GINA ANN DOERR
Bartlett,TN
Summary
Seeking a credentialing position within the healthcare industry that utilizes effective, physician support, project management and professional communication skills. Experience includes computer-based credentialing, medical staff credentialing, privileges and managed care organizations. Recognized for productivity, ability to handle pressure and for flexibility in making an immediate contribution to the organizational efficiency and productivity of administrative projects.
Overview
30
30
years of professional experience
Work History
Credentialing Coordinator
University Clinical Health
09.2023 - 01.2024
- Serve as hospital and managed care organizations representative, enrollment for credentialing and privileging reviews for this multi-clinic healthcare provider
- Independently meet with physicians, Allied Health Providers, explain and answer questions relevant to credentialing and privileging
- Maintain and update CAQH online credentialing application for all providers
- Knowledge of NCQA
- Coordinate effort to assess, evaluate, and monitor credentialing, managed care organizations and privileging program to ensure conformity with guidelines and implement policy changes to ensure that facility remains above accreditation requirements
- Manage database, tracking and maintaining all provider files
- Review all documentation supporting initial appointment and reappointment process.
Caregiver
Self
08.2022 - 08.2023
- Acted as a caregiver for terminally ill family member.
- Handled incoming mail, bills and invoices and completed appropriate actions.
- Managed patient appointments and transportation needs, ensuring punctual arrival at medical visits and other engagements.
- Assisted patients with self-administered medications.
Credentialing Coordinator / Administrative
GASTRO ONE
08.2001 - 07.2022
- Serve as medical center, hospitals and managed care organizations representative, enrollment for credentialing and privileging reviews for this multi-clinic healthcare provider
- Independently meet with physicians, Allied Health Providers, explain and answer questions relevant to credentialing and privileging program and medical center policies
- Review, evaluate, and interpret JCAHO, AAAHC and state standards and scoring guidelines pertinent to medical staff credentialing and privileging
- Maintain and update CAQH online credentialing application for all providers
- Knowledge of NCQA
- Coordinate effort to assess, evaluate, and monitor credentialing, managed care organizations and privileging program to ensure conformity with guidelines and implement policy changes to ensure that facility remains above accreditation requirements
- Manage database, tracking and maintaining all provider files
- Review all documentation supporting initial appointment and reappointment process.
Front Desk Supervisor
GASTROENTEROGY CENTER OF THE MID-SOUTH
12.1993 - 08.2001
- Responsible for patient relations, answering multi-line phones, scheduling appointments, scheduling clinical procedures, creating and updating charts, and data entry to update patient information via PC
- Provided administrative and research support which involved checking medical records, verifying insurance, ICD coding, and filing of medical records
- Performed computerized scheduling; transcribe records, and; enter patient information updates
- Processed reimbursement accounts to ensure accurate financial data input.
Education
Nursing / Computer Technology -
SOUTHWEST TENNESSEE COMMUNITY COLLEGE
Memphis, TNSkills
- Assessing workload, establishing priorities, and completing projects ahead of deadlines
- Providing support and using multi-tasking capabilities to coordinate simultaneous projects
- Using strong interpersonal ability in interacting with all levels of professionals, providing quality representation of company products/services and coordinating interdepartmental communication
- Maintaining close attention to detail in all aspects of work
- Recognized by management as valuable, highly efficient, dedicated, and quality-focused employee
- VerityStream
- AppCentral
- Tenet
- Microsoft Office
- Excel
- Word
- Type 50 wpm
Career Focus
HEALTHCARE CAREER FOCUS
Timeline
Credentialing Coordinator
University Clinical Health
09.2023 - 01.2024
Caregiver
Self
08.2022 - 08.2023
Credentialing Coordinator / Administrative
GASTRO ONE
08.2001 - 07.2022
Front Desk Supervisor
GASTROENTEROGY CENTER OF THE MID-SOUTH
12.1993 - 08.2001
Nursing / Computer Technology -
SOUTHWEST TENNESSEE COMMUNITY COLLEGE
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