Angela Wiggins
Allegiance Health Management
Simpson,USA
44
years of professional experience
Corporate Leader experienced in strategic planning, business development, and operational management. Achieved organizational growth through effective team collaboration and optimization of processes. Focused on driving impactful initiatives and fostering a culture of engagement and empowerment.
Work History
Corporate Director of Medical Staff Credentialing and Payor Enrollment
5 Years 3 Months- I have 12 hospitals that I oversee and I have 12 personnel that I supervise. I write Developed and implemented policies and procedures to enhance operational efficiency. as well as create privileges. Conducted mock surveys and quarterly audits for all facilities, drafting corrective action plans to ensure compliance. Managed credentialing processes for healthcare personnel to ensure compliance with regulations. to include all of the things listed below and well as make sure that all are compliant. We have Psych, L-Tach, Acute Care, Critical Access and over 60 RHC's. Administered contracts and trained new contract administrators to streamline enrollment processes. I previously worked with payor enrollment and contract negotiation. I have a healthy knowledge of Quality and Compliance as as well in healthcare and insurance. I have used Ariba and Meditract/Symplr in my contract management. I have used MD staff for 16 years and I am working toward my MD staff expert classification.
- Led strategic initiatives to enhance operational efficiency across multiple healthcare facilities.
- Developed and implemented comprehensive policies to ensure compliance with healthcare regulations.
- Directed cross-functional teams in the execution of health management projects, optimizing resource allocation.
Medical Staff Coordinator- Quality Department
15 Years 6 Months- I serve as the Medical Staff Coordinator for Byrd Regional Hospital, with the following duties:
- On a daily basis, I assist the Chief of Quality Management in developing goals necessary to accomplish the mission of credentialing and privileging for the facility. I perform on a daily basis, the duty to keep the Credentials Committee, Medical Executive Committee, Governing Board and Medical Staff informed of changes, new regulatory requirements, and policies and procedures pertaining to the credentialing and privileging process. I complete on a daily basis the physician and Allied Health Professionals verifications and ensure that the organization and staff are in accordance with staff bylaws, industry trends and standard credentialing procedures. I ensure that all licensure and certifications as well as competency are up to date and am responsible for reporting to the Executive committees on all physician and Allied Health Professionals credentials.
- Recorded and transcribed minutes for Credentials, MEC, Medical Staff, and Board of Trustee meetings.
- I compile all of the data for the Credentials Committee, Medical Executive Committee and the Governing Board and keep all Medical Staff physician's files and contracts up to date and Maintained accountability for keeping Medical Staff physician files and contracts up to date.
- Managed all Medical Staff-related tasks and inquiries.
- Personally handles all issues with Joint Commission and CMS in regards to the Medical Staff in regards to surveys and data.
- Maintains a high degree of ethics, integrity, and confidentiality in dealing with employees, and external customers.
- Executed additional tasks assigned by management
- Accurately keys all new physician data into physician database, i.e.: licenses, certification, SS#, medical school, etc
- Maintain a current knowledge of Joint Commission medical standards and state and federal requirements
- Maintain a working process of CMS guidelines and procedures
- Must have the ability to identify issues within the Quality and Credentialing files.
- On a daily basis, I am the custodian of the credentialing files, and that only authorized personnel have access to these files and that documents that are inserted or removed only with approval of the Medical Executive Committee or supervisor.
- Researched and abstracted active and inactive provider files to fulfill a variety of requests for information on privileged providers, supporting informed decision-making. I research and review all related literature and regulations. Understands current and past requirements in the Credentials and privileging functions as they affect Health Care providers and Allied Health Professionals. I refer current trends, issues and recommended program revision to the Credentials committee.
- Conducted research with National Practitioner Data Bank, background checks, and OIG checks to verify competency for initial appointments and reappointment's, ensuring adherence to Medical Staff Bylaws. I am also responsible for ensuring that all Medical Staff have the appropriate qualifications as deemed by the Medical Staff Bylaws.
- Possessed active knowledge of the peer review process, including FPPE and OPPE.
- I am proficient in Microsoft Word, Excel, and all databases needed to provide access for Credentialing.
- Formerly owned by CHS now by Allegiance Health Management
- Outlined key responsibilities for the role.
- Managed processing of initial credentialing applications efficiently.
- Managed processing of applications for allied health practitioners.
- Managed processing of organizational facility applications systematically.
- Performs primary source verification of credentials according to NCQA, CMS, and PH standards
- Reviews all applications for completeness and accuracy
- Requests appropriate missing or incomplete information as necessary
- Uses mail, email, fax, web sites and telephone to obtains necessary elements
- Prepares checklist sheets for initial and reappointment applicants
- Assists with preparation for Credentials Committee meetings
- Assists in entering credentialing information in database
- Assist with credentialing department's development and maintenance of policies and procedures
- Participates in education meetings for the department, the Network, and Louisiana Society Medical Staff Services (LSMSS)
- Attends IPA Credentialing meetings and other meeting by which educational opportunities are presented, as appropriate
- Maintains current working knowledge of CMS, NCQA, and industry standards
- Assists in developing forms and procedures to expedite the credentialing process
- Assists with preparations for in-house file audits for CMS and NCQA
- Ensures all files are audited by the Lead Credentialing Coordinator prior to being sent to respective boards for credentialing consideration
- Maintains a current status on all Compliance and Educational course assignments
- Performs any other duties as requested by the Chief Executive Officer
Residence Service Specialist
1 Year 3 Months- Processed applications and conducted inspections to facilitate leasing transactions.
- Facilitated acquisition process by J & J Maintenance
- Delivered exceptional customer service to military families, ensuring satisfaction and timely resolution of inquiries.
