Brandi Gamboa
La Puente,CA
Summary
Reliable and motivated Credentialing Specialist with a demonstrated history of working in managed care and acute setting. Seeking a position that allows me to demonstrate my skills along with my passion for learning with the goal of securing a position that provides the opportunity for growth within the company.
Overview
17
17
years of professional experience
Work History
Medical Staff Coordinator
White Memorial Medical Center
Los Angeles , CA
10.2023 - Current
- Process initial appointments following TJC accreditation standards
- Work collaboratively with colleagues, director and medical staff leadership to present files and/or report issues to be presented to Credentials
- Maintain medical staff information in the database, files and rosters
- Communicate with providers directly with credentialing status and related matters regarding their application
- Complete provider activity requests
Medical Staff Coordinator
Beverly Hospital
Montebello, CA
05.2023 - Current
- Processed reappointments following DNV accreditation standards
- Worked collaboratively with colleagues, director and medical staff leadership to present files and/or report issues to be presented to Credentials
- Maintained medical staff information in the database, files and rosters
- Communicated with providers directly with credentialing status and potential noncompliance status
- Assisted with meeting management- preparing the agenda, minutes and meeting follow up
- Completed provider activity requests
- Processed applications for observers.
Credentialing Specialist
Network Medical Management
Monterey Park, CA
07.2019 - 04.2023
- Processed initial/ re-credentialing files following applicable accreditation standards (NCQA, health plan, CMS etc.)
- Maintained the re-credentialing for assigned providers under 14 client IPA/Medical Groups throughout California
- Assisted with Health Plan audits
- Maintained provider information in Verity/ CredentialStreams
- Assisted with ongoing board/report monitoring for all IPA providers
- Worked collaboratively with leads, supervisor and director to report any files with issues to be presented to the Credentialing Committee for discussion
- Communicated with client IPA/Medical Groups and providers directly with credentialing status and potential noncompliance status.
Verification/Accounts Payable Coordinator
Ace Industrial Supply
Burbank, CA
08.2015 - 06.2019
- Verified/ Processed orders while maintaining 100% accuracy
- Maintained all incoming emails from sales representatives regarding corrections on orders
- Entered and processed payments for company bills
- Submit payment to vendors
- Generated daily AP reports for my supervisors.
Administrative Assistant
Exclusive Coatings
Duarte, CA
08.2007 - 12.2015
- Provided professional reception service and managed the front desk while answering and transferring all incoming calls
- Maintained and improved filing system after implementing new techniques that saved time
- Scheduled meetings and managed calendars for the director and managers
- Distributed incoming mail to correct recipients and handled all outgoing correspondence.
Education
HIGH SCHOOL DIPLOMA -
Options for Youth
Upland, CASkills
- Microsoft Word
- Microsoft PowerPoint
- Microsoft Excel
- Microsoft Outlook
- EZ-Cap
- MD Staff
- Verity- CredentialStreams
- Verity- Echo
- 10 Key
- 60 WPM
References
REFERENCES AVAILABLE UPON REQUEST
Timeline
Medical Staff Coordinator
White Memorial Medical Center
10.2023 - Current
Medical Staff Coordinator
Beverly Hospital
05.2023 - Current
Credentialing Specialist
Network Medical Management
07.2019 - 04.2023
Verification/Accounts Payable Coordinator
Ace Industrial Supply
08.2015 - 06.2019
Administrative Assistant
Exclusive Coatings
08.2007 - 12.2015
HIGH SCHOOL DIPLOMA -
Options for Youth
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