MD Staff
Angela Cotton
Chesapeake,VA
Summary
Diligent credentialing specialist with a strong background in credentialing processes and compliance management. Successfully manages credentialing for diverse healthcare providers, ensuring strict adherence to regulatory standards. Demonstrates expertise in meticulous documentation and effective communication with credentialing entities. Methodical office coordinator providing administrative and clerical support to medical staff. Proven record of accurately organizing, filing, and retrieving patient information. Experienced in coding medical records and entering data into patient databases.
Overview
36
36
years of professional experience
Work History
Social Media Technician
Bethel Baptist Church
07.2019 - Current
- Adapt quickly to technological advancements, acquiring new skills and maintaining proficiency in the latest media production tools and software.
- Create and plan services and presentations using a web-based programs.
- Contribute to creative brainstorming sessions resulting in innovative ideas for media campaigns.
- Increase members satisfaction through prompt response to technical inquiries and effective problem resolution.
- Boost audience engagement by creating visually appealing graphics tailored to specific platforms or target demographics.
- Support live event productions with timely setup and operation of audiovisual equipment.
CREDENTIALING SPECIALIST
Chesapeake Regional Medical Center
07.2023 - 07.2024
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions for numerous providers simultaneously.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing task.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Achieved greater accuracy in database management by regularly updating provider records and tracking status changes.
- Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
- Improved provider satisfaction with efficient handling and processing of credentialing applications.
- Coordinated credentialing committee meetings, ensuring productive discussions and decision-making.
- Conducted thorough background checks and primary source verifications to uphold high standards of care.
CREDENTIALING SPECIALIST-PAYOR ENROLLMENT
Children's Hospital of the King's Daughters
07.2022 - 07.2023
- Collected licensure, certificates, diplomas, and pertinent documents from providers
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Expedited the onboarding process for thirty new providers, ensuring timely completion of all required documentation and verifications.
- Developed strong relationships with external organizations, leading to increased cooperation during verification processes.
- Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Managed five or six priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously..
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed thirty emails and faxes per day from providers and other CVO.
- Verified fifty providers employment per day from CVO and other facilities.
HUMAN RESOURCE INFORMATION SYTEMS SPECIALIST
Children's Hospital of the King's Daughters
01.2022 - 07.2022
- Processed and prepared fifty employees transactions request to include separation, status changes, new hires, rehires and transfers per day.
- Maintain HRIS data integrity while processing different transactions
- Conduct HRIS data audits as needed from payroll and HRIS systems.
- Collaborated with cross-functional teams to ensure seamless integration of information systems across departments, improving overall productivity levels.
- Maintained personnel records and statistical data to establish accuracy and compliance with applicable regulations.
- Facilitated smooth onboarding processes for new hires, leading to faster integration into workplace culture.
DATABASE CORDINATOR
Children's Hospital of the King's Daughters
03.2011 - 01.2022
- Analyze, enter data, and show the trending data on graphs with process improvement initiatives.
- Collected and entered data for 17 measures on a monthly basis and visualized the outcomes in graphs.
- Updated 17 spreadsheets and databases to track, analyze, and report on performance .
- Optimized database performance by conducting regular audits and updates.
- Maintained precise records of all changes made to the database, guaranteeing accurate historical documentation.
- Improved database usability by creating customized reports for various departments.
- Enhanced data accuracy by implementing efficient database management processes and systems.
- Designed custom forms for efficient data collection across different departments within the organization.
- Created and updated database designs and data models.
- Built databases and table structures
- Organized and coordinated conferences and monthly meetings.
- Saved the organization $5000 a month auditing, reconciled and posting charges to inpatient accounts.
EXCUTIVE ASSISTANT/ Chief Nursing Officer
Children's Hospital of the King's Daughters
06.2015 - 11.2016
- Organized the daily workflow of office operations by providing confidential, executive-level administrative support to staff and faculty members in a healthcare environment.
- Handled confidential and sensitive information with discretion and tact.
- Managed executive calendars, scheduling meetings and appointments and coordinating travel arrangements to optimize time.
- Managed office inventory, tracking supplies and placing orders to ensure smooth daily operations.
- Provided professional administrative support every month during six governance meetings, including agenda preparation and minute-taking duties.
- Organized and coordinated conferences and monthly meetings.
- Ensured smooth daily operations through consistent maintenance of office equipment, troubleshooting issues when necessary.
- Assisted in the development of company policies and procedures, contributing to a more organized work environment.
THROUGHPUT PATIENT FLOW ANALYST
Children's Hospital of the King's Daughters
07.2008 - 10.2011
- Facilitating and led daily bed meetings and placed patients in the proper beds
- Analyzed the daily workflow of bed placements and generated 5 reports from the computerized Tele Tracking system.
CENTRAL SCHEDULER
Bon Secours Maryview Medical Center
01.2001 - 08.2004
- Scheduled diagnostics tests in a call center environment.
