Cynthia Lomeli
Summary
Medical Staff Services Professional experienced in implementation of a variety of projects to accomplish organizational goals while ensuring compliance in a healthcare environment. Expertise in identifying opportunities for improvement and assisting with managing projects with key stakeholders to promote teamwork while excelling in leadership, communication, and creating strategic planning to support business initiatives.
Overview
14
14
years of professional experience
Work History
Credentialing Coordinator
Keck Medicine Of USC
07.2011 - Current
- Credentialing initial/reappointment applications from physicians, allied health professionals and other practitioners.
- Maintaining compliance with policies and procedures, entity bylaws/credentialing plan, regulatory agencies, and accrediting bodies; The Joint Commission, DNV, AAHC, and NCQA standards, Title 22, and CMS.
- Review applications for required documentation; review requested privileges to ensure that appropriate criteria and training is documented for the privileges sought.
- Prepare each application for review/evaluation by the respective Department/Section Chair/Credentials Committee; identifies any potential adverse information.
- Collecting and maintaining an accurate database and analyzing verification information.
- Responsible for assuring all applications initial/reappointment's are processed as scheduled.
- Filing/scanning of documentation on files that are assigned.
- Entering privileges once they have been approved into our software.
- Database maintenance: update databases to ensure accuracy of information in each file.
- Provide support services to Office of Integrated Credentialing Director/Manager when needed.
Medical Staff Coordinator
St. Vincent Medical Center, Verity Health Systems
04.2017 - 07.2019
- Oversight/Management Meeting: prepare agendas, collect/coordinate data submissions, attend Committee/Department meetings, record minutes for submission to MEC or Quality Committee. Coordinate calendars for assigned department/committee meetings.
- Provide support in preparation for MEC
- Work collaboratively with Quality Department. Attended Peer Review Meetings, assisted in record minutes for submission to MEC or Quality Committee.
- Responsible for monitoring/tracking/sending of initial application requests. Maintain a report of initial application requests and applications in process
- Disseminate data reports to hospital Administration leadership and members of the C-Suite on a weekly basis to facilitate communication and flow of information.
- Distribute incoming initial applications among medical staff coordinators.
- Responsible for overseeing work assignments of colleagues; requested weekly updates on initial applications ensuring requested start date was met.
- Processes initial/reappointment applications from physicians and allied health professionals.
- Review applications for required documentation; review requested privileges to ensure that appropriate criteria and training is documented for the privileges sought.
- Prepare each application for review/evaluation by the respective Department/Section Chair/Credentials Committee; identifies any potential adverse information. .
- Initiate proctoring for initial appointments.
- Database maintenance; update databases to ensure onboarding of new providers.
- Filing/scanning of documentation on files that are assigned.
- Provide support services to the Director of Medical Staff Services Department as needed.
- Monitor physician compliance with regulatory and hospital requirements
Medical Staff Coordinator
Silver Lake Medical Center
05.2010 - 03.2017
- Responsible for monitoring/sending of initial/reappointment applications.
- Enter application/credentialing information into the database.
- Processes initial/reappointment applications from licensed independent practitioners and mid-level providers.
- Review applications for required documentation; verify credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of resources. Review requested privileges to ensure that appropriate criteria and training is documented for the privileges sought
- Prepare each application for review/evaluation by the respective Department members; identify any potential adverse information.
- Assist in preparation of Medical Staff Committee and Department meetings.
- Responsible for responding to hospital affiliation requests of current/past members of our Medical Staff.
- Responsible for creating physician coverage memo; disseminate data to authorized personnel.
- Responsible for monitoring/verifying/distribution of incoming mail.
- Placing departmental orders for supplies to support the effort for cost containment through efficient use of supplies.
- Provide support services to the Director and Manager of Medical Staff Services Department.Problem solve in partnership with physicians and staff
Education
Associate of Science - Business Administration
East Los Angeles College
Monterey Park, CA01.2025
Skills
- Self-directed
- Ability to communicate effectively
- Teamwork
- Detail-oriented
- Highly Organized
- Problem Solver
Accomplishments
Financial Impact:
Initiative to change folder materials resulted in cost reductions, and suggested automation for application processing resulted in decreased overtime.
Staff Development:
Mentored and coached colleagues to strive to increase performance and reduce processing timeframe for processing physician initial and reappointment applications.
Project Management:
Previously collaborated with Administration and Medical Staff Leadership and Multidisciplinary Transplant physicians to create an expedited credentialing process to ensure appropriate level of privileges would be available to the community
Business Development:
Have previously worked in collaboration with Administration and Medical Staff Leadership to assist in develop privileging criteria
Languages
Fluent in Spanish
Computer Skills
- Microsoft Office (Excel, Word, Teams)
- MD Staff database
- ECHO database
- Adobe Pro
Timeline
Medical Staff Coordinator
St. Vincent Medical Center, Verity Health Systems
04.2017 - 07.2019
Credentialing Coordinator
Keck Medicine Of USC
07.2011 - Current
Medical Staff Coordinator
Silver Lake Medical Center
05.2010 - 03.2017
Associate of Science - Business Administration
East Los Angeles College
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