Angela German
Cedar Park,TX
Summary
Proven Project Manager at The Mihalik Group, adept in HIPAA compliance and fostering strong stakeholder relationships, significantly enhanced project delivery and client satisfaction. Leveraged exceptional organizational skills and attention to detail to streamline processes, achieving a notable increase in efficiency. Demonstrates a commitment to continuous improvement and effective team collaboration. Multitasking professional skilled in file efficiency and database integrity. A resourceful Credentialing Coordinator with a background in tracking the expiration of practitioner documents.
Overview
7
7
years of professional experience
Work History
Credentialing Coordinator
Epiphany Dermatology
08.2023 - Current
- Contributed to risk management initiatives by monitoring expiring licenses, certifications, and insurances, notifying providers of renewal requirements in a timely manner.
- Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
- Expedited the onboarding process for new medical staff by efficiently managing initial appointments and reappointments.
- Collaborated with department heads to develop a comprehensive credentialing policy, ensuring compliance with industry standards.
- Strengthened relationships with external agencies by responding promptly to verification requests and inquiries regarding providers'' credentials.
- Ensured smooth communication flow between departments by acting as a liaison between medical staff services and other administrative units.
- Upheld strict confidentiality standards, safeguarding sensitive provider information from unauthorized access or disclosure.
- Fostered a positive work environment through active participation in team meetings, collaborating on strategies to improve departmental performance.
- Maintained accurate files, records and credentialing documents in well-maintained databases using credential stream.
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Assisted with special projects as needed, demonstrating adaptability and commitment to the success of the organization.
Project Manager
The Mihalik Group
06.2022 - 08.2023
- Developed and executed comprehensive project plans to ensure timely completion of deliverables.
- Collaborated closely with stakeholders to gather requirements, define project scope, and establish realistic timelines.
- Maintained comprehensive documentation for all project phases, ensuring transparency and timely access to information for stakeholders.
- Leveraged industry best practices for efficient management of complex projects, ensuring consistent success rates across multiple engagements.
- Fostered strong relationships with clients, leading to increased contract renewals and referrals.
- Optimized resource allocation, maximizing team productivity while minimizing costs associated with overtime and underutilization.
- Streamlined communication channels for better collaboration with cross-functional teams, resulting in enhanced project efficiency.
- Balanced competing priorities skillfully while managing multiple concurrent projects without compromising quality or deadlines.
- Conducted regular status meetings for clear communication of progress updates, risk assessments, and action items among team members.
- Interacted with clients on regular basis to quickly alleviate issues and provide project updates.
- Maintained client files with sales contracts, records of client interactions, client notes, and other information.
- Performed duties and provided service in accordance with established operating procedures and company policies.
- Delegated tasks to existing support team members and used cloud-based tools to help solve complex business issues.
- Kept stakeholders up-to-date on details pertaining to client projects.
- Reported regularly to managers on project budget, progress, and technical problems.
- Maintained open communication by presenting regular updates on project status to customers.
- Verified quality of deliverables and conformance to specifications before submitting to clients.
HEDIS Field Reviewer
The Mihalik Group
08.2017 - 08.2023
- Identified areas of non-compliance in HEDIS measures, recommending corrective actions for improvement.
- Improved HEDIS reporting accuracy by conducting thorough field reviews and data validation.
- Contributed to the development of improved field review processes, sharing best practices and lessons learned from personal experience in the role.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations throughout the review process.
- Assisted in training new hires on HEDIS measures and review processes, ensuring a smooth onboarding experience for team members.
- Enhanced the quality of HEDIS measurements through meticulous medical record abstraction and documentation.
- Developed strong relationships with provider offices, facilitating efficient communication and access to medical records during field visits.
- Worked closely with healthcare providers to resolve documentation discrepancies, ensuring accurate representation of performance data.
- Stayed informed on changes to HEDIS measures and guidelines, integrating updates into the field review methodology as needed.,
- Served as a subject matter expert on HEDIS measures, providing guidance and support to internal and external stakeholders as needed.
- Streamlined administrative tasks associated with field reviews, such as appointment scheduling and travel coordination, maximizing productivity levels.
- Participated in team meetings and ongoing training sessions for professional development purposes, staying current with industry best practices regarding HEDIS measurement standards.
- Collaborated with team members to develop consistent methodologies for HEDIS data collection and analysis.
- Ensured timely completion of assigned projects, managing multiple review deadlines simultaneously.
- Promoted a culture of quality improvement within healthcare settings by emphasizing the importance of accurate HEDIS measure adherence during site visits.
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Secured confidential patient information from unauthorized access.
- Studied and researched various medical terms as well as software and coding systems.
Education
Health Information Management And Policy
Creighton University
Omaha, NEAssociate of Science - Certified Nursing Assist
College of Saint Mary
Omaha, NE05.2009
Skills
- Effective written and verbal communication
- HIPAA Compliance
- Data research and analysis
- Data entry proficiency
- Knowledgeable in all EMR systems
- Professional Networking
- Records and file management
- Documentation workflows
- Credentialing Software
- Practitioner application monitoring
- Re-credentialing processes
- Insurance procedures
- Provider enrollment
- Employee Onboarding
- Document Review
- Provider Relations
- Proofreading
- Credentialing oversight
- Report Generation
- Accreditation information management
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Reliability
Timeline
Credentialing Coordinator
Epiphany Dermatology
08.2023 - Current
Project Manager
The Mihalik Group
06.2022 - 08.2023
HEDIS Field Reviewer
The Mihalik Group
08.2017 - 08.2023
Health Information Management And Policy
Creighton University
Associate of Science - Certified Nursing Assist
College of Saint Mary