Barbara Riverol
Miami,FL
Summary
Highly experienced Director of Medical Staff Services and Healthcare Professional with a robust background in diverse healthcare settings, including health systems, academic medical centers, acute care, ambulatory, and specialty hospitals. I serve as a pivotal Medical Staff Liaison, adept at fostering effective partnerships between physicians and administration. My expertise spans credentialing, privileging, medical education, graduate medical education, accreditation, governance, and hospital operations. I am committed to providing strategic support and consultation for medical staff leadership, ensuring adaptability in a dynamic industry while consistently achieving accreditation and regulatory compliance.
Overview
21
21
years of professional experience
Work History
Director of Medical Staff Services
University of Miami Hospital & Clinics
01.2018 - Current
- Played a pivotal role in the successful merger of three licensed facilities into a unified academic medical center, encompassing the integration of medical staff, development of a single governance structure, and the creation of comprehensive medical staff bylaws, rules, regulations, and clinical privileging criteria.
- Revitalized the observership/shadowing program, significantly boosting its educational impact, mitigating organizational risk, and expanding opportunities for aspiring healthcare professionals.
- Spearheaded the initiative to move all medical staff committees to a paperless operation.
- Established a robust process for medical directorships, improving their efficacy, accountability, and adherence to regulatory standards.
- Boosted annual training compliance for credentialed providers to 99% by optimizing program effectiveness.
- Navigated Medical Staff Services through three consecutive Joint Commission triennial surveys with zero findings in credentialing and privileging.
- Reduced credentialing and privileging timelines by 30-45 days through strategic process improvements and enhanced cross-functional collaboration.
- Eliminated 95% of temporary privileges for new faculty and staff by streamlining the onboarding process.
- Co-led the development and implementation of the institution's first Advanced Practice Provider (APP) orientation program, which significantly enhanced onboarding and received positive feedback.
- Transitioned the re-credentialing cycle from two years to three years, a strategic initiative supported by medical staff, leadership, and the hospital board, enhancing efficiency and resource allocation.
Manager of Medical Staff Services
University of Miami Hospital
01.2016 - 01.2018
- Managed Medical Staff Services operations during UHealth's transition period as multiple individually licensed facilities. Directed efficient onboarding, credentialing, and privileging processes for healthcare providers, ensuring strict regulatory compliance and supporting a high-functioning medical staff across distinct governance structures.
- Provider Credentialing & Privileging: Managing the meticulous processes for initial credentialing, re-credentialing, and privileging of physicians, Advanced Practice Providers (APPs), and other Allied Health Professionals ensuring thorough verification and accurate scope of practice.
- Regulatory Adherence: Ensuring all medical staff activities and documentation consistently meet or exceed standards set by The Joint Commission, CMS, and other relevant regulatory bodies.
- Process Improvement: Identifying and implementing enhancements to medical staff services workflows, focusing on streamlining operations, improving efficiency, and reducing processing timelines.
- Medical Staff Operations Support: Providing essential administrative and operational support to medical staff committees and leadership, ensuring smooth execution of governance functions.
- Onboarding Facilitation: Supporting seamless onboarding and the integration of new providers, ensuring they are oriented to hospital policies and procedures.
Sr. Executive Office Coordinator
University of Miami Hospital
01.2014 - 01.2016
- Facilitated collaboration between Hospital Administration and Medical Staff to ensure the successful accomplishment of shared strategic objectives.
- Acted as a primary representative for the Chief Medical Officer and Chief Academic Officer, effectively disseminating departmental policies and fostering clear staff communication.
- Delivered high-level administrative and logistical support to the Medical Staff Department, managing complex meeting schedules for top executives.
- Streamlined provider application intake, meticulously verifying completeness and accuracy to expedite processing.
- Ensured the integrity of provider applications, proactively addressing any missing or inaccurate information.
Administrative Assistant
University of Miami Hospital
01.2012 - 01.2014
- Streamlined administrative support for the Medical Staff Department, including meticulous recordkeeping and physician credentialing.
- Served as a key point of contact for providers and staff, gathering credentialing data and updating comprehensive provider information in the database.
- Managed credentialing for residents, fellows, and students.
- Organized and maintained confidential filing systems with high accuracy.
- Effectively managed high-volume communications and in-person requests.
- Prepared materials and provided support for Medical Staff meetings.
Receptionist
KFORCE Staffing Agency
01.2008 - 01.2009
Receptionist
Urology Center of Excellence of South Florida
01.2006 - 01.2007
Receptionist
Carrion Urological Center
01.2005 - 01.2006
Education
BA - Health Services Administration
Florida International University
Miami, FL01.2026
AA - Pre-Nursing
Miami Dade College
Skills
- Credentialing and Privileging Software Proficiency: Advanced user of credentialing platforms, Cactus (Symplr) Proficient in managing physician applications, verifying credentials, tracking expirables, and generating reports for medical staff committees
- Medical Staff Bylaws, Rules, and Regulations: In-depth understanding and practical application of Joint Commission (TJC) standards, National Committee for Quality Assurance (NCQA) guidelines, state and federal regulations (eg, CMS), and facility-specific medical staff bylaws Ability to interpret and ensure compliance
- Data Analysis and Reporting: Ability to extract, analyze, and present data related to provider credentialing, privileging, performance metrics, and compliance Proficient in using Microsoft Excel for data manipulation (pivot tables, VLOOKUP) and creating clear, concise reports for various stakeholders (eg, Medical Executive Committee, Board of Directors)
- Healthcare Information Systems (HIS) Navigation: Familiarity with Electronic Health Records (EHR) systems (eg, Epic) to access provider-specific information relevant to credentialing and quality initiatives
- Office Suite Proficiency: Expert-level proficiency in Microsoft Office Suite (Word for policy and procedure drafting, PowerPoint for presentations, Outlook for professional communication and scheduling)
- Strategic Leadership and Vision: Ability to lead and mentor a team of credentialing specialists, develop departmental goals aligned with organizational objectives, and anticipate future needs in medical staff services Strategic thinking to optimize processes and drive efficiency
- Exceptional Communication and Interpersonal Skills: Superior written and verbal communication for effective interaction with physicians, hospital administration, legal counsel, and external agencies Skill in conflict resolution, negotiation, and presenting complex information clearly and concisely to diverse audiences
- Problem-Solving and Critical Thinking: Demonstrated ability to identify complex problems within medical staff services, analyze root causes, develop innovative solutions, and implement effective action plans Sound judgment in decision-making, particularly concerning sensitive provider-related issues
- Adaptability and Resilience: Capacity to navigate a dynamic healthcare environment, adapt to evolving regulations and technologies, and maintain composure under pressure Ability to manage multiple priorities and deadlines effectively
- Relationship Management and Professionalism: Proven ability to build and maintain strong, collaborative relationships with medical staff, hospital leadership, and external partners Adherence to the highest ethical standards and discretion in handling confidential information
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Director of Medical Staff Services
University of Miami Hospital & Clinics
01.2018 - Current
Manager of Medical Staff Services
University of Miami Hospital
01.2016 - 01.2018
Sr. Executive Office Coordinator
University of Miami Hospital
01.2014 - 01.2016
Administrative Assistant
University of Miami Hospital
01.2012 - 01.2014
Receptionist
KFORCE Staffing Agency
01.2008 - 01.2009
Receptionist
Urology Center of Excellence of South Florida
01.2006 - 01.2007
Receptionist
Carrion Urological Center
01.2005 - 01.2006
AA - Pre-Nursing
Miami Dade College
BA - Health Services Administration
Florida International University
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