Melissa Jones
Cartersville,GA
Summary
Employed by Northwest Georgia Oncology Centers for 22 years managing and maintaining all areas of credentialing for (25) physicians & (29) physician extenders providing services at (12) office locations.
Highly organized and detail-oriented professional with strong work ethic and dedication to achieving goals.
Overview
24
24
years of professional experience
Work History
Medical Staff Coordinator
Wellstar Health System
06.2022 - 05.2024
- Review privileging applications and supporting materials for completeness of information and legibility
- Identification and follow-up of 'red flag' items on initial and reappointment applications
- Review new applicant privileging forms and case-logs to ensure that they meet hospital criteria
- Prepare Credentials Report summarizing privileging applications and 'red flag' items for review and recommendation by Medical Staff Committees and Board
- Generate and send individual board letters to providers as bestowed by Medical Staff Committees and Board
- Attend meetings and take accurate minutes of discussions and decisions by Medical Staff Committees and Board
- Power Point presentations for hospital Department meetings.
Credentialing Manager / Executive Assistant
Northwest Georgia Oncology Centers
06.2006 - 06.2022
- Worked fully remote under direction of Executive Director
- Manage and maintain the credentials of (25) physicians & (29) physician extenders who provide services at (12) office locations
- Initiate all areas of enrollment for new onboarding physicians and physician extenders, beginning with state medical license if applicable
- Work as liaison between NGOC and Wellstar notifying of any changes related to status of office physicians and physicians extenders
- Maintain current/ active state medical licensure for all office physicians and physician extenders
- Maintain current/ active DEA registration for all office physicians and physician extenders
- Maintain CME logs to reflect current CME participation for all office physicians and physician extenders
- Maintain current CV(s) for all office physicians and physician extenders
- Maintain current/ active hospital staff membership for all office physicians and physician extenders
- Assist physicians and physician extenders with reappointment of hospital staff membership
- Review ABIM board certification all office physicians to verify current/ active certification status and MOC participation
- Review NCCPA board certification for all office physician extenders to verify current/ active certification status and notify of upcoming renewals
- Review AANP & ANCC certification for all office physician extenders to verify current/ active certification status and notify of upcoming renewals
- Maintain documentation in-house for current and termed providers via office server and database
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing
- Maintained accurate files, records and credentialing documents in well-maintained database
- Assist Research Department with documentation as required by sponsors
- Administrative support to Executive Director
- Administrative support to Physicians and Physician Extenders.
Credentialing Coordinator / HR Assistant
Northwest Georgia Oncology Centers
01.2000 - 06.2006
- Worked under direction of HR Manager, Executive Director and Reimbursement Manager
- Assisted HR with maintaining time-cards and processing payroll
- Initiate all areas of enrollment for new onboarding physicians and physician extenders, beginning with state medical license if applicable
- Enrolled providers and Medicaid, Medicare and private insurance plans
- Obtained NPI numbers for providers and facilities and updated existing profiles
- Conducted primary source verifications such as background checks and board certifications
- Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency
- Pre-screened resumes prior to sending to HR Manager
- Improved office efficiency by effectively managing internal communications and correspondence
- Assists with monitoring of indigent drug program, outstanding encounter forms and other reimbursement related functions
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
- Learned new skills and applied to daily tasks to improve efficiency and productivity
- Proved successful working within tight deadlines and fast-paced atmosphere
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
- Identified issues, analyzed information and provided solutions to problems
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
Skills
- Attention to Detail
- Self-Motivated
- Organized
- Teamwork and Collaboration
- Time Efficient
- Work Planning and Prioritization
- Credential verification
- Documentation Review
Timeline
Medical Staff Coordinator
Wellstar Health System
06.2022 - 05.2024
Credentialing Manager / Executive Assistant
Northwest Georgia Oncology Centers
06.2006 - 06.2022
Credentialing Coordinator / HR Assistant
Northwest Georgia Oncology Centers
01.2000 - 06.2006
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