Nicholas Stine
Summerville
Summary
Led credentialing department for largest ENT company in South Carolina, ensuring compliance and efficiency in operations. Holds Google Data Analytics Certificate and Associates in Applied Sciences in Accounting. Earned Bachelor of Arts in Psychology from University of Colorado-Boulder. Proficient in Microsoft Office with a 4.0 GPA recognition on Presidents List at Front Range Community College.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Credentialing Specialist
Charleston ENT Associates LLC
Charleston
03.2023 - Current
- Interacted regularly with representatives from health plans and commercial payers regarding credentialing matters.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Provided support in responding to inquiries from external parties regarding credentialing information.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Served as a resource person for staff members seeking assistance in understanding complex regulatory requirements related to provider enrollment processes.
- Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
Credentialing Coordinator
Orthopaedic & Spine Center of the Rockies
Fort Collins
01.2022 - 03.2023
- Managed confidential files related to each provider's credentials.
- Provided guidance and advice to providers on the credentialing process.
- Responded to inquiries from internal and external sources regarding credentialing status.
- Coordinated with departments within the organization to facilitate smooth completion of credentialing process.
- Maintained database of provider information, including contact details and licensure expiration dates.
Clinical Assistant
Orthopaedic & Spine Center of the Rockies
09.2016 - 01.2022
- Responsible for chart analyzing, research, and preparation. Acquired detailed intake and histories. Accountable for finding and filing of medical reports and procedures. Experience with working in multiple computer programs and multitasking while working in a high paced work environment.
Education
Associate of Applied Science - Accounting
Front Range Community College
Fort Collins, CO01.2013
Bachelor of Arts - Psychology
University of Colorado
Boulder, CO05-2010
Certification
- Google Data Analytics
Timeline
Credentialing Specialist
Charleston ENT Associates LLC
03.2023 - Current
Credentialing Coordinator
Orthopaedic & Spine Center of the Rockies
01.2022 - 03.2023
Clinical Assistant
Orthopaedic & Spine Center of the Rockies
09.2016 - 01.2022
Associate of Applied Science - Accounting
Front Range Community College
Bachelor of Arts - Psychology
University of Colorado
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