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Provider Credentialing Specialist Resume

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Mechanicville, VA

SUMMARY

I have 15+ years of work experience and excellent interpersonal skills. I have worked in local government, office environments, and in the retail industry. I bring balance and organization to fast paced environments with excellent organizational skills and proficiency in multiple office products and software packages.

TECHNICAL SKILLS

  • Customer service
  • Proficient in Microsoft Word, Excel, Access, PowerPoint, SketchUp, AutoCAD Detailed oriented
  • Knowledgeable of accounts payable/receivable Time management and organization ability Critical thinking skills
  • Interpersonal skills to handle sensitive and confidential situations
  • Analytical ability to prioritize tasks
  • Merchandiser
  • Manager
  • Employee trainer
  • Dedicated team player

PROFESSIONAL EXPERIENCE

Confidential, Mechanicville, VA

Provider Credentialing Specialist

Responsibilities:

  • Credential volunteer driver documentation and contractual requirements for readiness to join the Non - Emergency Medical Transportation (NEMT) network
  • Submits weekly reports to Manager of Network Development and management staff of special projects and duties completed
  • Maintain and/or run motor vehicle records, criminal backgrounds, and drug screenings in database for transportation providers to ensure compliancy
  • Verify insurance fulfillment by reviewing general liability, workmen compensation, auto insurance and contacting companies when necessary to ensure they meet contract requirements
  • Run reports, scan, and maintain provider documents in electronic data filing system to ensure information is accurate and updated in a timely manner in Excel spreadsheets
  • Assist with audits to ensure transportation and volunteer driver contracts are compliant with applicable federal and/or state laws, regulations, and/or agency rules or guidelines
  • Proficient in Microsoft Word, Excel, Access (LCAD) and database research experience in OIG, SWaM, SAM, and DMV

Confidential, Richmond, VA

In-store Engagement Specialist/Wine Specialist

Responsibilities:

  • Prepare and serve food/wine samples
  • Remain noledgeable of product features and benefits represented in a demo
  • Interact and engage with customers in a positive manner while executing
  • Prepare and set up for special events within store
  • Achieved and maintained 100% execution on assigned demo for past 5 years.
  • Passed every surprise audit for past 5 years.

Confidential, Richmond, VA

Merchandiser

Responsibilities:

  • Utilize detailed employer directions and execute magazine/book/gift card planograms without supervision
  • Maintain accurate records and confidentiality.
  • Asked to train other associates within 3 months of hiring due to accurate record keeping and ability to work without supervision.
  • Deliver exemplary customer service to every client at all times.
  • Attend training as needed.
  • Utilize specialized software to query information and produce product reports.

Confidential, Short Pump, VA

Design Associate

Responsibilities:

  • Assisted customers with design ideas and halp with furniture and product selections.
  • Maintained accurate paperwork for each customer for ongoing follow up and sales reports.
  • Operated software to generate individual decorating profiles for each customer.
  • Meet individual daily sales goals.
  • Maintain confidentiality with sensitive customer information.
  • Achieved store sales goals in a team-selling environment by executing customer service delivery plan.

Confidential, Richmond, VA

Keyholder/Associate Manager

Responsibilities:

  • Responsible for opening/closing store and managed cash deposits
  • Responsible for setting and organizing monthly floor sets within different Sears locations.
  • Supervised inventory procedures every six months
  • Trained associates to merchandise different store locations in the Richmond area.
  • Managed shelf stocking and pricing activities.
  • Handled weekly tasks as in conference calls, markdowns, mark-ups, consolidations, price sweeps.

Confidential, Richmond, VA

Instructional Assistant

Responsibilities:

  • Responsible for halping students with assigned tasks in classroom
  • Provided one on one instruction with students when teacher was absent or away from classroom
  • Supervised and assisted students in emergency situations maintaining safety at all times.
  • Collected data on student performance and progress directed by the teacher.
  • Assisted with field trips, community-based instruction, and other activities.
  • Assisted with implementation of behavior management plans directed by teacher.

Confidential, Sandston, VA

Receptionist/Administrative Assistant

Responsibilities:

  • Managed inbound/outbound calls through Switchboard
  • Maintained confidential files and records
  • Handled general administrative duties, such as, faxing, filing, copying, mailing, data entry and typing invoices for a busy office.
  • Ordered, received, and maintained office supplies.
  • Maintained accurate financial records for accounts payable and receivable.

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