objective A position with a progressive organization that will offer opportunity for growth, challenge and advancement. Seeking a responsible position within a growing company that will allow me to utilize my excellent Credentialing background, customer service skills, educational training, and exemplary job performance.

Experience 2008 - Present Banner Health CVO

Credentialing Specialist

Processing Physicians and Allied Health providers for reappointment applications.

Interact with physicians and allied health professionals.

Verify Physicians and Allied health providers, previous employment, Medical Staff privileges, licensure and professional references.

Use MSOW Database to data entry, analysis and querying from various sources to obtain data information.

2007–2008 Neonatology Associates, Ltd.

Credentialing Specialist

Coordinate all phases of credentialing and re-credentialing activities for neonatal nurse practitioners and physicians.

Review credentialing files to maintain confidentiality and to facilitate timely completion of the credentialing process.

Initiates and tracks correspondence to complete delinquent initial and re-credentialing files.

Communicated directly with neonatal nurse practitioners and physicians as needed.

Maintained accurate credentialing database through ongoing data entry updates.

2004–2007 TriWest Healthcare Alliance

Credentialing Specialist II

Re- credentialing providers

Prepare files for review with the Board of Medical Directors.

Assist Providers or their medical staff with their credentialing questions.

Gather provider history and verify the accuracy of credentialing from various sources for approval.

Data entry and various other clerical duties.

2002-2004 TriWest Healthcare Alliance

Administrative Specialist

• Plan and facilitate the civilian and military Tricare Provider seminars.

• Negotiate meetings and hotel rates.

• Organize catering, equipment services and sending contracts to the various hotels.

2001-2002 TriWest Healthcare Alliance

Network Compliance Specialist

• Maintain the organization of provider contract packets.

• Assist in the maintenance of copying contracts; updating contracts status and creating excel spreadsheets.

• Answering incoming phone calls.

2000 - 2001 TriWest Healthcare Alliance

Quality Management Clerical Support

Maintain the organization of KePro medical records

• Print authorizations information

• Call facilities for medical record status.

• Create shipment letter for monthly KePro mailings.

• Database entry for review records and results.

Education 1994-1996 Arizona State University

Bachelor of Science in Fine Arts

Skills

Ability to work with others and under pressure

Prioritizing

Multi tasking

Proficient in Microsoft Excel and Word

Reference: Available upon request.

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