Carrie Felton
Wichita,KS
Summary
Dynamic Credentialing Specialist with a proven track record at Wichita Surgical Specialists, PA, excelling in HIPAA compliance and provider relations. Expertly managed multiple credentialing projects, ensuring timely completion and regulatory adherence. A strong advocate for diversity and inclusion, I foster collaborative environments while enhancing operational efficiency through strategic vendor negotiations.
Overview
13
13
years of professional experience
Work History
Credentialing Specialist
Wichita Surgical Specialists,PA
10.2022 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Conducted primary source verifications such as background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
Front Office Occupational Health Supervisor
Campbell County Health
11.2011 - 11.2022
- Conducted thorough reviews of facility operations to identify areas for improvement and implement changes accordingly.
- Maintained strict adherence to safety regulations within the workplace while addressing any potential hazards promptly.
- Fostered an inclusive working environment that prioritized diversity, equity, and inclusion principles amongst all staff members.
- Negotiated contracts with vendors.
Education
Cosmetology License -
Stewart’s School of Hairstyling
Sioux Falls, SD05.1995
Skills
- HIPAA compliance
- Background checks
- Data management
- Provider relations
- Insurance procedures
Timeline
Credentialing Specialist
Wichita Surgical Specialists,PA
10.2022 - Current
Front Office Occupational Health Supervisor
Campbell County Health
11.2011 - 11.2022
Cosmetology License -
Stewart’s School of Hairstyling
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