Accomplished and dedicated professional with over 5 years of compliance and administrative experience within different organizations. I am a confident and personable professional who excels at prioritizing competing multiple tasks simultaneously and following through to achieve project goals. I am capable of quickly establishing rapport by utilizing excellent leadership and interpersonal skills while adapting to different situations in a quick and professional manner.
Overview
18
18
years of professional experience
Work History
CLP Compliance Manager
Access TeleCare
07.2023 - Current
Collaborate with both internal and external stakeholders regarding compliance with credentialing standards
Conduct regular audits and review of ATC Credentialing database to identify and address any compliance issues
Work closely with outside vendors on DEA Applications and select state medical license applications - ensuring all necessary documentation has been submitted
Train and develop vendors on initial DEA and select state medical license processes while also monitoring progress to ensure success
Communicate with licensing boards and Federal Authorities where necessary to ensure a smooth application process
Provide training and education where needed to Credentialing Staff on the importance of complying with state and federal regulations.
Prepared records and data for regular audits.
Licensing Team Lead
Radiology Partners
04.2021 - 07.2023
Responsible for leading licensing team in daily tasks and assigning daily tasks to team members
Generate licensing reports for the team to highlight both individual and team performance and to identify areas that need improvement
Review team members’ work for quality to ensure that all guidelines are being met and applied in the various licensure applications
Assist team members and other departments within the organizations with any licensing queries or training that is needed
Liaise and work closely with Legal Department in reporting adverse board actions and malpractice settlements on behalf of Physicians
Ensure compliance with various medical board and Federal Agencies rules and statutes in regards to license maintenance and procurement
Handles confidential material with a high level of discretion and care
Responsible for new team member training and perform other tasks assigned by management
Able to follow instructions and work efficiently both in a team setting and individually.
Credentialing & Quality Assurance Specialist
Radiology Partners
04.2018 - 03.2021
Apply to medical boards and other federal and state entities for medical licenses for Providers and act as a liaison to ensure successful completion of applications
Compile and maintain current and accurate data for all providers
Maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
Maintain knowledge of medical boards and hospital specific requirements for credentialing providers
Tracks certification and professional liability expirations for all providers to ensure timely renewals
Coordinate with hospitals, medical boards and radiologists to complete credentialing process, including any additional documentation, verifications, references, and applications necessary to complete process
Ensure Providers are compliant with medical boards rules and hospital bylaws through quarterly update.
Credentialing and Contracting Coordinator
Oncology Consultants
05.2017 - 04.2018
Assisted with and negotiated fee for service and value-based contracts with both federal and private payors
Acted as a liaison and point of contact for the insurance companies
Negotiated LOAs with insurance companies on behalf of Patients
Initiated and maintained effective channels of communication with both internal and external partners
Assisted in resolving provider service complaints
Researches problems and negotiates with internal/external partners/customers to resolve escalated issues
Maintain and manage credentialing process using credentialing software
Maintain current database of Providers ensuring all credentials are up to date and accurate
Process and submit initial credentialing appointments and reappointments to various hospitals and payers within the greater Houston area
Inform Hospitals and Payers of any demographic changes to ensure accurate and current information is conveyed in a timely fashion
Keep Providers up to date with monthly updates received from Hospitals and Payers.
Instructional Assistant
University of Houston-Clear Lake
01.2017 - 05.2017
Support with faculty research projects; engage in literature searches
Prepared PowerPoint Presentation for lectures
Involved in the development of new material for department courses
Contributed to the development of appropriate teaching materials to ensure content and methods of delivery meet learning objectives
Assisted with internship program by collating all the student information needed for an internship in a given semester
Engaged in professional development as appropriate and regularly updated subject related knowledge base
Set up meeting rooms for internship progress meetings between Professor and students.
Insurance Verification Support
Oncology Consultants
12.2016 - 02.2017
Verified medical insurance of patients to ensure procedures are covered by insurance
Entered Patients’ details onto NextGen practice management system
Updated patients’ details to ensure coverage is accurate
Managed confidential patient information while adhering to regulations.
Administrative Intern
Prevent Blindness Texas
06.2016 - 11.2016
Assisted about 100 clients seeking services and process applications for vision services daily
Support Program Staff in researching and developing sustainable vision care resources
Planned and implemented events relating to vision health which included vision screenings, educational presentations, community health events and outreach/marketing events
Coordinated with charitable organizations during the marketing phase of the annual eye stroll for vision program at the Houston Zoo
Attended educational or community related meetings and seminars
Application to various organizations for grants and donations to assist with charitable events throughout the year.
Legal Administrative Officer
Ministry of Justice – Luton County Court
10.2008 - 05.2014
Acted as a liaison between the Judiciary, Attorneys and various government agencies to coordinate the functions of the court
Coordinated the Judges’ diaries for an effective utilization of their time and successfully updated the training manual on listing Court Cases to help new employees
Examined legal documents submitted to courts for adherence to laws and court procedures
Prepared and issued Court orders, such as probation orders, divorce decrees etc
Trained new employees on the Court’s standard operating procedures
Verified and tracked all deadlines for the Court region to facilitate a smooth workflow
Key part of a project management team that oversaw the overhaul of the court listing system making it more effective thereby increasing productivity by 20%
Assisted manager in implementing changes to the workflow system that increased productivity by 15% and ensured work was always completed within the 5-business day limit
Answered inquiries from the public regarding judicial procedures, court appearances, trial dates, adjournments, outstanding warrants, summonses, subpoenas, witness fees etc.
Administrative Officer
Galbraith Branley Solicitors
10.2006 - 08.2007
Prepared invoices, reports, memos, letters, financial statements and other documents, using word processing, spreadsheets, database, or presentation software
Attended meetings to record minutes and then compile, transcribe and distribute the minutes of meetings, managed lawyers, and senior partners' daily schedules
Developed procedures and training materials to ensure staff expectations were clear regarding performance and workflows
Managed the supply chain for the firm by making sure that stationary and other office supplies were always up to date leading to a 10% reduction in stationary wastage
Liaised with various governmental agencies in pursuance of daily functions to ensure the smooth running of the Office.
Education
Master of Healthcare Administration -
University of Houston Clear Lake
05.2017
Postgraduate Diploma in Legal Practice -
The College of Law
London, United Kingdom
08.2008
LLB Law -
Essex University
Colchester, United Kingdom
07.2006
Skills
Training and education
Internal Audit
Teamwork and Collaboration
Compliance Monitoring
Legal Research
Regulatory Standards
Problem-solving abilities
Time Management
Multitasking Abilities
Excellent Communication
Organizational Skills
Attention to Detail
Affiliations
American College of Healthcare Executives, 06/01/2015, Present
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