Experience

Prime Providers

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Healthcare Credentialing Coordinator - HR

  • Nov 2022 - Present

  - Verifies new employees’ credentials and runs appropriate background screenings. - Send paperwork for hiring. - Send weekly emails to company managers to let them know employees' monthly Birthdays for each clinic ( six) - Contacts employees to verify credential renewals. Obtains other credentials from employees as necessary. - Places credentials into EHR system. - Internal Audits - Get in touch with employees to get the documents on time via email, text messages, and calls. - Works with hospitals and other healthcare facilities to ensure employees are credentialed according to their standards. - Stays up to date with the latest compliance standards and regulations. - Communicates with payors and facilities regarding the latest employee credentials. - Submits credentials packets to hospitals and other healthcare facilities. - Assists the Clinical team in staying updated on all changes to compliance standards and regulations. - Ensures all payors have up-to-date lists and credentials (Behavior therapy). - Employees's audit trought the systems - Manage EHR systems as Cubhub, Hellosign and CodeMetro Show less



Remix Medical, PLLC

• United States
• Wellness and Fitness Services
• 1 - 100 Employee

• Credentialing Specialist / HR

  • Jun 2021 - Oct 2022

  - Manage Physician credentialing - Recruitment and onboarding - Coordinate birthdays days and special events such as company lunch days, decorate employees' desks, Gifts, and bonuses. - Maintaining individual provider files to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications. - Manage EHR systems such as eClinicalWorks, Spruce, Dr. Chrono, Modio Health, Chartswap, Docusign, Zohosign, Highside, and Dialpad. - Maintaining the internal provider grid to ensure all information is accurate and logins are available. - Completing revalidation requests issued by government payers. - Manage medical records requests and follow-ups - Insurance Verification at United Healthcare website - Completing credentialing applications to add providers to commercial payers, Medicare, and Medicaid. - Completing re-credentialing applications for commercial payers and healthcare facilities - Used web-based databases for credentialing purposes, such as Bamboo and HR. - Credentialing new providers and re-credentialing current providers with hospitals at which they hold staff privileges. - Medical/Billing affidavits and Records - Manage systems to recruit such as CompuTrabajo, Applicant Pro, LinkedIn and Bamboo HR - Prefilled forms and supported Physicians, and Nurses Practitioners with completing applications and credentialing paperwork. - Working closely with the business manager and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. - General HR duties Show less



Teleperformance

• United States
• Outsourcing and Offshoring Consulting
• 700 & Above Employee

• Bilingual Agent

  • Jan 2021 - Jun 2021

  - Customer service - Manager company plataform. - Taking phone calls, answer to customer inquiries, translating documents, solving customer issues and reporting to manager. - Multi-tasking. - Solve issues. - Customer service - Manager company plataform. - Taking phone calls, answer to customer inquiries, translating documents, solving customer issues and reporting to manager. - Multi-tasking. - Solve issues.



Insituto Distrital de Deporte y Recreacion IDER

• Asesor profesional Especialista

  • Feb 2016 - Oct 2019

  • Coordinador de contratación, apoyar en procesos de selección y vinculación de personal e inducción de personal. • Revision dedocumentos y soportes de contenidos Financieros que ingresen al Area Juridica para elaboracion de contratos • Administración de contratos, inducción y recopilación de historia laboral • Legislación laboral , Sistema de seguridad social. • Revisión de documentos y soporte de contenidos suministrados por candidatos para la vinculación laboral. • Revisión de hojas de vida, verificación de perfiles profesionales. • Construcción, elaboración de procesos y proyectos para el desarrollo de actividades (planeación y seguimiento) • Realizar informes y verificación de requisitos legales del área en cuanto a SGSS. • Manejo de Base de datos de contratación. Show less



Gobernacion de bolivar

• Asesor profesional en la Oficina de Tesoreria

  • May 2012 - Dec 2015

  • Inspección y verificación de cuentas de cobro emitidas por la unidad de contabilidad referentes a pagos administrativo • Revisión de acuerdos de pagos que sean solicitados por el contribuyentes, nominas, control de plantillas de cuentas de cobro • Planeación y seguimiento de informes relacionados con la oficina de tesorería y tareas administrativas de apoyo. • Acreditar el cabal cumplimiento mensual de obligaciones relativas al sistema de seguridad social integral atendiendo lo establecido en el articulo 23 de la ley 1150 de 2007 y ARL. Show less



Consorcio Gestión Salud

• Auxiliar operativo

  • Sep 2009 - Dec 2009

  - Requisiciones. - Apoyo contabilidad y nomina. - Archivo. - Revisión de facturas - Requisiciones. - Apoyo contabilidad y nomina. - Archivo. - Revisión de facturas