Experience

Northern Nevada HOPES

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

• Credentialing Specialist

  • Jul 2021 - Present

  Works within the Human Resources department/team Assists with various projects as assigned by direct supervisor, Chief Executive Officer, Chief Medical Officer, Chief Financial Officer and Chief Operations Manager. Creates and maintains provider files in compliance with the organization's policies Acts as a project leader and assist in the development of provider data reporting Works with network contracting and provider relation departments to ensure follow ups when provider applications are incomplete Performs delegated credentialing duties as assigned and according to existing Performs ongoing research to correct data so it does not duplicate provider, locations, payees and participation Performs Quality Checks Keep up to date provider enrollment process and records and track provider participation levels Enters and maintains provider applications, contracts and updates into the system Keeps and maintains various, accurate spreadsheets for licensure, provider enrollment and new provider on-boarding tracking. Responsible for coordinating and monitoring the credentialing and recredentialing process with accuracy and integrity of the database system and related applications for 3rd party payer credentialing of medical staff, contracted physicians, facilities as well as allied health professionals. Complies and maintains current and accurate data for all providers using CAQH applications Weekly OIG checks on all organization staff, Board of Trustees and vendors Show less



Swift Institute

• United States
• Medical Practices
• 1 - 100 Employee

• Payment Poster

  • Jan 2020 - Jul 2021

  • Responsible for posting payments received by insurance companies, patients and law firms in both electronic and physical forms to cover visits from all eight IXE clinics and locations. • Cash, check and credit card Posting. • Print Insurance eob’s from various websites that were not posted electronically, and prepare them to be manually posted. • Reconciliation of co-payment reports from all clinic locations • Physical and remote deposits of all physical checks and cash. • Balancing each daily batch and creating a receipts cover page to specify which payments go to which provider • Direct contact with supervisors to make sure same day and weekly posting goals are met. Show less



Jam On It - Basketball Academy

• Spectator Sports
• 1 - 100 Employee

• Administrative Assistant

  • Aug 2014 - Mar 2020

  • Responsible for record keeping and bookkeeping Duties • Planned travel for employees and/or approved plans and reimbursements for employee travel • Monthly, quarterly and annual bank statement reconciliation through Quickbooks and Excel Spreadsheets • Clerical tasks such as copying, filing, faxing, mailing and scanning • Monthly payroll duties including collecting and confirming hourly employee timecards, approving salary timecards, generating check stubs for direct deposits and generate physical paychecks for those not on DD • Helped with the sales and record keeping of sales at large basketball events of up but not limited to 10,000 spectators and up to but not limited to 1200 teams in single event. • Bank Deposits post event • Flow and spreadsheets post events. Show less



Citi

• United States
• Financial Services
• 700 & Above Employee

• Bank Teller

  • Nov 2013 - Jul 2014

  • Identified and promoted sales opportunities for products and services, then referred customers to branch partners • Coordinated daily cash reconciliation in a high-volume location • Completed highly accurate, high volume money counts by both manual and machine-driven approaches • Answered telephone inquiries on banking products including checking, savings, loans and lines of credit. • Provided a high level of customer service, which lead to being one of the top rated employees in customer service excellence by customer reviews and experience feedback in the SF Marin area. Show less