Jay Cintron Email & Phone Number

Boca Raton, Florida, United States

• Implemented, maintained, & managed new credentialing platform. Supervised all aspects of vendor work & ensured that contract deadlines were met.• Investigated & researched professional liability suits including disciplinary actions for prospective providers. Directly reporting findings to executive leadership.• Responsible for coordinating, monitoring, & maintaining the credentialing & recredentialing process with accuracy & integrity of the credentialing database system.• Completed provider credentialing & recredentialing applications; monitoring applications & follow-up as needed.• Tracked license & certification expirations for over 1,100 providers to ensure timely renewals.• Responsible for operational manual that includes policies & procedures. Maintaining, reviewing, and updating content according to new rules and regulations for internal guidance of all providers in the network.• Resolved escalated customer complaints and requests while maintaining excellent professionalism standards according to company policies and procedures.• Examined medical records to ensure they have all required documents per company guidelines. Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical documentation.• Performed quality assurance assessments and identified process breakdowns. Leading to implementing innovative solutions to address new issues that arise.• Ability to review and, if necessary, identify improvements that enhance the quality and clarity of audit reports.

Coconut Creek, Florida, United States

• Sustained and monitored quality assurance of inventory and record data and invoices. • Performed presort and address standardization for mailings via BCC Mail Manager ensuring USPS CASS certification.• Extract and import data by cleaning out bad records, wherein results in creating documents using Quark and PDF file formats. • Set up letters for mailings using Max Print Anchor by manipulation of graphics, text, and various document attributes.