Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Achievements include completing more than 10+ healthcare provider applications each month with no critical errors. Highly organized and detail-oriented with in-depth knowledge of physician credentialing. Looking for a remote physician credentialing position with a company that prioritizes integrity.
Overview
31
31
years of professional experience
Work History
Credentialing Specialist
Wapiti Medical Staffing
01.2018 - Current
Enhance credentialing processes by streamlining documentation and verification procedures..
Collaborate with healthcare providers to gather necessary information for accurate credentialing files.
Assist healthcare providers by pre-filling facility applications.
Reduce errors in credentialing files by consistently maintaining attention to detail.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Facilitate communication between departments, resulting in improved collaboration during the credentialing process.
Support quality improvement initiatives by identifying potential areas of risk within the credentialing department and recommending proactive solutions.
Developed strong relationships with external organizations, leading to excellent cooperation during credentialing process.
Achieve greater accuracy in database management by regularly updating provider records and tracking status changes.
Conduct audits of provider files, ensuring all necessary documents were up-to-date and compliant with company and client requirements.
Provide exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
Assiste in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
Stay current on industry trends by attending or subscribing to relevant conferences, newsletters, seminars, or workshops as required.
Demonstrate excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Contribute positively to team dynamics by fostering a collaborative and supportive work environment.
Manage multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Conduct primary source verifications
Pre-screen resumes & NPDB prior to sending to facilities for consideration.
Assist with writing job postings and job descriptions for company job boards.
Credentialing Coordinator
Emergency Practice Associates
03.2013 - 12.2018
Streamlined the credentialing process by implementing an efficient tracking system for medical staff applications.
Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
Enhanced the organization''s reputation through meticulous maintenance of accurate, up-to-date records on all affiliated providers.
Reduced errors in documentation by thoroughly auditing provider files for completeness and accuracy.
Expedited the onboarding process for new medical staff by efficiently managing initial appointments and re-appointments.
Strengthened relationships with external agencies by responding promptly to verification requests and inquiries regarding providers'' credentials.
Increased efficiency in data management by supporting a user-friendly database system for storing provider information.
Supported organizational growth through proactive recruitment efforts, establishing strong professional networks within the healthcare community.
Ensured smooth communication flow between departments by acting as a liaison between medical staff services and other administrative units.
Contributed to risk management initiatives by monitoring expiring licenses, certifications, and insurances, notifying providers of renewal requirements in a timely manner.
Fostered a positive work environment through active participation in team meetings, collaborating on strategies to improve departmental performance.
Boosted productivity levels within the credentialing team by training new employees on proper procedures and best practices within the role.
Elevated client satisfaction rates through prompt resolution of any provider-related issues or concerns that arose during the credentialing process.
Minimized potential legal complications by ensuring adherence to federal and state regulations governing healthcare practitioners'' licensure and certification requirements.
Assisted with special projects as needed, demonstrating adaptability and commitment to the success of the organization.
Served as a resource for departmental staff by maintaining a thorough understanding of current trends and best practices in the credentialing field.
Upheld strict confidentiality standards, safeguarding sensitive provider information from unauthorized access or disclosure.
Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
Maintained accurate files, records and credentialing documents in well-maintained databases using MD Staff.
Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
Communicated effectively with various parties each day using polished interpersonal and active listening skills.
Assisted facilities to obtain Medicaid, Medicare and private insurance plan applications for facility to submit.
Conducted primary source verifications from employers, affiliations, licensing boards, DEA, CSA, and board certification boards.
Conducted reference checks.
Received and evaluated applications to look for missing and inaccurate information.
Maintained composure in stressful situations, confrontations, interviews and records searches.
Kept informed regarding pending industry changes, trends or best practices.
Requested & maintained certificates of insurance.
Staffing Specialist
Emergency Practice Associates
11.2001 - 02.2013
Recruited & scheduled healthcare providers
Back-up Credentialing Specialist
Provided exceptional customer service to both clients and candidates, fostering long-term relationships built on trust and mutual satisfaction.
Conducted regular follow-up with placed candidates to ensure satisfaction and retention, addressing any concerns or potential issues proactively.
Enhanced company reputation through participation in industry events, networking activities, and professional development opportunities.
Continuously improved personal skill set and industry knowledge by attending relevant training sessions, workshops, seminars, and conferences.
Managed applicant tracking system (ATS) database by entering, updating and maintaining candidate contact details.
