Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kyle McFarlan

Hendersonville

Summary


Credentialing professional with proven track record in managing credentialing operations and ensuring compliance. Valued for strong collaborative skills and achieving results through efficient processes. Known for adaptability and reliability in dynamic environments, with expertise in documentation and regulatory standards.

Overview

8
8
years of professional experience

Work History

Credentialing Specialist

Aspen Dental
02.2025 - 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.
  • Conducted primary source verifications such as background checks and board certifications.
  • Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.

Credentialing Specialist

Octave
03.2024 - 02.2025
  • Collaborated with healthcare providers to gather primary source documentation for accurate credentialing.
  • 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.
  • Conducted primary source verifications such as background checks and board certifications.
  • Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.

Paralegal

Patriot Angels
07.2023 - 03.2024
  • Conduct long term care assessment for potential clients
  • Gather facts and financial data relevant to building a claim with the VA
  • Interact with clients while showing empathy and patience

Credentialing Specialist

Octave
03.2023 - 02.2024
  • Collaborated with healthcare providers to gather primary sources for accurate credentialing of PSVs.
  • Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for weekly committee voting.
  • Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
  • Enrolled providers in private insurance plans, including BlueCross BlueShield

Customer Service Representative

Tractor Supply Company
02.2021 - 07.2023
  • Answered customer telephone calls promptly to avoid on-hold wait times
  • Investigated and resolved customer inquiries and complaints quickly
  • Participated in team meetings and training sessions to stay informed about product updates and changes
  • Maintained up-to-date knowledge of product and service changes
  • Bolstered customer retention by creating and offering unique discount options and inspiring interest in new product lines
  • Educated customers about billing, payment processing and support policies and procedures
  • Technical users
  • Responded to customer inquiries and provided technical assistance over phone and in person

Customer Service Representative

NPC International Inc.
04.2018 - 02.2020
  • Answered customer telephone calls promptly to avoid on-hold wait times
  • Followed up with customers about resolved issues to maintain high standards of customer service
  • Investigated and resolved customer inquiries and complaints quickly
  • Participated in team meetings and training sessions to stay informed about product updates and changes
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals

Store Manager

GameStop
02.2017 - 04.2018
  • Managed store employees successfully in fast-paced environment through proactive communication and positive feedback
  • Assisted with hiring, training and mentoring new staff members
  • Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service
  • Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits
  • Supervised guests at front counter, answering questions regarding products

Education

High School Diploma -

Temecula Valley High School
Temecula, CA Nashville
04.2005

Skills

  • Issue and Complaint Resolution
  • services by doing purchase follow-up calls and emails
  • Active Listening
  • Order Processing
  • Responded to a series of customer complaints and was recognized by upper management for my handling of the situation
  • Customer Follow-up
  • Call Volume and Quality Metrics
  • Was part of a team which discovered a glitch that ultimately saved the company 22 million dollars in loss
  • HIPAA compliance
  • Primary source verification

Timeline

Credentialing Specialist

Aspen Dental
02.2025 - Current

Credentialing Specialist

Octave
03.2024 - 02.2025

Paralegal

Patriot Angels
07.2023 - 03.2024

Credentialing Specialist

Octave
03.2023 - 02.2024

Customer Service Representative

Tractor Supply Company
02.2021 - 07.2023

Customer Service Representative

NPC International Inc.
04.2018 - 02.2020

Store Manager

GameStop
02.2017 - 04.2018

High School Diploma -

Temecula Valley High School
Kyle McFarlan