Charisse Donaldson
Red Oak,TX
Summary
Motivated Credentialing Coordinator proudly offering many years of utilizing exemplary time management skills in office environments. An enthusiastic individual with a strong knowledge of initial credentialing of practitioners. Composed and driven with great communication skills.
Overview
7
7
years of professional experience
Work History
Credentialing Coordinator
Signify Health
Dallas, TX
09.2022 - 08.2024
- Assisted with auditing processes for compliance purposes.
- Managed multiple tasks simultaneously while meeting tight deadlines.
- Responded to inquiries from internal and external sources regarding credentialing status.
- Created and maintained records for all providers in accordance with the organization's standards.
- Monitored and tracked progress of credentialing applications to ensure timely completion.
- Reviewed and processed applications to verify accuracy of credentialing information.
- Maintained database of provider information, including contact details and licensure expiration dates.
Senior Credentialed Coordinator
Christus Health
Irving, TX
01.2022 - 09.2022
- Researched discrepancies between submitted provider data and verified sources when necessary.
- Assisted in developing and implementing departmental procedures related to provider enrollment and maintenance activities.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
Credentialing Specialist
Parkland Memorial Hospital
Dallas, Texas
09.2021 - 01.2022
- Maintained detailed records of provider data in the credentialing database system.
- Participated actively in special projects or initiatives pertaining to improvement of operational efficiency within the department.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
Contact Center Specialist
Baylor Scott & White Medical Center
Dallas, TX
04.2021 - 09.2021
- Responds to and resolves routine inquiries, complaints, and concerns through inbound phone calls, emails, and electronic requests.
- Ensures a positive and exemplary experience with all customers by focusing on customer satisfaction and resolution.
- Provides accurate, valid, and complete information to customers by using the right methods and tools. Identifies emergent health situations based on caller information and coordinates immediate triage.
- Writes messages on behalf of patients, caregivers, and healthcare professionals to clinic administrative and provider staff.
Quality Control Specialist
Blue Cross Blue Shield of Texas
Richardson, TX
01.2019 - 03.2021
- Auditing of credentialing records for committee review, providing feedback and possible mentorship and training to specialists.
- Help manage provider data, maintain, and improve databases.
- Reporting and extracting data for various reports and analyses.
- Help develop and maintain standards for database integrity and quality assurance.
- Coordinate corrective activities to clean the database and retain users.
- Manage communication processes with other departments regarding database improvements.
- Assist in data quality improvement initiatives.
Credentialing Specialist
Blue Cross Blue Shield of Texas
Richardson, TX
06.2018 - 01.2019
- Maintained detailed records of provider data in the credentialing database system.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
Physician Communication Coordinator
Ut Southwestern Medical Center
Dallas, TX
03.2017 - 06.2018
- Responsible for calls received at the switchboard.
- Responsible for paging throughout the facility, including mobile devices, manual paging, and paging through the computer messaging system for physicians and staff.
- Provides checkouts, pager reassignments, and places long-distance calls for physicians.
- Provides after-hours answering service for all UTSW clinics, including documenting telephone encounters in EPIC and paging appropriate 'on calls'.
- Prescreens potential tissue donors for Transplant Services by entering them into the national database.
- Provides campus information, including mailing addresses, directions, and visiting hours to callers.
- Maintains appropriate logs and records in accordance with established policies.
Education
High School Diploma -
Mayde Creek Highschool
Houston, TX06-2011
Some College (No Degree) - Health Administration
Stephen F Austin State University
Nacogdoches, TXSkills
- Practitioner application coordination
- Professional Networking
- Background Checks
- Knowledgeable in MD Staff
- HIPAA Compliance
- Proficiency in Microsoft Word and Microsoft Excel
- Application file verification
- Issue identification and resolution
Timeline
Credentialing Coordinator
Signify Health
09.2022 - 08.2024
Senior Credentialed Coordinator
Christus Health
01.2022 - 09.2022
Credentialing Specialist
Parkland Memorial Hospital
09.2021 - 01.2022
Contact Center Specialist
Baylor Scott & White Medical Center
04.2021 - 09.2021
Quality Control Specialist
Blue Cross Blue Shield of Texas
01.2019 - 03.2021
Credentialing Specialist
Blue Cross Blue Shield of Texas
06.2018 - 01.2019
Physician Communication Coordinator
Ut Southwestern Medical Center
03.2017 - 06.2018
High School Diploma -
Mayde Creek Highschool
Some College (No Degree) - Health Administration
Stephen F Austin State University
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