About Me

 

CAREER SUMMARY

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Over 10 years of experience in starting 2005 providing administrative support to senior leadership, collaborating with various departments and external agencies during the credentialing process and utilizing my excellent communication, interpersonal, problem-solving analytical and organization skills to maintain confidential records systems.

 

EXPERIENCE

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• Management of credentialing for four ambulatory surgery centers, including but not limited to all Practitioners, MD, DO, CRNFA, RN, PA-C, CRNA Chiropractors and Surgical Technicians.

• Reviewed applications for completeness and thereafter initiates confidential information collection, verification and documentation in accordance with established policies and procedures for continuous appointment and re-appointment of providers.

• Bi-weekly audits report to identify credentials expiring; followed-up on expired credentials with practitioner’s office staff.

• Provided status verifications to insurance companies, managed care companies, hospitals, and/or office managers accurately within 5 days or less of receipt from requestor.

• Assembled all verified information and prepares credentials files for presentation to the Medical Director. Ensures provider credentials have been verified within a timely manner prior to review for determination of privileges.

• Ensured provider notifications and committee results are processed within 10 days of approval. Oversee all aspects of department mailings and projects.

• Assisted in compliance with accrediting and regulatory agencies in regards to credentialing, while developing and maintaining a working knowledge of statutes and laws.

• Creation of new initial and reappointment application which allows for faster completion as well as faster processing of seasoned practitioners.

• Develop new credentialing policy and procedure for facilities.

• Train office staff in credentialing process during onsite visits.