Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Emily Griffin

Emily Griffin

Bradford,ME

Summary

As a Medical Staff Specialist at Iris Telehealth, I leverage my extensive experience in credentialing and licensing to ensure the highest standards of quality and compliance in the industry. With a combined 13 years of experience in healthcare at Iris Telehealth & Northern Light Health, I have developed a strong background in client-focused credentialing services, onboarding processes, including comprehensive knowledge of state-specific medical licensing regulations across the nation. I am passionate about delivering exceptional service and support to healthcare professionals and organizations, and I am always eager to learn new skills and technologies to enhance my performance and contribute to the growth and success of my team and organization.

My current responsibilities include:

  • Nationwide licensing for Registered Nurses, Nurse Practitioners, Medical Doctors, and Doctors of Osteopathic Medicine – Including, but not limited to: application completion, documentation retrieval and submission, applicable verifications, and follow up with applicants and state Board contacts
  • Internal credentialing
  • External credentialing with Healthcare Partners
  • Scheduling local Drug Testing, Background Check and Notary appointments for clinicians
  • DEA, CDS/CSR, PMP assistance
  • Database management and monitoring.

In my prior role as a Credentialing Associate for Northern Light Health, I handled many credentialing duties with great success.

Allow me to summarize a few items that demonstrate my abilities and achievements:

  • Proctored large volumes of reappointment credentialing for Northern Light Health hospital system (10+ facilities)
  • Responsible to train and educate new employees in reappointment credentialing
  • Create and maintain department directives
  • Communicate effectively with medical staff office employees, clinical providers, and colleagues regarding time-sensitive credentialing matters
  • Multitask to perform a variety of credentialing duties, including data entry, reports, primary source verification, quality assurance, and database maintenance
  • Improved departmental statistics and helped to streamline processes
  • Nominated as an “EMHS Allstar” for my desire to learn, positive attitude, efficiency and flexibility

Prior to working for Northern Light Home Office as a Credentialing Associate, I worked with Northern Light Eastern Maine Medical Center as an Insurance Verification Specialist and Patient Access Associate. Within this position, I handled various roles at an assortment of locations, including Preregistration, Registration, Walk-In Care Reception, and coordinator positions. This position required extensive versatility, and I am truly proud of the knowledge and invaluable experience I gained through my part in the Revenue Cycle.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Credentialing & Licensing Medical Staff Specialist

Iris Telehealth
08.2021 - Current


  • Nationwide licensing for Registered Nurses, Nurse Practitioners, Medical Doctors, and Doctors of Osteopathic Medicine.
  • Application completion, documentation retrieval and submission, applicable verifications, and follow up with applicants and state Board contacts.
  • Internal credentialing.
  • External credentialing with Healthcare Partners.
  • Scheduling local Drug Testing, Background Check and Notary appointments for clinicians.
  • DEA, CDS/CSR, PMP assistance.
  • Database management and monitoring.


Credentialing Associate

Northern Light Health
02.2018 - 08.2021


  • Proctored large volumes of reappointment credentialing for Northern Light Health hospital system (10+ facilities).
  • Responsible to train and educate new employees in reappointment credentialing.
  • Create and maintain department directives.
  • Communicate effectively with medical staff office employees, clinical providers, and colleagues regarding time-sensitive credentialing matters.
  • Multitask to perform a variety of credentialing duties, including data entry, reports, primary source verification, quality assurance, and database maintenance.
  • Improved departmental statistics and helped to streamline processes.
  • Nominated as an “EMHS Allstar” for my desire to learn, positive attitude, efficiency and flexibility.

Patient Access/ Insurance Verification Specialist

Northern Light Eastern Maine Medical Center
10.2013 - 02.2018


  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Reduced errors in insurance claims by conducting thorough audits and implementing corrective measures.
  • Handled various roles at an assortment of locations, including Preregistration, Registration, Walk-In Care Reception, and coordinator positions.

Hospitality Staff

Northern Light Eastern Maine Medical Center
07.2012 - 10.2013
  • Patient dietary and nutrition specialist
  • Provided efficient problem-solving skills by effectively addressing patient complaints, leading to swift resolutions and ensuring positive experiences.
  • Prepared food and beverages and verified adherence of quality and safe food-handling standards.
  • Ensured smooth operations by working closely with other departments like nursing and dietician staff when needed.

Customer Service Representative

Best Buy
01.2011 - 12.2011
  • Collaborated with team members to develop best practices for consistent customer service delivery.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.

Associate

Arby's
01.2011 - 01.2012

Education

Bachelor of Arts - Violin Performance

University of Maine
Orono, ME

High School - undefined

Highview Christian Academy
Charleston, ME
01.2011

Skills

  • Data management
  • Licensing
  • Background checks
  • Healthcare regulations
  • Credentialing processes
  • Accreditation standards

Certification

  • Certified Provider Credentialing Specialist (CPCS) – I am eligible for this certification and am currently studying to sit for examination.
  • Certified Health Access Associate (CHAA) – I held active certification when working as Insurance Verification Specialist with Northern Light Health.

Timeline

Credentialing & Licensing Medical Staff Specialist

Iris Telehealth
08.2021 - Current

Credentialing Associate

Northern Light Health
02.2018 - 08.2021

Patient Access/ Insurance Verification Specialist

Northern Light Eastern Maine Medical Center
10.2013 - 02.2018

Hospitality Staff

Northern Light Eastern Maine Medical Center
07.2012 - 10.2013

Customer Service Representative

Best Buy
01.2011 - 12.2011

Associate

Arby's
01.2011 - 01.2012

High School - undefined

Highview Christian Academy

Bachelor of Arts - Violin Performance

University of Maine