Resume

Cristina Valentin

Objective

To obtain a challenging position that will utilize both my educational background and professional experience to contribute to the organization. A hard working and dedicated professional who wants to meet the challenges posed in the industry and to continue to contribute towards the growth of the organization.

Work Experience

Temple University Kornberg School of Dentistry-Credentialing Manager (3/2022-present)

• Complete and submit enrollment applications for Dentists/Oral Surgeons for payers including but not limited to PA Medicaid, Delta Dental, United Healthcare etc.
• Complete/update CAQH accounts for Providers and applicable tracking spreadsheets with enrollment information and submission dates
• Update Credentialing Database with effective dates, recredentialing dates and other information such as license expiration information
• Amended processes and systems to ensure a more streamlined workflow for the payer credentialing of Providers

  Einstein Healthcare Network- Manager, Medical Staff Data (9/2018-3/2022)

• Create and submit Delegated Payer reports, including follow up
• Distribute network communications
• Update privileges, documentation and other areas in ECHO Credentialing
• Assist Providers/train others on Application Module in ECHO Credentialing

   

   

   

   

  Einstein Healthcare Network- Database Specialist (7/2017-9/2018)

• Update ECHO System with current documentation for Medical Staff
• Create Filters, Listings and Letters for Reporting purposes

  Einstein Healthcare Network – Lead Coordinator (11/2016-7/2017)

• Assist Supervisor with various requests
• Provide support and training to Provider Enrollment Coordinators
• Work on edit reports to bring in revenue for providers for various

  practices

  Einstein Healthcare Network – Provider Enrollment Coordinator (7/2013-11/2016)

• Facilitate the enrollment of Einstein providers from various specialties
• Respond to any issues regarding the enrollment of providers with office

  administrators and staff

• Work on edit reports to bring in revenue for providers

  Einstein Healthcare Network-Billing Clerk (6/2007- 6/2013)

• Follow up on accounts receivable with insurance companies
• Worked on various reports for A/R, edits, authorizations
• Processed claims

   

  Education

  Cardinal Dougherty High School

  Diploma 1998-2002

  Community College of Philadelphia

  Associate in Arts

  Temple University

  Bachelors in Business Management (in progress)

   

  References Available Upon Request.