Crystal Gibson is seeking a position as a healthcare provider enrollment specialist, provider representative, or Medicaid provider advocacy specialist. She has over 15 years of experience in credentialing, enrollment, and advocacy for healthcare providers in Medicaid programs. Her background includes assisting providers with enrollment and credentialing, validating qualifications, researching issues, and ensuring compliance. She is proficient in various systems used for enrollment and credentialing like Meditech, SSI, CSC/EVC, and NCMMIS.

1. Crystal A. Gibson
104 West Thicket Drive, Angier NC 27501
(C) 919-628-7977
e-mail:crystalgibson1963@gmail.com
To secure a position as a healthcare provider enrollment specialist, provider rep, or Medicaid
Provider Advocacy specialist.
Professional Experiences
April-2015 to Present
Customer Care -Triangle Orthopedics Urgent Care Raleigh NC
 Handing Patient Registration
 Answering Client phone calls
 Scheduling Patient office visits
 Data entry on Insurance claim
 Collecting patient Co –Pays
September -2014- March 2015
Supervisor—Patient Financial Services Harnett Health System, Dunn NC
 Created charges in the charge master dictionary in Meditech.
 Posted Charges to patient accounts
 Assisted with Hospital billing through Meditech and SSI.
 Assisted with patient accounts, researching, adjustment’s on patient accounts, and
direct telephone contact with patients about balances.
January, 2011 - 2014
Credentialing Coordinator / Provider Advocacy Specialist CSC, Raleigh NC
 Assisted Medicaid providers with direct telephone contact and research of status and
location of Medicaid application.
 Followed established Medicaid enrollment procedures to process provider enrollments
Validated provider’s qualifications by checking licensure and verifying background
 Researched enrollment issues to prevent escalation by tracking down and eliminating
any issues by using the CSC/EVC enrollment system and NCMMIS
April, 2009 – December 2010
Credentialing Coordinator PhyAmerica, Raleigh NC
 Assisted Medicaid providers with direct telephone contact and research of status and
location of Medicaid application. Awarded Excellent in Recognition Contribution as a
NCMMIS Team Member certificate.
 Followed established Medicaid enrollment procedures to process provider enrollments.
Validated provider’s qualifications by checking licensure and verifying background.
 Researched enrollment issues to prevent escalation by tracking down and eliminating any
issues by using the CSC/EVC enrollment system and NCMMIS

2. January, 2008 – April, 2009
Medical Staff Services Specialist, WakeMed, Raleigh NC
 Collected and reviewed all Data for Reappointment applications to ensure physicians
continued coverage and support. Including, keying and scanning all medical malpractice
insurance, and collecting reports for the Medical Staff Reappointments.
 Maintained the accounts receivable spreadsheet by keying checks in the Dues Module
and post in excel spreadsheet.
 Assisted with operations by supporting incoming telephone calls and distributing
incoming mail
 Assisted Credentialing Coordinators to assure receipt of missing credentialing
information from non-compliant practitioners.
January, 2004 – January, 2008
Operation Specialist, First Federal Bank
 Daily balancing of specific general ledger accounts.
 Maintained general accounting spreadsheets by correcting and balancing non-sufficient
funds list, stop payments, and non-posted items daily.
 Processed incoming and outgoing electronic fund transfers.
 Researched banking and accounting issues as needed for branches and other departments
with the bank.
 Backup staff for balancing ATM accounts, setting up online banking, and ordering debit cards
for customers
Roving Customer Service/Account Representative, First Federal Bank
 Moved to branches where needed on moment’s notice to fill in for absent employees. Tasks
included processing new accounts, account maintenance, answering telephones, teller
transactions, processing cash transactions, and posting loan payments.
Education
May 1987 Associate of Business National Institute of Technology,
Cross Lanes, WV
Computer Skills/Equipment
Microsoft Excel, Microsoft Word, Lotus Notes, Internet Explorer, Firefox, Meditech,SSI
References
References furnished upon request.