May
Customer Service Experience/Document /Credentialing Special
Verified
With Timeproof
Overview
Looking for full-time work (8 hours/day)
at $4.16/hour ($800.00/month)
Bachelors degree
Last Active
March 27th, 2026 (93 days ago)
Member Since
March 23rd, 2016
Profile Description
Detail-oriented and results-driven Credentialing Specialist / Customer Service / Healthcare Document Specialist with over 14 years of experience in customer service and healthcare documentation. Proven ability to manage full-cycle credentialing processes, verify provider credentials, and ensure compliance with HIPAA standards. Adept at using tools such as CAQH ProView, PECOS, Modio, and Availity. Skilled in handling digital documentation, insurance panel participation checks, and exclusion list verification. Strong communicator with extensive experience supporting healthcare providers and coordinating with payers, licensing boards, and insurance panels. Recognized for building efficient systems and fostering provider trust through accuracy and timeliness.
Top Skills
Customer Support » Customer Service
Experience: 10+ years
Over 15 years of customer service experience across voice, non-voice, and supervisory roles. Skilled in order processing, billing support, technical troubleshooting, and team leadership. Proven ability to handle escalations, manage support teams, and deliver high-quality service across chat, email, and phone channels. Experienced with social media updates, ticketing systems, and supporting insurance and telecom clients in fast-paced environments.
Other Skills
Marketing » Social Media Management
Experience: 1 - 2 years
Managed order processing and provided customer support for Hawaiian-based products and updated social media content and coordinated order fulfillment timelines.
Professional Services » Medical Services » Credentialing
Experience: 2 - 5 years
Experienced in full-cycle provider credentialing and recredentialing with strong knowledge of HIPAA compliance. Proficient in verifying provider credentials through state boards and maintaining CAQH ProView profiles with timely reattestations. Familiar with Medicare enrollment via PECOS and insurance verification using Availity and major payer portals (Aetna, Cigna, UHC). Skilled in conducting OIG and SAM exclusion checks and managing digital documentation with DocuSign and Adobe Acrobat. Adept at tracking renewals in Excel and Google Sheets, and communicating effectively through platforms like Salesforce, Zendesk, and Freshdesk. Experienced in managing credentialing records using Modio.
Basic Information
- Age
- 44
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Davao City, Davao del Sur
- Tests Taken
- IQ
- Score: 125
- DISC
- Dominance: 13
- Influence: 19
- Steadiness: 45
- Compliance: 23
- English
- C2(Advanced/Mastery)
- Government ID
- Sign Up with Pro Account to View
“There are just so many skills that the Filipino market has that they bring to the table. It's been amazing.”
Samori Coles
SEE MORE REAL RESULTS
You have successfully pinned this profile! You can manage pinned profiles in your Employer dashboard.
Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.