Emma Goldstein
Nyack,NY
Summary
Dedicated and organized Credentialing Specialist with a strong focus on provider relations and administrative efficiency. Proven track record in maintaining accurate records and facilitating compliance, ready to contribute to enhanced operational outcomes.
Overview
12
12
years of professional experience
Work History
Credentialing Specialist
WMC Health, Westchester Medical Center
Valhalla, NY
06.2026 - Current
- Processed credentialing applications for healthcare providers, ensuring compliance with regulatory standards.
- Coordinated with medical staff to verify qualifications and professional licenses efficiently.
- Maintained accurate records in credentialing databases, enhancing data integrity and accessibility.
- Assisted in the preparation of documentation for hospital privileges and insurance enrollment.
Medical Staff Associate
WMC Health, Good Samaritan Hospital
Suffern, NY
09.2023 - 06.2026
- Provided technical and administrative support to the medical staff
committees, department sections, and meetings
- Queried the NPDB and other relevant national databases and
organizations, conducted reference checks, and obtained malpractice
history
- Worked within Credentialing software to perform PSV of professional
education, training, and employment, clinical licensure, board
certifications, DEA, Infection control, and other relevant items
Prior Authorization Specialist
Refuah Health Center
Spring Valley, NY
04.2021 - 05.2024
- Evaluated prior authorization requests for medical services, ensuring compliance with insurance requirements.
- Collaborated with healthcare providers to gather necessary documentation for authorization processes.
- Implemented process improvements that enhanced turnaround time for approval requests.
- Trained new staff on prior authorization protocols and system navigation.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Coordinator
Montefiore Nyack Hospital
Nyack, NY
10.2014 - 04.2021
- Coordinated patient scheduling to optimize clinic workflows and reduce wait times.
- Managed communication between departments to ensure timely access to patient care services.
- Streamlined administrative processes, improving documentation accuracy and compliance with hospital policies.
- Developed training materials for new staff, enhancing onboarding efficiency and knowledge retention.
- Oversaw project implementation for departmental improvements, aligning goals with organizational objectives.
Education
Associate of Arts - English
Rockland Community College
Suffern, NY08-2017
Skills
- Credentialing oversight
- HIPAA compliance
- Data integrity
- Regulatory standards
- Data management
- Provider relations
- Document review
Timeline
Credentialing Specialist
WMC Health, Westchester Medical Center
06.2026 - Current
Medical Staff Associate
WMC Health, Good Samaritan Hospital
09.2023 - 06.2026
Prior Authorization Specialist
Refuah Health Center
04.2021 - 05.2024
Coordinator
Montefiore Nyack Hospital
10.2014 - 04.2021
Associate of Arts - English
Rockland Community College