Credentialing Specialist/ MBA

Overview

Looking for full-time work (8 hours/day)

at $4.33/hour ($832.00/month)

Post-graduate degree (Masters, Doctorate, etc.)

Last Active

July 30th, 2024 (697 days ago)

Member Since

April 10th, 2021

Profile Description

Master in Business Administration degree holder, with an undergraduate degree of BSBA Financial Management.  

Currently working as a recruitment coordinator/credentialing specialist with  healthcare staffing based in the US for more than 2 years now. In this role, I manage the credentialing process for healthcare professionals like nurses. With this role, I always have to be attentive to all the details on the documents I process daily, including checking the name, date, validity, and if the document/certificate was provided by an institution acknowledged by our clients.

Being a Recruitment Coordinator entails a multifaceted role; below are examples outlining the scope of my responsibilities.
• Manage the credentialing process for healthcare professionals, including physicians, nurses, therapists, and other allied healthcare providers.                              
• Review and verify the credentials, qualifications, and licensure of healthcare providers to ensure compliance with organizational and regulatory requirements.      • Conduct thorough background checks, including education, training, work experience, licensure, and professional references.    
• Liaised with various external organizations, such as medical boards, licensing bodies, educational institutions, and employers, to obtain and verify credentialing information.
• Ensures accurate data indexing of Healthcare Professional requirements and application information in a timely and efficient manner, while maintaining superior Healthcare Professional file presentation.
• Reviews and enters required metadata using a software application within the standard timeframe.
• Inspects documents for legitimacy, ensuring any/all questionable documents are reviewed by department management.
• Performs a thorough review of submitted application, ensures complete and accurate data entry of required/appropriate information into the company’s proprietary software program.

Former inbound customer service representative for Auto & Home Insurance based in the US. Completed the 7 weeks training for Auto and Home Insurance to serve as
the primary contact between policy holders and the company that provide assistance such as: 
• Assisted customers with policy quotes, renewals, updates, and cancellations. Including changes to their existing auto and home insurance policies, and how it affects their monthly premium.
• Educated customers on insurance products, coverage options, and policy details.
• Handled billing inquiries and processed payments.
• Investigated and resolved customer complaints, liaising with other departments as needed.
• Supported sales efforts through cross-selling and upselling relevant insurance products.