Melissa Thompson
@melissathompson
Experienced Credentialing Specialist with a focus on compliance and efficiency.
What I'm looking for
I am a dedicated professional with a proven track record in streamlining credentialing processes and ensuring compliance with healthcare regulations. With over 10 years of experience in credentialing and claims management, I have honed my skills in documentation management, client communication, and customer service. My proficiency in tools like Microsoft Office and Salesforce has enabled me to enhance operational efficiency and contribute to client satisfaction.
Throughout my career, I have successfully managed various roles, including Claims Associate and Credentialing Project Coordinator, where I improved team productivity and maintained high standards of industry ethics. My ability to conduct primary source verifications and facilitate timely credential renewals has been instrumental in reducing provider availability risks and ensuring compliance with healthcare regulations. I am passionate about delivering exceptional service and continuously seek opportunities to enhance my skills and contribute to organizational success.
Experience
Work history, roles, and key accomplishments
Claims / Group Benefits Associate
Elevance Health
Oct 2023 - Mar 2024 (5 months)
Investigated and resolved claims efficiently, ensuring adherence to company and regulatory guidelines. Contributed to client satisfaction by delivering exceptional customer service and applying best practices in claims processing.
Credentialing Specialist
US Nursing Roth Staffing
Jun 2023 - Jan 2024 (7 months)
Streamlined credentialing processes to enhance document collection efficiency through cross-departmental coordination. Conducted primary source verifications of licenses, certifications, and references, ensuring compliance with healthcare regulations.
Credentialing Project Coordinator
Vituity
Oct 2023 - Nov 2023 (1 month)
Improved team productivity by collaborating on task management and maintaining clear communication with stakeholders. Enhanced client satisfaction through timely updates and meticulous documentation of project milestones.
Property Manager
American Capital Realty Group
May 2022 - Jun 2023 (1 year 1 month)
Enhanced property value and rental income by managing modernization projects for a 260-unit residential complex. Improved maintenance workflows and boosted tenant satisfaction through strategic property management practices.
Property Manager
Hope Realty
May 2019 - Feb 2022 (2 years 9 months)
Enhanced tenant retention by resolving concerns through proactive communication and conflict resolution strategies. Strengthened tenant relations and improved service offerings to foster a positive tenant experience.
Workforce Manager
The Analyst Group
Feb 2017 - Jan 2019 (1 year 11 months)
Monitored real-time systems and analyzed call center operations to enhance service level compliance. Developed strategies to optimize resource allocation and reduce operational costs.
Credentialing Specialist / Admin
Evans Army Hospital
May 2007 - Dec 2009 (2 years 7 months)
Managed credentialing processes to ensure healthcare providers met qualification standards according to hospital and regulatory guidelines. Performed primary source verifications of education and certifications.
Education
Degrees, certifications, and relevant coursework
University of Maryland
Bachelor of Arts, Criminal Justice
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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