Adedamola Aduroja
@adedamolaaduroja
Results-driven Credentialing Specialist with expertise in healthcare compliance.
United StatesWhat I'm looking for
I am a results-driven Credentialing Specialist with extensive experience in processing applications for healthcare providers. My expertise lies in ensuring compliance with industry standards, conducting meticulous research, and proactively managing credentialing expirations. I am committed to enhancing efficiency and accuracy in the credentialing process, which is crucial in the healthcare sector.
In my current role as a Provider Enrollment Analyst at WPS Health Solutions, I evaluate and process provider enrollment and credentialing applications, ensuring accuracy and compliance with industry regulations. I have successfully managed the credentialing process for a diverse range of healthcare professionals, including physicians and nurses, and have a proven track record of conducting thorough research and verification of educational degrees, licenses, and certifications.
Throughout my career, I have demonstrated proficiency in maintaining organized records and databases of credentialing information, proactively monitoring credentialing expirations, and assisting in the development of policies and procedures that streamline operations. My dedication to maintaining strict confidentiality and compliance with HIPAA and organizational policies has been a cornerstone of my professional ethos.
Experience
Work history, roles, and key accomplishments
Provider Enrollment Analyst
WPS Health Solutions
Feb 2024 - Present (1 year 4 months)
Evaluated and processed provider enrollment and credentialing applications, ensuring accuracy and compliance with industry regulations. Managed credentialing for Medicare providers in adherence to CMS guidelines and for a wide range of healthcare professionals.
Provider Enrollment Analyst
WPS Health Solutions
Feb 2024 - Present (1 year 4 months)
Evaluated and processed provider enrollment and credentialing applications, ensuring accuracy and compliance with industry regulations. Managed credentialing for Medicare providers in adherence to CMS guidelines, and for a wide range of healthcare professionals including physicians, nurses, and allied health staff. Conducted primary source verifications and background checks to validate provider c
Credentialing Specialist
Aetna
Jan 2020 - Feb 2024 (4 years 1 month)
Managed the credentialing process for diverse healthcare providers, ensuring compliance with established standards and regulations. Conducted thorough research and verification of educational degrees, licenses, and certifications, and maintained precise provider data.
Customer Service Representative
Kelsey-Seybold
Jan 2017 - Dec 2019 (2 years 11 months)
Handled a high volume of customer inquiries via phone, email, and live chat, providing accurate and timely responses. Oversaw patient check-in, registration, and insurance verification processes, and resolved patient concerns with professionalism.
Credential Specialist
Aetna
Jan 2020 - Feb 2024 (4 years 1 month)
Managed the credentialing process for a diverse range of healthcare providers, including physicians, nurses, and allied health professionals. Conducted thorough research and verification of educational degrees, licenses, and certifications. Proactively monitored and efficiently tracked credentialing expirations, guaranteeing timely renewals.
Customer Service Representative
Kelsey-Seybold
Jan 2017 - Dec 2019 (2 years 11 months)
Handled a high volume of customer inquiries via phone, email, and live chat, providing accurate and timely responses. Oversaw patient check-in, registration, and insurance verification processes with a focus on precision and compliance. Scheduled patient appointments and communicated pre-appointment requirements effectively to enhance patient experience.
Education
Degrees, certifications, and relevant coursework
Osun State University
Bachelor of Science, Business Administration
Completed a Bachelor of Science in Business Administration. This program provided a comprehensive understanding of business principles and practices.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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