Brooke Rabe
Burleson,TX
Summary
Dedicated healthcare professional with extensive experience as a Senior Credentialing/Privileging Specialist, Associate Team Lead in Privileging, and Compliance and Credentialing Trainer. Adept at managing the credentialing process from start to finish, ensuring compliance with organizational and regulatory standards while fostering positive relationships with healthcare providers. Proven ability to provide guidance, mentorship, and training to team members, driving efficiency, accuracy, and adherence to timelines. Skilled in resolving complex issues and conflicts through advanced problem-solving skills, while also staying informed of industry updates to incorporate into training programs. Committed to optimizing workflow processes and enhancing operational efficiency within the credentialing department.
Overview
7
7
years of professional experience
Work History
Credentialing Specialist II
Aya Healthcare
01.2021 - Current
- Manage approx. 80 + credentialing files and work with healthcare clinicians to obtain missing, incomplete, and expiring items
- Establish and maintain long-term working relationships with healthcare providers and clients to ensure customer satisfaction and retention
- Maintain consistent contact with healthcare providers to ensure that expectations are clear, and requirements are completed in a timely manner
- Utilize advanced problem-solving skills to resolve issues and conflicts that may arise.
Privileging Specialist II
Aya Healthcare
- Thoroughly vetting educational background, licensure, certifications, work history, affiliations and malpractice insurance of healthcare professionals to ensure compliance with organizational and regulatory standards
- Facilitating credentialing process by collecting and organizing required documents, completing applications, and communicating with applicants to ensure timely submission
- Monitoring and maintaining adherence to credentialing policies, procedures, and accreditation standards, ensuring integrity and accuracy of credentialing records
- Collaborating with internal departments, external agencies, and healthcare providers to address inquiries, resolve issues, and facilitate credentialing process smoothly and efficiently.
- Developed strong client relationships through consistent communication and attentive service.
Associate Team Lead, Privileging
Aya Healthcare
- Provide guidance, support, and mentorship to credentialing team members, ensuring efficient workflow, adherence to timelines, and high-quality work output
- Conduct training sessions, create resources, and implement strategies to enhance team members' knowledge and skills in credentialing processes, regulations, and best practices
- Oversee accuracy and completeness of credentialing files, reviewing documentation, and conducting audits to maintain compliance with organizational policies and accreditation standards
- Identify opportunities for streamlining workflows, implementing new technologies, and enhancing operational efficiency within the credentialing department
- Liaise with internal departments, external vendors, and healthcare providers to resolve issues, address concerns, and ensure seamless coordination throughout the credentialing process
- Generate performance metrics, analyze data trends, and prepare reports to evaluate team productivity, identify areas for improvement, and support decision-making by senior management.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
Compliance and Credentialing, Trainer
Aya Healthcare
- Design, develop, and deliver comprehensive training programs and materials on compliance and credentialing processes, policies, and regulations for new hires and ongoing staff education
- Conduct engaging and interactive training sessions, workshops, and webinars to facilitate learning and skill development among employees, ensuring comprehension and retention of key concepts
- Assess trainees' understanding and proficiency through quizzes, assessments, and simulations, providing constructive feedback and personalized coaching to support their professional growth
- Stay informed of changes in healthcare regulations, accreditation standards, and industry best practices related to compliance and credentialing, integrating relevant updates into training content and materials
- Collaborate with cross-functional teams, department leaders, and external partners to align training initiatives with organizational goals, address training needs, and foster a culture of compliance and continuous learning.
- Ensured consistent messaging across all training materials by adhering to corporate branding guidelines.
- Collaborated with subject matter experts to create accurate and up-to-date content for training sessions.
- Recorded and edited videos to facilitate remote learning.
- Developed job-specific competencies and performance standards.
Senior Privileging Specialist
Odyssey Staffing
10.2020 - 01.2021
- Maintain individual clinician files to include up to date information needed to complete the required credentialing applications
- Maintain internal clinician grid to ensure all information is accurate and logins are available
- Effectively communicate all privileging updates on the weekly regional staffing calls
- Enter and maintain current privileging information
- Create and maintain strong client relationships
- Apply for and renew annually all provider licenses
- Credential new providers and re-credential current providers with hospitals at which they hold staff privileges
- Other duties as assigned.
Senior Privileging Consultant
Sound Physicians
08.2017 - 06.2020
- Successfully manage and execute all privileging tasks related to the hospital privileging process for each healthcare provider going to a Sound Physicians program
- Request and facilitate the return of complete and accurate privileging application, to include all required supporting documentation
- Escalate any 'red flags' to Risk Management and appropriate Regional Leadership
- Responsible for tracking/running reappointment report monthly and following up to ensure providers are reappointed by reappointment date
- Responsible for uploading hospital correspondence and entering privilege dates once file is complete into MSOW and Salesforce
- Enter and maintain current privileging information in Salesforce
- Effectively communicate all privileging updates on weekly regional staffing calls
- Responsible for completing weekly update emails to regional teams to include proactive updates on all files in process and using color code system
Education
High School Diploma -
Richland High School
North Richland Hills, TX05.2014
Skills
Customer Service Excellence
Compliance Knowledge
Leadership Techniques
Compliance Training
Risk Mitigation
Technical Proficiency
Interpersonal Skills
Continuous Improvement
Data Verification
Critical Thinking
Attention to Detail
Problem-Solving
References
Available Upon Request
Timeline
Credentialing Specialist II
Aya Healthcare
01.2021 - Current
Senior Privileging Specialist
Odyssey Staffing
10.2020 - 01.2021
Senior Privileging Consultant
Sound Physicians
08.2017 - 06.2020
Privileging Specialist II
Aya Healthcare
Associate Team Lead, Privileging
Aya Healthcare
Compliance and Credentialing, Trainer
Aya Healthcare
High School Diploma -
Richland High School
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