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nicole fuentes

@nicolefuentes

Experienced customer service and credentialing specialist improving provider compliance, support quality, and team performance.

Philippines
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What I'm looking for

I seek a mid-level role in credentialing or customer support where I can drive compliance, improve processes, mentor staff, and deliver measurable service improvements in a collaborative environment.

I am an experienced customer service and credentialing specialist who has led full-cycle credentialing and re-credentialing of healthcare providers, ensuring licensure, certifications, and malpractice verifications meet payer and accreditation standards. I coordinate with cross-functional teams to resolve compliance issues and maintain accurate provider records.

In earlier roles I conducted market research and data annotation for machine learning projects while delivering high-volume customer support; I implemented a follow-up system that reduced churn by 6% and proposed a call script adopted by management. I enjoy mentoring teammates, streamlining processes, and driving measurable improvements in service quality and operational compliance.

Experience

Work history, roles, and key accomplishments

BB

Credentialing Specialist

Bold Business

Feb 2023 - Jun 2025 (2 years 4 months)

Led full-cycle credentialing and re-credentialing of healthcare providers, verifying licensure, certifications, and malpractice history to ensure compliance with payer and accreditation standards. Maintained accurate provider records in credentialing databases and coordinated with medical staff services and risk management to resolve compliance issues.

AL

Customer Service Representative

Alorica

Jun 2020 - Mar 2021 (9 months)

Resolved 200+ customer inquiries weekly via phone, consistently exceeding service quality and response-time targets while identifying upsell opportunities to support retention. Developed a customer follow-up system that reduced churn by 6% and proposed an optimized call script adopted by management.

Education

Degrees, certifications, and relevant coursework

AS

Afga National High School

High School Diploma, Secondary Education

Completed secondary education at Afga National High School, graduating in 2015.

Tech stack

Software and tools used professionally

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nicole fuentes - Credentialing Specialist - Bold Business | Himalayas