Joyce Taplin
Palmdale
Summary
Dynamic Credentialing Specialist with proven expertise at Health Care Support Staffing, adept in HIPAA compliance and credential verification. Enhanced provider onboarding efficiency through an innovative online system, reducing application turnaround time. Strong communicator with a focus on building provider relations and ensuring regulatory adherence in high-volume environments.
Overview
15
15
years of professional experience
Work History
Credentialing Specialist
Health Care Support Staffing
02.2018 - 05.2025
- Assisted in gathering and verifying credentialing documents for healthcare providers.
- Supported database management by entering and updating provider information accurately.
- Learned regulatory requirements to ensure compliance during credentialing processes.
- Collaborated with team members to streamline communication between departments regarding credentialing status.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Conducted primary source verifications such as background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
- Improved turnaround time for credentialing applications by implementing an efficient online system.
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
Provider Enrollment Specialist
Ashton Carter
01.2010 - 01.2018
- Managed provider enrollment processes to ensure compliance with regulatory requirements and organizational standards.
- Developed and maintained strong relationships with healthcare providers to streamline enrollment procedures.
- Facilitated training sessions for new team members on enrollment protocols and software tools.
- Reviewed and analyzed provider applications for accuracy, ensuring timely approvals and credentialing.
- Facilitated seamless transitions between different stages of the enrollment process by maintaining open lines of communication among various departments involved in provider services operations.
- Contacted insurance carriers to obtain information regarding denials.
- Managed high-volume caseloads effectively, prioritizing tasks to meet strict deadlines consistently.
- Maintained up-to-date knowledge on regulatory changes, ensuring compliance in all provider enrollments.
- Developed and maintained strong relationships with healthcare providers to enhance collaboration and communication.
- Answered provider inquiries via email, telephone and written correspondence.
- Identified network gaps and collaborated with recruiters to fill deficiencies.
Education
Bachelor of Science - Communitcation
California State University, Fullerton
Fullerton, CA06-2013
Skills
- HIPAA compliance
- Provider enrollment
- Background checks
- Data management
- Credentialing oversight
- Provider relations
- Insurance procedures
- Application management
- Credential verification
- Credentialing documentation
- License verifications
- Microsoft office
Timeline
Credentialing Specialist
Health Care Support Staffing
02.2018 - 05.2025
Provider Enrollment Specialist
Ashton Carter
01.2010 - 01.2018
Bachelor of Science - Communitcation
California State University, Fullerton
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