JENNIFER FELDHAUS
Sioux Falls
Summary
Experienced administrative professional in provider credentialing services. Works productively with facilities, provider groups and individual professionals. Knowledgeable about application requirements for government and private insurance plans.
Overview
24
24
years of professional experience
Work History
Credentialing Specialist
SANFORD HEALTH, MEDICAL
11.2022 - Current
- Assist with credentialing applications for new providers, ensuring all required documents were submitted and in compliance with guidelines.
- Interpret State Board regulations and accreditation standards pertaining to provider enrollment.
- Provide support in maintaining up-to-date contact information of healthcare professionals in the database system.
- Analyze verification data from various sources such as state boards, national and federal organizations, and hospitals.
- Manage credentialing processes for healthcare providers to ensure compliance with regulatory standards.
- Perform reference checks on prospective applicants using online resources as well as telephone calls and emails.
- Create tracking systems including spreadsheets and databases to monitor the status of applications.
- Conduct detailed research to verify provider credentials.
- Coordinate the renewal process for existing providers' credentials on a timely basis.
- Manage incoming requests for additional documentation related to provider credentialing processes.
Senior Administrative Assistant
SANFORD HEALTH, MEDICAL
10.2021 - 11.2022
- Verified physician credentials and medical academic records from several states and agencies
- Facilitated onboarding of medical student and resident physicians
- Entered EMR access for medical students and residents
- Helped coordinate resident orientation
- Managed regulatory documentation for international residents with rotations at Sanford Health
- Entered conference attendance into Success Center for residents, physicians, nurses and nurse practitioners
- Established and maintained cooperative relationships with team members
- Worked with accuracy and attention to detail
Client Services Representative
AAA COLLECTIONS
08.2013 - 10.2021
- Kept records of client interactions, including inquiries, complaints, and responses
- Resolved customer service or billing issues by refunding money or adjusting bills
- Responded quickly to customer complaints and gathered pertinent information to make educated decisions for remediation
- Processed consumer cash, credit card and veri-check payments and posted to their accounts accurately
- Assisted new clients by setting up the tools needed for communication on a regular basis through phone, chat, email and website
- Filed probate claims against estates with the appropriate county and state
- Applied estate payments and filed release of claims with the court system
- Maintained accurate record-keeping with proactive attention to client information.
Pharmacy Clerk
LEWIS DRUG
10.2008 - 06.2018
- Provided excellent customer service to customers and worked closely with pharmacists verifying written prescriptions and known allergies to provide an excellent experience for customers and patients
- Bagged and filed prescription medications for easy accessibility
- Provided customer transactions for their medication and to ensure all questions were answered and understood
- Updated customer files with address, insurance and name changes while providing confidentiality to all customers.
Collections Representative
1ST FINANCIAL BANK
11.2001 - 06.2012
- Performed skip tracing activities to locate delinquent customers who had moved or changed contact information.
- Applied knowledge of collection laws, regulations, and procedures when collecting on past due accounts.
- Developed strong communication skills, both verbal and written, to interact with customers in a professional manner.
- Successfully negotiated payment plans with customers in order to reduce overdue balances.
- Initiated telephone contacts with delinquent customers according to departmental policies and procedures.
- Analyzed credit histories to determine appropriate action for delinquent accounts.
- Utilized problem-solving skills to resolve customer disputes promptly and efficiently.
Education
Bachelor Of Science - Criminal Justice
Colorado Technical University
01.2012
Skills
- Persistent
- Prioritization
- Problem Identification
- Planning
- Professional Attitude
- Detail-Oriented
- Professional
- Reliable
- Confidential Records Management
- Credential Verification
- HIPAA compliance
Timeline
Credentialing Specialist
SANFORD HEALTH, MEDICAL
11.2022 - Current
Senior Administrative Assistant
SANFORD HEALTH, MEDICAL
10.2021 - 11.2022
Client Services Representative
AAA COLLECTIONS
08.2013 - 10.2021
Pharmacy Clerk
LEWIS DRUG
10.2008 - 06.2018
Collections Representative
1ST FINANCIAL BANK
11.2001 - 06.2012
Bachelor Of Science - Criminal Justice
Colorado Technical University
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