Charmaine Scranton
Humble,TX
Summary
Healthcare operations and compliance professional with a strong background in provider credentialing, medical staff services, and regulatory compliance. Experienced in managing the full credentialing lifecycle across multi-state facilities, supporting accreditation readiness, and partnering with leadership during rapid growth. Recognized for improving workflows, maintaining compliance, and building strong provider relationships in fast-paced healthcare environments.
Overview
11
11
years of professional experience
Work History
Senior MSO Compliance Coordinator
Nutex Health, Inc.
07.2020 - Current
- Directed end-to-end credentialing operations for physicians and allied health providers across multiple states, including onboarding, privileging, reappointment's, and ongoing expirable tracking to ensure continuous compliance.
- Oversaw daily administration of the MD-Staff credentialing system, including provider profile management, committee workflows, reporting, system optimization, and issue resolution. Partnered with the vendor POC to troubleshoot system challenges and implement process improvements based on user feedback.
- Designed, developed, and implemented the organization’s MD-Staff credentialing manual, standardizing workflows and ensuring alignment with regulatory requirements and organizational needs.
- Led credentialing and compliance initiatives for new facility go-live operations, establishing processes, ensuring readiness, and supporting successful implementation.
- Initiated and managed comprehensive primary source verification processes for newly established facilities, including NPDB, AMA, ECFMG, DEA, state licensing boards, and malpractice carriers, ensuring adherence to federal and state regulatory standards.
- Managed and maintained multiple state and federal licenses (e.g., hospital, CLIA, pharmacy, radiation), including renewals, tracking, and regulatory compliance oversight.
- Developed, implemented, and continuously enhanced policies and procedures to align with CMS Conditions of Participation, state regulations, and accreditation standards (e.g., Joint Commission and other accrediting bodies), incorporating best practices from both deemed and non-deemed facilities.
- Conducted internal audits and compliance reviews to assess adherence to regulatory and accreditation requirements, identify gaps, and implement corrective action plans to mitigate risk and improve operational effectiveness.
- Supported Medical Staff governance by coordinating Medical Executive Committee (MEC) processes, preparing credentialing and privileging files, and ensuring timely review and approval cycles.
- Served as a primary liaison for providers, guiding them through credentialing requirements, documentation, and timelines while ensuring a high level of communication and customer service.
- Facilitated survey readiness and supported leadership during CMS and accreditation surveys by organizing documentation, responding to surveyor inquiries, and ensuring readiness across credentialing and compliance functions.
- Trained and educated staff and leadership on credentialing systems, regulatory requirements, compliance standards, and workflow processes to promote consistency and operational efficiency.
Patient Services Coordinator / Team Lead
TTEC
02.2017 - 07.2020
- Managed high-volume patient accounts, handling billing inquiries, payments, insurance verification, and financial assistance requests
- Supported and coached a team of 20+ employees, assisting with onboarding, training, and performance improvement
- Resolved escalated patient concerns related to billing disputes, insurance coverage, and account corrections
- Partnered with leadership to improve workflows, quality standards, and team productivity
- Ensured accurate documentation and strict HIPAA compliance across all patient interactions
- Worked cross-functionally with internal departments to resolve account discrepancies
- Provided administrative support related to credentialing documentation and tracking
Senior Customer Service Representative
Blue Cross Blue Shield
03.2015 - 02.2017
- Delivered high-quality member support across benefits, claims, eligibility, and prior authorizations, consistently simplifying complex insurance concepts to enhance understanding and satisfaction.
- Resolved escalated claim denials and billing issues, improving first-call resolution and ensuring positive member outcomes.
- Served as a trusted resource for peers during live calls, providing real-time guidance and strengthening team performance.
- Maintained accurate, HIPAA-compliant documentation while meeting strict quality and audit standards.
- Collaborated cross-functionally to efficiently resolve member issues and streamline service delivery.
- Mentored and supported new team members, contributing to a more knowledgeable and cohesive team.
- Led customer service initiatives that increased member satisfaction scores by 15% and improved overall service experience.
Education
High School Diploma -
Chester W. Nimitz High School
Houston, TX05-2009
Associate of Arts - Fashion Design
Houston Community College
Houston, TX05-2029
Skills
- Credentialing and privileging expertise
- Medical Staff Operations
- Compliance and survey management
- Licensing (State & Federal)
- MD-Staff & Credentialing Systems
- Primary Source Verification (PSV)
- Audit Preparation & Compliance Reviews
- Process Improvement
- Team Training & Support
- Compliance monitoring
- Data compilation
- Legal research
Accomplishments
- Resolved product issue through consumer testing.
- Supervised team of 20 plus staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved Effective Credentialing by introducing MD Staff for Onboarding tasks.
Timeline
Senior MSO Compliance Coordinator
Nutex Health, Inc.
07.2020 - Current
Patient Services Coordinator / Team Lead
TTEC
02.2017 - 07.2020
Senior Customer Service Representative
Blue Cross Blue Shield
03.2015 - 02.2017
High School Diploma -
Chester W. Nimitz High School
Associate of Arts - Fashion Design
Houston Community College