High School Process

Elizabeth Stacker

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

Houston, Texas 77048

713-***-**** (Home)

281-***-**** (Cell)

Email: ********@***.***

Objective:

Seeking a position that offers stimulating challenges and professional career advancement.

Experience:

9/2007 – 5/2011 University of Houston, College of Optometry

Credentialing Specialist

Houston, Texas

Duties included: Creates credential files for initial information received from faculty and residents, Coordinates files review for approval from the Director, maintain current documentation and updates on all providers, Coordinates the application and enrollment process, Researches and obtains verification of doctors’ professional credentials and evaluates data to determine suitable of match with clients and local businesses, Facilitates enrollment of full-time and associate faculty in third party programs by working with billing companies and providers to complete applications and obtain provider numbers, identifies and requests missing documentation on a regular basis, Assists in the re-appointment process and obtains pre-authorizations for procedures, Networks and coordinates the sharing, receipt and or update of information among various internal department and assists them as needed, Query the NPDB/IQRS for malpractice history, Set up NPPES numbers for incoming residents, CAQH inquires/update, Performs other job-related duties as assigned.

2/2007 – 9/2007 Obstetrical and Gynecological Associates, P.A.

Credentialing Assistant

Houston, Texas

Duties included: but not limited to primary source verification in accordance to NCQA guidelines for initial credentialing and re-credentialing. Update and maintain several spreadsheets for practitioner tracking. Prepare practitioner application/contract and agenda for credentialing committee on a monthly basis. Query the NPDB/IQRS for malpractice history. Verification other sources such as AMA, ABMS, AOA, TSBME, and many more. Basic clerical duties as assigned.

9/2005 – 2/2007 Resource Staffing

Administration/Clerical

Houston, Texas

Duties include: Answer a multi phone line, typing correspondences for company, prepare scholarship checks for scholarship recipients, filing, creating spreadsheets for passports, entering data in AS400 system, entered new hire and termination data into PeopleSoft system, direct incoming calls to appropriate person, pick up mail and distribute. Process checks for payment, Remitters, Kept interview room and front office clean and provided snacks for guests. Process Medicare and Medicaid claims, checked website for eligibility, Staff job orders with qualified employees, Interview potential employees for qualifications and capabilities, Perform employee background checks to ensure employee fitness for placement, Review employment applications and assist with application process, Set up orientation room and perform orientation for employees, Set up and administer office clerical job skills testing, Distribute pay checks for employees as directed, Accurately input data in log of paychecks mailed and delivered, Maintain employee availability data daily, Accurately input employee information into computer database, Courteously and professionally answer client questions and concerns, Maintain accurate records and notes regarding work in process, Prepare reports related to staffing, Booked hours and calculations, Daily sheet comparisons, Contact clients for staffing needs, take calls, and order/distribute office supplies, check credentials before job placements.

Education:

1987 Bellaire Senior High School

General Studies

Skills:

MS Word, Excel, Access, AS400, Fax, Calculator, PowerPoint, Outlook, QuickBooks, Lotus, Scanners, PeopleSoft, and SAP.

References are available upon request

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