Experience

Tidewater Physicians Multispecialty Group

• Hospitals and Health Care
• 200 - 300 Employee

• Credentialing Specialist II

  • Jun 2020 - Present

  • Work with providers in person, by phone, fax, US mail or email to obtain provider credentialing and insurance enrollment forms and all supporting documentation.• Maintain current and accurate data needed for the credentialing and re-credentialing process for all providers.• Process applications for appointment and reappointment of privileges to WWFHC.• Utilize the credentialing database and performs query, report and document generation; submits and retrieves National Practitioner Data Bank reports in accordance with FTCA and HRSA requirements.• Conduct thorough background investigation, research and primary and secondary source verification of all components of the application file per FTCA and HRSA requirements.• Identify issues requiring additional investigation and evaluation; validate discrepancies and ensure appropriate follow up.• Prepare credentials file for completion and presentation to WWFHC Medical Director and Credentials Committee.• Track licenses, DEA and board certificates, and malpractice coverage expirations for appointed WWFHC providers.• Maintain Credentialing and Privileging data required by FTCA for Licensed Independent Providers and Other Licensed Providers at Western Wayne Family Health Centers for annual submission to FTCA.• Perform tracking and follow up to ensure provider enrollments are approved and linked to the appropriate group entity and location in a timely manner.• Retain detailed and accurate lists of insurance plans in which providers participate and their effective dates with each plan.• Notify insurance plan representatives of a provider’s change in status or when a provider leaves WWFHC.• Complete quarterly updated demographics information to Managed Care Insurances per CMS requirements. Show less

• Patient Service Representative

  • Dec 2017 - Jun 2020

  • Operates the multi-line telephone system to answer, screen and forward calls in a high-volume phone environment.• Optimizes patients’ satisfaction, provider time and treatment room utilization by scheduling appointments by telephone.• Comforts patients by anticipating patient’s anxieties, answering patients’ questions and maintaining the reception area.• Receives incoming calls from patients and referring clinics and schedules their office visits and procedure appointments.• Relays messages, refill requests etc. to the clinical staff for handling and in turn relay messages from the clinical staff to the patients.• Protects patients’ rights by maintaining confidentiality of personal and financial information.• Maintains operations by following policies and procedures; reporting needed changes.• Contributes to team effort by accomplishing related results as needed.• Consistently demonstrates ability to respond to changing situations in a flexible manner to meet current needs, such as re-prioritizing work as necessary. Organizes job functions and work area to be able to effectively complete varied assignments within established time frames.• Provides information regarding inquiries in a professional manner.• Effectively communicates with patients’, physicians and other staff both within the Clinic and at outside facilities providing accurate, timely and responsive information.• Ensures efficient telephone communication.• Follows all written protocols and procedures of the Clinic.• Demonstrates courtesy and helpfulness toward patients and their families• Utilizes Nextgen PM/ EHR to obtain pertinent information including verification of patient appointments. Show less



DAV THRIFT STORE

• United States
• Retail
• 1 - 100 Employee

• Assistant Manager

  • Dec 2016 - Jan 2018

  • Set goals for performance and deadlines in ways that comply with company’s plans and vision and communicate them to subordinates • Organize workflow and ensure that employees understand their duties or delegated tasks • Monitor employee productivity and provide constructive feedback and coaching • Receive complaints and resolve problems • Maintain timekeeping and personnel records • Pass on information from upper management to employees and vice versa • Prepare and submit performance reports • Decide on reward and promotion based on performance • Hire and train new employees • Ensure adherence to legal and company policies and procedures and undertake disciplinary actions if the need arises Show less



Cato Corporation

• United States
• Retail
• 700 & Above Employee

• Manager

  • Dec 2013 - Dec 2016

  • Recruiting, training, supervising and appraising staff • Managing budgets • Maintaining statistical and financial records • Planning • Promoting and marketing the business • Dealing with customer queries and complaints • Overseeing pricing and stock control • Maximizing profitability and meeting sales targets • Ensuring compliance • Preparing promotional materials and displays • Recruiting, training, supervising and appraising staff • Managing budgets • Maintaining statistical and financial records • Planning • Promoting and marketing the business • Dealing with customer queries and complaints • Overseeing pricing and stock control • Maximizing profitability and meeting sales targets • Ensuring compliance • Preparing promotional materials and displays



Michael Kors

• United States
• Retail Apparel and Fashion
• 700 & Above Employee

• Sales Supervisor

  • Jan 2011 - Dec 2013

  • Ensure that each customer receives outstanding service by providing a friendly environment, which includes greeting and acknowledging every customer • Maintaining solid product knowledge and all other aspects of customer service • Maintain an awareness of all promotions and advertisements • Assist in processing and replenishing merchandise and monitoring floor stock • Ensure that each customers receive the complete jet-set Michael service • Handled all financial purchase • Asking lifestyle questions to ensure the customers wants and needs • Sending emails, phone calls, and letters to clients monthly • Meeting standard sale goals daily Show less