Christine Schiavo
Stevens,PA
Summary
Dedicated and results-driven professional with over eleven years of experience in credentialing and payer enrollment, complemented by strong communication skills. Proven track record in navigating complex regulatory environments and streamlining operations to enhance efficiency and accuracy. Expertise in credentialing will contribute to a dynamic team as a Credentialing Specialist. Committed to delivering exceptional service and fostering positive relationships with stakeholders.
Overview
16
16
years of professional experience
Work History
Provider Enrollment Specialist
VillageMD
03.2025 - Current
- Streamlined provider enrollment processes, enhancing accuracy and reducing processing time.
- Developed training materials for new staff, improving onboarding efficiency and knowledge retention.
- Coordinated with insurance carriers to resolve enrollment discrepancies and ensure compliance.
- Implemented quality control measures to maintain data integrity in provider records.
Credentialing Specialist
KEYSTONE UROLOGY
10.2023 - 05.2024
- Coordinate enrollment and termination processes for providers
- Communicate effectively with Health Plan Representatives
- Manage enrollment with various insurance companies in multiple states
- Establish and maintain relationships with medical facilities and provider offices
- Adhere to department policies and procedures for timely completion of work
- Provide timely updates to leadership on credentialing issues
- Collaborate with colleagues to share knowledge and best practices
Payer Enrollment Coordinator
Penn Medicine Lancaster General Health
08.2015 - 10.2023
- Manage the provider enrollment and credentialing process from start to finish
- Communicate with healthcare providers to collect necessary documentation for enrollment and credentialing
- Complete and submit enrollment applications to insurance companies and regulatory bodies
- Follow up on application status and troubleshoot any issues that may arise
- Maintain accurate records of provider credentials, licenses, and certifications
- Ensure compliance with all relevant regulations and accreditation standards
- Collaborate with internal departments, such as billing and compliance, to facilitate the enrollment and credentialing process
- Stay up-to-date on changes in enrollment and credentialing requirements
- Provide reports and updates to management on enrollment and credentialing status
- Assist with audits and accreditation surveys as needed
- Additional duties as assigned Additional key skills and responsibilities:
- Coordinate with insurance companies and regulatory bodies for enrollment applications
- Monitor and track provider enrollment progress
- Conduct training sessions on enrollment and credentialing processes
- Develop and implement strategies to streamline the enrollment process
- Analyze and improve enrollment and credentialing procedures
- Act as a liaison between healthcare providers and internal departments
Patient Services
Cardiac Consultants
10.2012 - 08.2015
- Ensure all patients and visitors feel warmly welcomed. Set the tone for a superb care experience.
- Verifies all patient demographic and insurance information
- Answers incoming phone calls
- Performs patient check-in ensuring that all consents are current, patient account is current, and all demographic data is up to date and accurate
Clerk Typist
Lancaster County Children and Youth
10.2010 - 08.2013
- Maintained family records for five caseworkers.
- Typed dictation into online record and demographic information into data base.
- Prepared documents for caseworkers to take to court.
- Filing, scanning, copying.
- Covered phones for receptionist.
Education
High School -
Sun Valley High School
Aston, PA06.1995
Nursing
Neumann University
Aston, PASkills
- Expertise in CAQH and PECOS
- Proficiency in ECHO, Medallion
- Project management experience
- Practitioner enrollment
Timeline
Provider Enrollment Specialist
VillageMD
03.2025 - Current
Credentialing Specialist
KEYSTONE UROLOGY
10.2023 - 05.2024
Payer Enrollment Coordinator
Penn Medicine Lancaster General Health
08.2015 - 10.2023
Patient Services
Cardiac Consultants
10.2012 - 08.2015
Clerk Typist
Lancaster County Children and Youth
10.2010 - 08.2013
Nursing
Neumann University
High School -
Sun Valley High School