Dynamic Health Systems Specialist with a proven track record at the Veterans Affairs Medical Center, excelling in strategic planning and HIPAA compliance. Demonstrated success in enhancing credentialing processes and fostering teamwork, achieving significant improvements in provider file accuracy and interdepartmental collaboration. Expert in multitasking and adaptability, committed to upholding the highest standards of care.
Overview
9
9
years of professional experience
Work History
Health Systems Specialist: Credentialing
Veterans Affairs Medical Center
Los Angeles, CA
09.2019 - 03.2024
Conducted primary source verifications such as background checks and board certifications to uphold high standards of care.
Coordinated activities with credentialing and privileging manager to align planning processes with targeted project outcomes.
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Conducted audits of provider files, ensuring all necessary documents were up to date and compliant with regulatory requirements.
Prepared records for site visits and file audits.
Conducted periodic screening and prepares provider credential files for inactivation or for transfer to other health care facilities in accordance with VA regulations and directives.
Distributed outgoing correspondence; compiles, retrieves, or reviews documentation or other data for special projects, reports, or for use in inner office analysis.
Facilitated strong relationships between providers and facilities through effective communication and coordination during the credentialing process.
Maintained strict confidentiality when handling sensitive information pertaining to providers' credentials and personal history.
Participated in regular departmental meetings to discuss process improvements and address areas for potential growth.
Data Analyst
Sasco Electric
Fullerton, CA
08.2015 - 05.2017
Contributed to project success by meeting tight deadlines for data entry tasks without sacrificing quality.
Maintained strict confidentiality while handling sensitive client information according to company guidelines and legal regulations.
Demonstrated adaptability by quickly learning new software programs and adjusting to changes in database structures or requirements.
Developed strong attention to detail skills through the constant review of entered information, ensuring high-quality results.