Talia J. Hall
Suffolk
Summary
Experienced with credentialing processes and regulatory compliance. Utilizes effective communication and meticulous documentation to manage credentialing for healthcare providers. Knowledge of industry standards and best practices ensures thorough and efficient credentialing operations.
Overview
11
11
years of professional experience
Work History
Credentialing Specialist
Genieve Shelter
05.2021 - Current
- Conduct primary source verifications such as background checks and board certifications
- Safeguard confidential provider information by adhering to strict data privacy regulations and company policies
- Process initial credentialing and re-credentialing applications for providers and practice groups
- Accurately maintain internal credentialing tracking system with provider and payer participation information
- Expedite the onboarding process for new providers, ensuring timely completion of all required documentation and verifications
- Develop strong relationships with external organizations, leading to increased cooperation during verification processes
- Maintain a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail
Operations Manager
Long and Foster Realty
03.2014 - 12.2019
- Supervised operations staff and kept employees compliant with company policies and procedures
- Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes
- Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them
- Managed inventory and supply chain operations to achieve timely and accurate delivery of goods and services
- Managed budgets effectively, consistently delivering projects on-time and within financial constraints
- Handled staff training initiatives aimed at upskilling the workforce to meet dynamic industry demands
- Trained and guided team members to maintain high productivity and performance metrics
- Implemented quality control systems to boost overall product consistency and reliability
Education
Psychology
Liberty University
Lynchburg, VA05-2022
Skills
- HIPAA compliance
- Provider enrollment
- Background checks
- Data management
- Oral and written communication
- Time management
- Customer service
- Microsoft suite
- Professional approach
- Remote capabilities
Timeline
Credentialing Specialist
Genieve Shelter
05.2021 - Current
Operations Manager
Long and Foster Realty
03.2014 - 12.2019
Psychology
Liberty University
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