Teresa Shetzer
Sr Credentialing Specialist @symplr
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WORK HISTORY
Sr Credentialing Specialist @symplr
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
Terra State Community College
Associates Degree, Executive Office Administration
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.
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