Collaborated with manager to determine department's short and long-term hiring needs.
Facilitated new-hire orientations with the facility.
Advertised job opportunities via e-mail and mailings.
Assisted with writing job descriptions for recruiting department.
Pre-screened resumes prior to sending to facilities.
Improved office efficiency by effectively managing internal communications and correspondence.
Receptionist
Northeast Iowa Family Medicine Residency Program
08.1996 - 11.2001
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
Streamlined front desk operations for increased efficiency by effectively managing phone calls and walk-in clients.
Contributed to team success by cross-training in various roles, providing backup support when necessary.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Collaborated with management to improve internal processes and procedures for better workflow optimization.
Cultivated positive relationships with clients through professional demeanor and excellent interpersonal skills.
Handled sensitive information with discretion while maintaining strict confidentiality standards.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Scheduled & confirmed appointments, communicated with clients, and updated client records.
Updated insurance carrier information in database.
Kept reception area clean and neat to give visitors positive first impression.
Answered phone promptly and directed incoming calls to correct offices.
Responded to inquiries from callers seeking information.
Resolved customer problems and complaints.
Corresponded with clients through telephone or face-to-face.
Handled credit card, cash transactions and maintained sales and payments records accurately.
Managed multiple tasks and met time-sensitive deadlines.
Maintained confidentiality of information regarding clients and company.
Answered central telephone system and directed calls accordingly.
Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
Organized, maintained and updated information in computer databases.
Answered questions and addressed, resolved, or escalated issues to management personnel to satisfy customers.
Handled assignments independently with good judgement and critical thinking skills.
Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
Collected and distributed messages to team members and managers to support open communication and high customer service.
Monitored and screened visitors to verify accessibility to inter-office personnel.
Health Unit Coordinator
Covenant Medical Center
09.1992 - 08.1996
Enhanced communication between staff by promptly answering phone calls, relaying messages, and responding to inquiries.
Served as an integral part of the health unit by willingly taking on additional responsibilities as needed, demonstrating adaptability and teamwork.
Assisted with processing patient admissions, transfers and discharges.
Assembled and maintained patient medical records and other documents related to patient care.
Responded to patient call lights to expedite appropriate follow-through.
Transcribed physician orders accurately and alerted nurses to new orders, single orders and stat medications.
Entered work orders into computer system for appropriate departments regarding maintenance issues and biomed needs.
Provided concierge service to assist patients and families and direct them to available resources.
Maintained accurate patient records through diligent data entry and timely updates.
Assisted nursing staff with daily tasks, contributing to a well-organized and efficient unit environment.
Provided exceptional customer service by addressing patient concerns with empathy and professionalism.
Increased efficiency in the workplace by training new Health Unit Coordinators on policies, procedures, and software applications.
Contributed to a welcoming environment for patients and their families as the first point of contact at the health unit''s reception desk.
Facilitated smooth transitions during shift changes by diligently preparing handoff reports for incoming staff members.
Ordered supplies proactively to ensure adequate stock levels were maintained at all times within the health unit.
Managed multiple priorities simultaneously while maintaining attention to detail under pressure in a fast-paced healthcare environment.
Aided physicians'' workflow efficiency by accurately transcribing orders into appropriate systems.
Served as a member of the cardiac catheterization process team.
Education
Diploma - Medical Secretary Program
Hawkeye Community College
Waterloo, IA
08.1992
Skills
Provider Relations
Database Management
Data Management
Microsoft Office Skills
Software Proficiency
Bullhorn & MD Staff Expertise
HIPAA Compliance
Applicant Qualification
Credentialing Application Coordination
Credentialing Oversight
Credential Verification
Document Review
Recruitment
Candidate Searching/Sourcing
Proofreading
Problem Solving
Team Collaboration
Organizational Skills
Process Improvement
Multitasking Abilities
Medical Terminology
Attention to Detail
Time Management
Interpersonal Skills
Customer Service
Record Keeping
Timeline
Credentialing Specialist
Wapiti Medical Staffing
01.2018 - Current
Credentialing Coordinator
Emergency Practice Associates
03.2013 - 12.2018
Staffing Specialist
Emergency Practice Associates
11.2001 - 02.2013
Receptionist
Northeast Iowa Family Medicine Residency Program
08.1996 - 11.2001
Health Unit Coordinator
Covenant Medical Center
09.1992 - 08.1996
Diploma - Medical Secretary Program
Hawkeye Community College
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