Brittany McIntyre
Maple Plain,MN
Summary
Adept at streamlining credentialing processes and enhancing provider relations, I significantly improved accuracy and productivity at Mendota Health. With expertise in data management and a knack for fostering collaborative relationships, I achieved a 98% Quality Audit goal, showcasing my analytical thinking and interpersonal skills.
Overview
9
9
years of professional experience
Work History
Provider Credentialing Specialist
Mendota Health
05.2024 - 12.2024
- Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Conducted primary source verifications such as background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Developed strong relationships with external organizations, leading to increased cooperation during verification processes.
- Achieved greater accuracy in database management by regularly updating provider records and tracking status changes.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
Provider Credentialing Coordinator
Medica
07.2021 - 05.2024
- Communicated effectively with various parties each day using polished interpersonal and active listening skills.
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Ensured smooth communication flow between departments by acting as a liaison between medical staff services and other administrative units.
- Assisted in maintaining accreditation status by preparing necessary reports and materials for site visits and audits.
- Maintained accurate files, records and credentialing documents in well-maintained databases using [Software].
- Worked multiple delegated projects, practitioner adds, location adds and practitioner changes for the team.
- Established 98% Quality Audit and production goals monthly.
- Implemented new efficient ideas for the team that will effectively, increase productivity and quality work.
- Assist on additional projects given my leadership.
- Train and Shadow new employees or individuals assisting with work load.
Intake Representative/Scheduler
University of Minnesota Physicians- M Health
11.2020 - 07.2021
- Managed high call volumes while maintaining a professional demeanor, ensuring a positive experience for all callers.
- Maintained strict confidentiality of client information, adhering to HIPAA regulations and company policies at all times.
- Collaborated with team members to address complex cases, resulting in improved case management for clients.
- Handled sensitive client situations with compassion while maintaining adherence to organizational policies and procedures.
- Identified areas for process improvement within the intake department, aiding in the implementation of more efficient practices.
- Assisted in the development of training materials for new Intake Representatives, contributing to overall team success.
- Exceeded performance metrics regularly, demonstrating consistent dedication to quality work and customer satisfaction.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Supported office staff and operational requirements with administrative tasks.
- Enhanced office productivity by handling high volume of callers per day.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
Behavioral Health Credentialing Specialist
Optum
09.2019 - 11.2020
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Received and evaluated applications to look for missing and inaccurate information.
- Conducted primary source verifications such as background checks and board certifications.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
- Enhanced credentialing processes by streamlining documentation and verification procedures.
- SME (subject matter expert) for the credentialing department.
- Trained employees for the East Cost and Southern Region states.
- Assisted with Network Managing and contracting for providers.
- Participated in individual or group projects as directed by leadership.
Business Segment Liaison Administrator
Optum
12.2015 - 09.2019
- Acted as the liaison between upper management and staff members, promoting positive working relationships built on trust.
- Proactively identified potential challenges or roadblocks within projects, formulating contingency plans to ensure success.
- SME (subject matter expert) and BSL (Business segment Liaison trainer for the Business segment.
- Managed specific processes for the provider data management department.
- Onboarding contractors and full time employees for the business segment, including their access requests.
- Established effective communication channels between departments by organizing and facilitating cross-functional meetings.
- Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
- Collaborated closely with department heads to identify opportunities for process improvement initiatives.
- Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
- Collected, arranged, and input information into database system.
- Supported organizational growth through active participation in networking events, conferences, and professional associations.
- Created and managed project plans, timelines and budgets.
- Managed complex schedules to coordinate travel, meetings, and events for executive leadership teams.
Education
Bachelor of Science - Business Management
Rasmussen College
Online11-2016
Associate of Science - Business Administration
Minnesota Schook of Business
Shakopee, MN12-2012
Skills
- Networking and Participation Development
- Time Management
- Special projects
- HIPAA compliance
- Provider enrollment
- Data management
- Credentialing oversight
- Provider relations
- Application coordination
- Insurance procedures
- Document review
- Database maintenance
- Employee onboarding
- Management collaboration
- License verifications
- Credentialing documentation
- Credential verification
- Facility credentialing
- Project management
- Decision-making
- Organizational development
- Analytical and critical thinking
- Data analysis
Timeline
Provider Credentialing Specialist
Mendota Health
05.2024 - 12.2024
Provider Credentialing Coordinator
Medica
07.2021 - 05.2024
Intake Representative/Scheduler
University of Minnesota Physicians- M Health
11.2020 - 07.2021
Behavioral Health Credentialing Specialist
Optum
09.2019 - 11.2020
Business Segment Liaison Administrator
Optum
12.2015 - 09.2019
Bachelor of Science - Business Management
Rasmussen College
Associate of Science - Business Administration
Minnesota Schook of Business
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