EBONY JONES
Summary
Driven Supervisor of Credentialing & Medical Records at OrthoNY, I excelled in training staff and managing provider enrollments, ensuring HIPAA compliance and enhancing patient privacy. Leveraged critical thinking to reduce credentialing errors and streamline processes, demonstrating a goal-oriented approach and a commitment to high-quality healthcare outcomes.
Overview
10
10
years of professional experience
Work History
Supervisor of Credentialing & Medical Records
OrthoNY
07.2019 - Current
- Managed a team of medical records clerks, providing guidance, support, and mentorship to ensure high-quality work output.
- Oversaw the processing of subpoenas and requests for release of information while maintaining patients privacy.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Trained new staff on medical record processing and filing procedures as well as Credentialing processes.
- Managed a high volume of provider applications efficiently while adhering to established timelines for completion and approval processes.
- Maintained strict compliance with accreditation standards, ensuring all credentials were up-to-date and accurate.
- Reduced errors in credentialing documentation by performing thorough reviews and maintaining clear communication with team members.
- Achieved timely renewals of licenses and certifications, minimizing potential lapses in coverage for healthcare providers.
- Collaborated with Human Resources to ensure a smooth onboarding process for new hires requiring credentialing services.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Conducted primary source verifications such as background checks and board certifications.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
CNA
Hudson Park Rehabilitation & Nursing Center
03.2014 - 07.2019
- Assisted patients with daily living activities, promoting independence and dignity.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Enhanced patient satisfaction by providing compassionate and attentive care.
- Utilized proper body mechanics and assistance devices when transferring patients, minimizing the risk of injury for both parties.
Education
Practical Nursing - Nursing Science
Capital Region Career And Technical School
Albany, NY06.2014
Associate of Applied Science - Paralegal
Maria College of Albany
Albany, NY05.2009
Skills
Training and mentoring
Goal-Oriented
Provider enrollment
HIPAA Compliance
Critical thinking abilities
Timeline
Supervisor of Credentialing & Medical Records
OrthoNY
07.2019 - Current
CNA
Hudson Park Rehabilitation & Nursing Center
03.2014 - 07.2019
Practical Nursing - Nursing Science
Capital Region Career And Technical School
Associate of Applied Science - Paralegal
Maria College of Albany
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