JAQUELINE SAMARAKOON
Hiram
Summary
Dynamic PDM and Credentialing Specialist with a proven track record at Sonder Health Plans, excelling in credentialing oversight and data integrity. Enhanced provider enrollment efficiency through meticulous documentation management and exceptional customer service. Proficient in CAQH and HIPAA compliance, ensuring accuracy and reliability in all credentialing processes.
Overview
6
6
years of professional experience
Work History
PDM and Credentialing Specialist
Sonder Health Plans
Atlanta
04.2024 - Current
- Maintained and updated provider data in credentialing systems (CACTUS, CAQH ProView, Availity).
- Communicated with providers to collect documentation and resolve data discrepancies.
- Monitored credentialing timelines to support timely enrollment and re-credentialing.
- Communicated with providers to collect missing documentation, reducing application delays by 30%.
- Managed credentialing and re-credentialing portals to support the timely enrollment of 50+ providers monthly.
Pharmacy Technician
Innovation Compounding Pharmacy
Kennesaw
03.2023 - 04.2024
- Medication Dispensing: Accurately measured, packaged, labeled medications for patient pickup, ensuring the correct dosage and drug are provided.
- Prescription Processing: Receive and review prescriptions, verify patient data, and accurately input information into the pharmacy's computer system.
- Inventory Management: Monitor medication stock, order new supplies, track inventory levels, and organize medication shelves.
- Customer Service: Greet patients, answer questions about medications and prescriptions, and handle customer concerns.
Resident Engagement Assistant
The Arbor Company
Marietta
12.2019 - 03.2023
- Provides meaningful and engaging opportunities for residents to thrive and improve overall health.
- Offered backup support, relieving staff during shortages days.
- Maintained and updated calendars of meetings and events to track and organize activities.
- Resolved grievances, maintaining harmony among workers and supporting collaboration.
Education
Master’s Degree - Public Health
Southern New Hampshire University
10.2026
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
01.2024
Skills
- Microsoft & Google Office Suite
- Customer Service
- CAQH
- Payor Portals
- Documentation accuracy
- Credentialing oversight
- Credentialing documentation
- Data Integrity
- Data management
- Credentialing processes
- Credential verification
- Provider enrollment
- HIPAA compliance
References
References available upon request.
Timeline
PDM and Credentialing Specialist
Sonder Health Plans
04.2024 - Current
Pharmacy Technician
Innovation Compounding Pharmacy
03.2023 - 04.2024
Resident Engagement Assistant
The Arbor Company
12.2019 - 03.2023
Master’s Degree - Public Health
Southern New Hampshire University
Bachelor of Science - Healthcare Administration
Southern New Hampshire University