Joseph Seelow
Belvidere
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Articulate Credentialing Coordinator with exemplary critical thinking and decision making talents. An energetic professional with more than 2 years' requesting credentialing documents from providers. Ready to apply talents in credentialing and document workflows with a new organization.
Overview
18
18
years of professional experience
Work History
Senior Credentialing Coordinator
Trilogy Behavioral Healthcare
08.2023 - Current
- Tracked expiration dates on documents and communicated with appropriate staff.
- Maintained accurate files, records and credentialing documents in well-maintained databases using IMPACT, PECOS and CAQH.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Prepared records for site visits and file audits.
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Received and evaluated applications to look for missing and inaccurate information.
- Fee for service and CCBHC billing.
- Obtain contracts with Insurance providers to be "in-Network" with billing.
HR Administrator
Gale Healthcare Solutions, WFH
03.2022 - 08.2023
- Communicate with clinicians daily via text, email and phone call according to defined metrics in order to fill open shifts and increase fill rates in their assigned markets
- Monitor clinician call outs, NCNS’ and report them to the market teams daily
- Assist clinicians with resolving issues related to booking shifts, using the Gale App, and payroll, escalating when necessary or appropriate
- Develop an overall understanding of their assigned market and the staffing needs of its client facilities
- Collaborate with recruiters, clinician advocates, payroll, and the market management/operations team to ensure Gale is deploying clinicians effectively and offering superior customer service to our field associates
- Run reports from a variety of tools or systems and review data inputs/outputs for completeness and accuracy
- Provide general administrative support including answering calls and email correspondence
- Analyze and resolve problems in a timely manner based on best practice/precedence, escalating as needed
- Assist with ongoing process improvement projects
- Meet established deadlines and deliver requested information in a timely manner
Team Lead
United Naturals, WFH
04.2018 - 10.2021
- Approve/Deny weekly payroll for 50+ employees
- Track, analyze and report daily performance metrics
- Coaching and Development of both new hire and tenured employees on sales/customer service requirements
- Conduct 1st round interviews for potential new hires
- Manage scheduling process
Reimbursement Specialist
Option Care
03.2017 - 03.2018
- Maintain a high level of proficiency with payer requirements, contracts and submitting appeals
- Work A/R in a timely manner and ensuring quality follow up on medical claims
- Correct medical claims for Home Infusion Therapy treatments.
Sales Account Executive
Yelp
01.2016 - 03.2017
- Make outbound calls to companies to sell/educate on Yelp advertisements to promote local business
- Familiarized self with new products and services to engage with customers about features and benefits.
- Maintain monthly sales goals/metrics.
- Penetrated new accounts and connected closely with decision-makers to close deals.
Customer Service
JPMorgan Chase
06.2012 - 11.2015
- Service customer calls regarding their Credit Card accounts
- Upsell products and services to match customer financial needs
- Received and processed client payments and updated accounts.
- Adhere to daily, weekly and monthly performance goals such as Average handle time,
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Prioritized and organized tasks to efficiently accomplish service goals.
Customer Service Supervisor
NCO Group, T-Mobile service partner
11.2007 - 03.2012
- Track and monitor progress of agent’s performance based on company requirements of 25+ employees
- Coordinate team meetings to train new company material and different policies/procedures
- Ensure development of future leadership
- Handle daily payroll corrections
- Take escalated customer calls and provide an adequate solution
- Administer corrective action when company policy/procedure was not met
- Create Action Plans for agents to adhere to and follow up with on a daily/weekly/monthly basis
- Review annual performance and approve pay increases
- Traveled to the Philippines to train new and tenured agents on call handling procedures and creative sales approach.
Education
High School Diploma -
Belvidere High School
Belvidere, IL01.2007
Skills
- Credentialing
- Employee Onboarding
- Payroll Coordination
- Policy and Procedure Development
- Employee Paperwork
- Document Management
- Staffing and Recruitment
- Background Checks
- HIPAA compliance
- Records and file management
- Re-credentialing processes
Timeline
Senior Credentialing Coordinator
Trilogy Behavioral Healthcare
08.2023 - Current
HR Administrator
Gale Healthcare Solutions, WFH
03.2022 - 08.2023
Team Lead
United Naturals, WFH
04.2018 - 10.2021
Reimbursement Specialist
Option Care
03.2017 - 03.2018
Sales Account Executive
Yelp
01.2016 - 03.2017
Customer Service
JPMorgan Chase
06.2012 - 11.2015
Customer Service Supervisor
NCO Group, T-Mobile service partner
11.2007 - 03.2012
High School Diploma -
Belvidere High School