Beverly Cotner
Royse City,TX
Summary
I want to obtain a job that has potential for growth and enables me to utilize my skills and knowledge. I desire to be a part of team that I can take an active role in so that I can learn and help add value.
Overview
13
13
years of professional experience
Work History
Credentialing Specialist III
Aya Healthcare
01.2021 - Current
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing for .
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Provided exceptional customer service to both internal and external, addressing inquiries promptly and professionally.
- Collaborated with our traveling healthcare providers to gather necessary information for accurate credentialing decisions.
- Worked effectively in fast-paced environments.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Managed time efficiently in order to complete all tasks within deadlines.
Sr. Credentialing Specialist
Tenet Healthcare
10.2018 - 01.2021
- Improved office efficiency by effectively managing internal communications and correspondence.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Demonstrated leadership skills in managing projects from concept to completion.
- Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
- Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
Lead Optometric Technician
Focused Eye Care
04.2013 - 04.2020
- Measured patient pulse oximetry.
- Performed ancillary testing when ordered by optometrist and thoroughly explained procedures to patients.
- Assisted optometrists with complex cases, ensuring accurate diagnoses and treatment plans.
- Coordinated patient scheduling, monitored patient flow throughout office and properly communicated delays.
- Worked closely with opticians to ensure accurate prescription eyewear orders for patients'' specific needs.
- Managed administrative duties with phone reception, appointment scheduling and payment processing.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Performed routine equipment maintenance, prolonging lifespan and avoiding costly repairs or replacements.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked effectively in fast-paced environments.
- Worked flexible hours across night, weekend, and holiday shifts.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Conducted visual field tests and retinal imaging, supporting early detection of ocular conditions.
- Assisted with dilating patients or using eye medications when directed by optometrist.
- Taught patients about medications, procedures, and care plan instructions.
- Assisted with insurance questions, eligibility, and prior authorizations of medications and glasses.
- Helped patients with selecting and ordering glasses or contact lenses to encourage informed decisions.
- Developed strong relationships with local physicians, fostering referrals and collaboration for comprehensive patient care.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Streamlined office processes for improved patient flow and overall efficiency.
- Maintained inventory levels and accurate records of contact lenses and eyeglass frames.
Optometric Technician
Vision City Of North Dallas
04.2011 - 04.2013
- Cleaned or sterilized ophthalmic or surgical instruments.
- Acquainted patients with procedures and explained purpose of testing to establish consent.
- Promoted positive and smooth patient flow throughout facility, encouraging more efficient operations and boosting patient satisfaction.
- Filled and dispensed eyeglass prescriptions, fitting frames, lenses and contact lenses for comfort and convenience.
- Provided patients with detailed instructions for pre- and post-op care under physician supervision to promote healing and optimal recovery strategies.
- Helped patients with selecting and ordering glasses or contact lenses to encourage informed decisions.
- Input patient information and exam findings into electronic medical records system to facilitate accurate record-keeping.
- Assisted with insurance questions, eligibility, and prior authorizations of medications and glasses.
- Instructed patients on contact lens insertion and removal and lens care guidelines.
- Collaborated with optometry staff to reach individual and team goals.
- Gathered patient histories, took measurements and completed diagnostic tests as part of detailed ophthalmic evaluations.
- Improved patient care by conducting comprehensive visual pre-testing procedures.
- Identified issues during preliminary exam and addressed concerns with physician.
- Worked well in a team setting, providing support and guidance.
Education
CPC - Medical Billing And Coding
Medical Coding Academy
Dallas09.2017
CPC - Medical Coding
American Academy of Professional Coders (AAPC)
Dallas09.2017
Associate of Science - Healthcare And Business Administration
Dallas County College District
Dallas, TX05.2017
No Degree - General Studies And Nutrition
Stephen F Austin State University
Nacogdoches, TX06.2007
Skills
- Group Assistance
- Personnel Management
- Applicant Qualification
- Training and mentoring
- Procedure Compliance
- Employee Orientation
- Background Checks
- Employment Recordkeeping
- Application coordination
- Relationship Building
- Time Tracking and Payroll Administration
- Complaint Handling
- Document Review
- Remote Conferencing and Communication
Timeline
Credentialing Specialist III
Aya Healthcare
01.2021 - Current
Sr. Credentialing Specialist
Tenet Healthcare
10.2018 - 01.2021
Lead Optometric Technician
Focused Eye Care
04.2013 - 04.2020
Optometric Technician
Vision City Of North Dallas
04.2011 - 04.2013
CPC - Medical Billing And Coding
Medical Coding Academy
CPC - Medical Coding
American Academy of Professional Coders (AAPC)
Associate of Science - Healthcare And Business Administration
Dallas County College District
No Degree - General Studies And Nutrition
Stephen F Austin State University
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