Tabetha Jenkins
Depauw
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value. Possesses strong communication and organizational skills. Reliable with a good work ethic and the ability to quickly adapt to new tasks.
Overview
9
9
years of professional experience
Work History
Credentialing Auditor
Humana
06.2024 - Current
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Followed established auditing processes to meet internal and regulatory requirements.
- Created detailed reports in Microsoft Excel.
CredentialSmart Team Lead
Verisys
01.2024 - 06.2024
- Successfully supervised and ensured the accuracy and timeliness of file completion, including verifying the correctness of information and required documentation
- Effectively communicated with clients and providers to gather additional information and clarify requirements
- Assigned files to the team, overseeing their progress and providing guidance and support as needed
- Thoroughly reviewed and completed provider files once the initial file was completed by the team
- Proficiently utilized CredSmart to upload and organize documents in their appropriate locations
- Proactively notified providers of upcoming recredentialing requirements and followed up to ensure timely completion
- Expertly handled JIRA tickets assigned to me, efficiently resolving specific issues and providing support to the team
- Maintained a comprehensive log of all providers submitting applications with five different clients
- Generated and managed reports to track and analyze credentialing processes and outcomes
- Collaborate with management to resolve high-priority issues and work with management to improve processes
- Act as a liaison between the company IT Team and management
- Exceed all consumer requests and alert management of issues or concerns that require escalation
- Provided training and education as needed
CredentialSmart Verification Coordinator
Verisys
04.2022 - 01.2024
- Proficiently navigated various software applications, websites, and other tools to carry out credentialing duties
- Entered data accurately into software applications based on electronic images
- Diligently completed all online verification tasks and efficiently coordinated offline tasks
- Demonstrated commitment to accuracy by thoroughly finishing all assigned work and seeking guidance from supervisors when needed
- Maintained a professional and courteous approach when communicating with primary sources and practitioner offices on behalf of Verisys
- Conducted phone verifications and followed up as necessary
- Completes other duties assigned by manager
- Work directly with Product Manager on assisting CredentialSmart clients
- Recognizes, investigates, and validates discrepancies within providers applications
Certified Nursing Assistant
Guerin Woods
12.2018 - 04.2022
- Assisted residents with activities of daily living, including bathing, dressing, and grooming
- Monitored and recorded vital signs, such as blood pressure, temperature, and pulse
- Administered medications and treatments as prescribed by healthcare professionals
- Assisted in the transfer and transportation of residents using proper body mechanics and equipment
- Provided emotional support and companionship to residents, fostering a positive and nurturing environment
- Maintained a clean and organized living space for residents, ensuring their safety and comfort
- Collaborated with a multidisciplinary healthcare team to provide comprehensive care and support to residents
- Documented and reported any changes in residents' conditions to the appropriate healthcare professionals
- Adhered to all safety and infection control protocols to ensure the well-being of residents and staff
- Participated in ongoing training and professional development to enhance skills and knowledge in the field of nursing
Front Desk Receptionist/Medical Assistant
Mark E. Chariker, M.D.
04.2016 - 10.2021
- Verified patients' insurance coverage to ensure eligibility and coverage for medical services
- Confirmed insurance pre-authorization for necessary procedures, coordinating with insurance providers as needed
- Ensured the accuracy of patient information in medical records and billing systems
- Resolved denied claims by communicating with patients and healthcare providers, advocating for accurate and timely reimbursement
- Maintained accurate records of insurance verifications, claims submissions, and denials, facilitating efficient billing processes
- Provided treatment plans to patients, explaining recommended procedures and associated costs
- Managed phone calls in a prompt and professional manner, effectively communicating with providers, clients, and patients
- Efficiently scheduled patient appointments, optimizing resource utilization and minimizing wait times
- Conducted thorough insurance verification and eligibility checks, ensuring accurate billing and claims processing
- Prepared detailed insurance breakdowns, offering clarity to patients regarding coverage and out-of-pocket expenses
- Assisted in reviewing and explaining treatment plans to patients, fostering understanding and informed decision-making
- Handled payment collection processes with accuracy and confidentiality, ensuring secure financial transactions
Education
High school diploma -
Floyd Central High School
Floyds Knobs06-2012
Skills
- Insurance verification
- Credentialing
- Data Entry
- Leadership
- Customer Service
- Detail-oriented
- Critical Thinking
- Time-management
- Auditing
- High-Level Process-orientation
Programs
- Google Drive
- Microsoft Word
- Excel
- Power Point
Timeline
Credentialing Auditor
Humana
06.2024 - Current
CredentialSmart Team Lead
Verisys
01.2024 - 06.2024
CredentialSmart Verification Coordinator
Verisys
04.2022 - 01.2024
Certified Nursing Assistant
Guerin Woods
12.2018 - 04.2022
Front Desk Receptionist/Medical Assistant
Mark E. Chariker, M.D.
04.2016 - 10.2021
High school diploma -
Floyd Central High School
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