- Coordinated maintenance requests, facilitating efficient communication between residents and service teams.
- Assisted in managing move-in/out processes, ensuring compliance with housing regulations and standards.
Dispatcher/Scheduler/Service Specialist (Quality Department)
4 Years 1 Month- Responsibilities include receiving/scheduling all maintenance work for approximately 300 family residences, preparing and closing work logs for 23 employees and 2500-3000 work orders per month, tracking contract line numbers for contract manager, and entering data for time-work logs of 60 employees.
- Handling any and all Quality issues with the United States Army and ensuring that all military families were taken care of in a timely manner.
- Managed customer relations and maintained residential files to ensure accurate record-keeping.
- Walked through homes and evaluated them to confirm that the quality met government specifications.
Co-Owner/Operator
13 Years 4 Months- Maintained the administrative office, performing all general office duties, supervising approximately 60 office and maintenance personnel, implementing and overseeing drug testing and safety programs for all employees, dispatching employees to the correct job sites for various clients, and maintaining vehicle logs for the LA Department of Transportation.
- Responsible for the overseeing of contracts and purchasing of timber and handling all insurance and compliance regulations.
- Managed payroll, insurance, accounts receivable, and accounts payable.
Customer Service Representative
6 Years- Handled all loans and collections, maintained accurate monthly records of quotas and expenditures, supervised all office personnel daily, and processed real estate loans and closed first and second mortgages.
- Provided exceptional customer support, resolving inquiries and complaints efficiently.
- Utilized CRM systems to track customer interactions and ensure accurate follow-up.
- Assisted in developing training materials for onboarding new team members.
Education
High School Diploma
Skills
Operations management
Quality assurance
Compliance management
Project management
Strategic planning
Multitasking
Relationship management
Staff management
Verbal and written communication
Project leadership
Coordination and organization
Personal time management
Credentialing oversight
Corporate governance
Team leadership
Healthcare regulations
Team building
Customer support
Problem resolution
Problem-solving abilities
Attention to Detail
Project leadership
Multitasking capabilities
Time management
Effective leader
Task prioritization
Collaborative teamwork
Organizational skills
Adaptability and flexibility
Effective leader
Interpersonal skills
Written and Oral Communications
Effective communication
Relationship Management
Conflict resolution
Self-directed
Continuous improvement
Conflict management
Credentialing database management
Operations management
Inventory tracking and management
Self motivation
Medical staff recruitment
Operational strategy
Healthcare leadership
Active listening
Problem-solving abilities
Team collaboration
Teamwork
Interpersonal communication
Research
Delegating work
Multitasking Abilities
Ethics and Professionalism
Staff training and development
Training coordination
Staff scheduling management
Administrative oversight
Compliance risk assessment
Affiliations
Louisiana State Medical Staff Services and I sit on the Board of education for LSMSS as well.
Interests
Reading
Sports
Scuba Diving
Travel and meeting new people
Learning to speak Italian
Timeline
Corporate Director of Medical Staff Credentialing and Payor Enrollment
Allegiance Health Management
05.2021 - CurrentRead More
Medical Staff Coordinator- Quality Department
Byrd Regional Hospital
11.2005 - 05.2021Read More
Residence Service Specialist
Picerne Military Housing
08.2004 - 11.2005Read More
Dispatcher/Scheduler/Service Specialist (Quality Department)
J & J Maintenance
06.2000 - 07.2004Read More
Co-Owner/Operator
Keith Shell Logging/Shell Logging
01.1987 - 05.2000Read More
Customer Service Representative
Avco Finance/Household Finance
01.1983 - 01.1989Read More
Simpson High School
High School Diploma
Read More
Reasoning Ability
High Skills: Ability to define problems collects data, establish facts and draw valid conclusions. Ability to interact with the Medical Staff as well as Administration and handle all issues to the satisfaction of the facility and the physician.
Contract Administrator Duties
- Summary: This person will be responsible for preparing, examining, analyzing, amending and otherwise processing contracts that involve the purchase or sale of goods or services such as equipment, materials, supplies, or products, professional services and leasing arrangements, utilizing Ariba Contract Management Professional.
- Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Maintain detailed and organized audit file for each contract which includes original contract, all correspondence, amendments and Corporate required documents.
- Manage contracts within the Meditract Contract Management System.
- Effectively track approvals and correspondence.
- Build, manage and effectively utilize reports and data extracted from Meditract Contract Management System
- Ensure that contractors are in compliance with legal requirements, Corporate specifications and all relevant government regulations
- Prepare and disseminate information to appropriate employees and executives regarding contract requirements, status, etc
- Ensure contract execution in accordance with Corporate policy.
- Participate in Meditract training for Allegiance facilities.
- Become and maintain expert level proficiency in Meditract Contract Management system
- Take support calls from users in the field and troubleshoot system and training issues as needed
- Conduct Ariba training on an individual or group setting basis
Task Force Consultant for Community Health System
Community Health Systems. I enter a facility and evaluate the backlog, and current issues. Review expirations, credentialing filesand put a plan of action together and help the current MSC to become current. Evaluate the Bylaws, Policies and R/R's to insure that they are in compliance with Joint Commission, current state and CMS standards.
Volunteer Work and Community Activities
Simpson First Assembly of God, Attend Simpson First Assembly of God and participate on the Church Softball Team. I also have taught Sunday School for 15 years I am a Simpson High School Alumni and I am active in all community activities.