Michelle J. Email and Phone Number
Highly versatile and experienced Credentialing Specialist offering expertise in Provider Credentialing, Payor Enrollment, Data entry and management as well as administrative Support. Proven track-record of dedicated process improvements and employee-focused initiatives that increase efficiencies, improve organization and increase turnaround times. Multiple years of experience performing tasks remotely.
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Provider Enrollment SpecialistVivent HealthBarnegat Township, Nj, Us -
Layoff/Position EliminatedCareer Break Nov 2023 - PresentPrior Position Eliminated; Currently using time to skill build with Skull Up while searching for employment.
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Credentialing SpecialistProsmile Apr 2019 - Nov 2023Toms River, New Jersey, UsResponsible for meticulously verifying and maintaining licensure and certifications for providers across multiple states virtually. Ensuring all providers meet regulatory standards for enrollment with CAQH and all major Payors. Ensuring adherence to payor standards for credentialing and recredentialing applications. Maintaining all provider data is accurate and up to date in credentialing databases. Monitoring expiration dates on all provider documents throughout the process and around time of renewal. Communication with Providers, offices and payors to ensure everyone has correct information. Maintain Providers are up to standard for Medicaid and Major payors, verifying NPDB is clean and all information provided is accurate for reporting. Internal position eliminated -
Career TransitionCareer Break Sep 2017 - Apr 2019Temporarily worked two positions while working to find my path for long term work that offered balance and security.
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New Patients ClericalKuflik Dermatology Nov 2016 - Aug 2017Maintain patients files both digital and physical for multiple offices by a precise attention to detail. Enter patient data at time of scheduling and verify the patient is up to date with insurance information at time of appointment. Collect patient files for upcoming days and verifying previously pulled files are still accurate. Prepare files for interoffice transfer when needed, fax provider information if needed mid day and send files for consolidation. Keep physical files organized in an alphabetical and numerical system. -
Training Store ManagerMandee’S Mar 2013 - Nov 2016Maintain integrity of store, complete opening and closing procedures which includes setting up and breaking down tills and completing deposit information. Maintain store appearance and update layout as needed, provide customer service to the floor and dressing room as needed. Complete interstore transfers and process shipments bi-weekly. Delegate tasks when the manager on duty and communicate with management staff at the beginning and end of shift. Complete bank drop offs Bi-weekly and change orders as needed. -
Personal Goal PursuitCareer Break Oct 2011 - Mar 2013Finishing College and looking for employment as college grad.
Michelle J. Education Details
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Ocean County CollegeGeneral Studies
Frequently Asked Questions about Michelle J.
What company does Michelle J. work for?
Michelle J. works for Vivent Health
What is Michelle J.'s role at the current company?
Michelle J.'s current role is Provider Enrollment Specialist.
What schools did Michelle J. attend?
Michelle J. attended Ocean County College.
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