- Used electronic systems to enter provider orders, schedule appointments and retrieve test results.
- Organized complex schedules for specialized services, ensuring adequate time allocation for procedures and consultations.
- Optimized scheduling efficiency by managing and coordinating appointments for multiple departments.
- Scheduled patients for tests and consultations.
- Communicated information to patients regarding requirements for appointments and test preparation.
- Improved patient satisfaction by promptly addressing inquiries and resolving scheduling issues.
- Ensured HIPAA compliance within all aspects of the central scheduler role, maintaining confidentiality of sensitive information at all times.
- Managed high call volumes effectively through prioritization; triaging calls based on urgency and patient needs.
- Followed up with patients to reschedule missed appointments.
- Answered phone calls and messages for 100-patients from medical facility, scheduling appointments, and handling patient inquiries.
PATIENT ACCESS TECHNICIAN
Bon Secours DePaul Medical Center
01.1995 - 01.1997
- Admitted inpatients, discharged patients while verifying their insurance
- Received authorizations from insurance companies for surgical and diagnostics procedures.
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
- Assisted in patient admission process.
- Maintained up-to-date records of all applicants, ensuring accurate data for informed decision-making processes.
- Interviewed patients or representatives to obtain and verify medical history prior to being seen by medical professionals.
- Reduced wait times for applicants by expediting the review process through effective multitasking and time management skills and pre registering the patient before they arrived.
- Collected information, forms and signatures from patients or family members to create efficient admissions experience.
- Greeted patients warmly to increase comfort and create rapport.
- Assisted in achieving higher enrollment numbers by providing exceptional customer service to prospective students and their families.
- Increased accuracy of demographic reporting through meticulous data entry practices for all application materials received.
- Assisted with medical coding and billing tasks.
- Facilitate the revenue cycle process by verifying insurance by collecting co-payments, authorizing data and billing information.
PATIENT ACCESS TECHNICIAN
Children's Hospital of the Kings Daughters
01.1989 - 03.1991
- Verified patient details and insurance coverage and collected co-pays.
- Reduced wait times for patients by efficiently managing high-volume admission periods during peak hours.
- Developed strong rapport with patients and family members, ensuring a compassionate and professional atmosphere during the admissions process.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
- Calculated collectible amount due for procedures.
- Streamlined patient admissions process by implementing efficient data entry and record-keeping procedures.
- Verified insurance eligibility for patients, resolving discrepancies prior to treatment whenever possible.
- Managed insurance pre-authorizations for scheduled surgeries or costly procedures, minimizing financial surprises for patients posttreatment.
Education
Bachelor of Science - Business Administration
CAPELLA UNIVERSITY
Minneapolis, MN06.2025
Skills
- Microsoft Office Suite
- Excel-Pivot Tables and Graphs
- Project-Timelines
- Cleansing, Extracting Data and Retrieving Data
- ICD-10/CPT Coding
- Medical Terminology
- Type 60 wpm
- Communication
- Interpersonal
- Customer Services
- Teamwork
- Strong Analytic
- Problem Solver
- Tech Savviness
- Time Management
- Organizational
- Registration
- Pre Registration
- Insurance Authorizations and Verifications
- Third Party Payors
- EMR-Cerner, Eclypsis and Epic
- Attention to Detail
- HIPAA Compliance
- Charge Posting
Quote
Don’t judge each day by the harvest you reap, but by the seeds you plant.
Robert Louis Stevenson
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved deadlines by completing reappointment's with accuracy and efficiency.
- Obtained $5000 in annual savings by designing charge posting sheet to audit charges..
- Tested databases to identify errors and resolved the errors..
Software
Cerner (EMR)
Eclypsis
Modio
Press Ganey
NDNQI
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
CREDENTIALING SPECIALIST
Chesapeake Regional Medical Center
07.2023 - 07.2024
CREDENTIALING SPECIALIST-PAYOR ENROLLMENT
Children's Hospital of the King's Daughters
07.2022 - 07.2023
HUMAN RESOURCE INFORMATION SYTEMS SPECIALIST
Children's Hospital of the King's Daughters
01.2022 - 07.2022
Social Media Technician
Bethel Baptist Church
07.2019 - Current
EXCUTIVE ASSISTANT/ Chief Nursing Officer
Children's Hospital of the King's Daughters
06.2015 - 11.2016
DATABASE CORDINATOR
Children's Hospital of the King's Daughters
03.2011 - 01.2022
THROUGHPUT PATIENT FLOW ANALYST
Children's Hospital of the King's Daughters
07.2008 - 10.2011
CENTRAL SCHEDULER
Bon Secours Maryview Medical Center
01.2001 - 08.2004
PATIENT ACCESS TECHNICIAN
Bon Secours DePaul Medical Center
01.1995 - 01.1997
PATIENT ACCESS TECHNICIAN
Children's Hospital of the Kings Daughters
01.1989 - 03.1991
Bachelor of Science - Business Administration
CAPELLA UNIVERSITY
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