Credentialing Specialist
● Collaborated with account managers and external agencies to facilitate a smooth credentialing process.● Conducted primary source verification and validated documentation to ensure accuracy of all credentials.● Gathered and evaluated highly confidential and sensitive healthcare records, maintaining strict confidentiality.● Identified discrepancies, time gaps, and inconsistencies in paperwork that could delay contracts.● Entered, updated, and maintained traveler files in the credentialing database, prioritizing accuracy and compliance with protocol requirements.● Monitored expiring licenses, professional certifications, and other time-sensitive documents to ensure compliance.● Utilized critical thinking skills to follow up with internal and external entities to resolve discrepancies during onboarding.● Maintained, organized, and uploaded files and data to designated drives, ensuring easy access and organization.● Achieved and maintained a consistent audit score of 95% or higher in all credentialing tasks, ensuring full compliance and accuracy.● Conducted audits of peer files to uphold quality standards and enhance team performance.