Ralph Justin Ulep
Summary
Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
5
5
years of professional experience
Work History
Credentialing Specialist/ QA Team Lead
PSG Global Solutions
Makati City, Philippines
04.2019 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Conducted primary source verifications such as background checks and board certifications.
- Performed internal audits to maintain operating procedure and regulatory standards compliance.
- Identified process gaps and implemented corrective actions, resulting in higher efficiency and reduced error rates.
- Advised and led process improvement team with deliberation, leadership and strategic planning.
Education
Bachelor of Arts - Communications
Adamson University
Manila, Metro Manila, Philippines03.2018
Skills
- Data Management
- Background Checks
- License Verification
- Document Review
- Microsoft Office
- Report Generation
- Personnel Management
Accomplishments
- Consistent A-Player
- Elite Player/Employee Awardee
Timeline
Credentialing Specialist/ QA Team Lead
PSG Global Solutions
04.2019 - Current
Bachelor of Arts - Communications
Adamson University