Credentialing Specialist
Resume:
LYNNETTE RIVERA
Gardena, California 90247
******.********@*****.***
EMPLOYMENT HISTORY CUSTOMIZED CREDENTIALING SERVICES
July 2004-February 2012 Gardena, CA
Credentialing Specialist
• Specialized in credentialing initial and re-applications for healthcare professionals such as M.D.'s, D.O.'s and Allied Health Professionals. Research and reviewing applications providing a range of technical, administrative, clerical and investigative support work verifying background credentials, education, internships, residences, employment history, licensure, professional references, hospital affiliations, liability claims, criminal history and social security validation.
• Performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, American Board of Medical Specialties and Office of the Inspector General.
• Regularly gathering data and entering information to the database Vision by Healthline Systems, Inc (Windows Credentialing Software) Maintaining strict level of confidentiality on all matters. Keeping files secure and organized for auditing. Communicating clearly and professionally generating letters and emails to hospital affiliations and other agencies to obtain required information and verifications. Verbally communicating daily with doctors, medical staff and healthcare coordinators and applying my skills in various situations.
• Performing supervisory and administrative duties. Providing staff support ensuring that files are being processed in a timely manner and reports ready for various committees as requested on a periodic basis. Monitoring and tracking progress and status. Prioritizing daily, multi tasking when projects cross over meeting all deadlines. Establishing contacts and increasing potential resources.
• Excellent filing organization and follow up skills, phone and email tracking. Responding to any expedited requests and inquiries from other agencies. Receiving, screening mail and emails. Self motivated and responsible in completing required tasks as necessary. The ability to effectively work well with others in a team environment. Coordinating all processes investigating, verifying and finding solutions to determine the best course of action.
EDUCATION
GARDENA HIGH SCHOOL
Diploma
ADDITIONAL SKILLS
Bilingual: English/Spanish
REFERENCES
Available Upon Request
Contact this candidate