Open to opportunities

Rebecca A

@rebeccaa1

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Credentialing specialist and provider services professional focused on accurate, HIPAA-compliant verification.

United States

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What I'm looking for

I’m looking for a credentialing/provider services role where accuracy and HIPAA compliance matter. I enjoy documentation, verification, scheduling, and supporting patients and providers through clear, process-driven communication—preferably remote.

I’m a Credential Specialist with experience in provider recredentialing and provider services, including verifying information from primary sources such as state licenses, CAQH, DEA, ABMS boards, and CSI Dog Watch. I’ve also handled patient benefits, eligibility, and prior authorization requirements while staying HIPAA compliant.

Before credentialing, I built customer service and administrative strength through roles in call centers and front-desk settings—scheduling, assisting clients remotely, and supporting clear, confidential communication. I bring a detail-oriented, process-driven approach to documentation, research, and scheduling, along with strong communication and client support instincts.

Experience

Work history, roles, and key accomplishments

Credential Specialist

MVP Health Care

Jun 2021 - Jul 2026 (5 years 1 month)

Prepared recredentialing files and verified provider information using primary sources, including state licenses, CAQH, DEA, ABMS boards, and CSI Dog Watch. Ensured documentation accuracy to support provider recredentialing.

Primary Source Verification CAQH ABMS Board Verification CSI Dog Watch Documentation Preparation

Provider Services

MVP Health Care

Jun 2021 - Oct 2024 (3 years 4 months)

Worked in Provider Services for an inbound call center, verifying patient benefits, eligibility, and prior authorization requirements. Maintained HIPAA-compliant handling of information.

Inbound Calls Benefit Verification Eligibility Verification Prior Authorizations HIPAA compliance Patient Intake

CSR / Call Center

Maximus

Jan 2021 - Jun 2021 (5 months)

Assisted callers in New York State with scheduling COVID-19 tests and later COVID-19 vaccinations while working remotely. Used a laptop and headset to support call center scheduling needs.

Customer Service Scheduling COVID 19 Vaccination Support

Assistant Teacher/Office

Belmont Community Center

Jan 2020 - Aug 2020 (7 months)

Provided support as an assistant teacher and office assistant, including administrative and front-desk responsibilities such as answering phone calls. Supported ongoing community communications through bulletins and newsletters.

Answer Phones Office Administration Weekly Bulletin Support Monthly Newsletter Support Microsoft Word Adobe

Administrative Assistant

West Austintown First United Methodist Church

Feb 2018 - Feb 2020 (2 years)

Served as an administrative assistant and receptionist, including phone answering and producing weekly bulletins and a monthly newsletter. Used Microsoft Word, Publisher, Excel, and Adobe and maintained records of church activities.

Reception Weekly Bulletin Creation Microsoft Word Excel Adobe Record keeping

Teen Associate Librarian

Warren-Trumbull County Public Library System

Dec 2016 - Feb 2020 (3 years 2 months)

Designed and conducted library programs for all ages with a focus on teen materials and services. Connected with and advised readers and supported ongoing teen collection needs.

Program Delivery

Arts Specialist/Small Group

Camp Asbury

May 2012 - Jul 2016 (4 years 2 months)

Developed age-appropriate art projects and programs and supported small-group activities as part of a counseling role. Collaborated with other staff to deliver programming.

Age Appropriate Art Projects Support Groups Program Development

Client Service Professional

H&R Block

Dec 2014 - Feb 2016 (1 year 2 months)

Provided client-facing reception and scheduling support, including matching clients to available tax professionals and managing appointments. Handled confidential information and supported office processes including POS use and cash drawer reconciliation.

Client Matching Appointment Scheduling Customer Service Confidentiality Escalation Management POS Cash Reconciliation Cash Handling

Outdoor Instructor

Nature's Classroom - FFA Camp Muskingum

Jan 2016 - Jan 2016 (0 months)

Guided and educated students through small-group curriculum activities. Participated in programming including a Living History experience.

Outdoor Education Living History Program

Student Receptionist

Youngstown State University

Jul 2008 - Aug 2010 (2 years 1 month)

Answered phone calls and supported event promotion by creating posters and flyers for upcoming activities. Maintained basic statistics related to reception and promotional work.

Phone Reception Flyer Creation Event Promotion