Teresa Shetzer

About Teresa Shetzer

Provider Enrollment Specialist Certificate (PESC) • 13+ years of credentialing, primary source verification, and managed care provider enrollment. • Extremely meticulous and organized. • Skilled at organizing complex projects, defining project priorities, and meeting critical deadlines. • Demonstrated record of high-performance standards and quality work • Trustworthy and dependable professional who provides excellent follow through. • Excellent Microsoft Office skills – Word, Excel, PowerPoint, Publisher, Outlook, and Access • Google Suite • Well versed with CAQH, PECOS, and other government payor online enrollment systems.

Experience

1. Sr Credentialing Specialist

   symplr

   Aug 2023 — Present

   Manages and oversees the processing of provider Initial and Re-Credential applications.• Maintains accurate provider profiling system data.• Communicate with providers concerning credential status.• Responds to requests for provider information.• Enforces regulatory compliance and quality assurance.• Support, in conjunction with the Quality Assurance Team, any adverse action activities inaccordance with regulations and policies.• Prepare documentation, conduct, and conclude credentialing and privileging.

Education

• Bellevue Senior High School

  High School Diploma, Business

  1983 — 1987

• Terra State Community College

  Associates Degree, Executive Office Administration

  2012 — 2015