Gregory Matesich
Pittsburgh,PA
Summary
Aimed to enhance and apply extensive accounting and credentialing experience to drive operational efficiency and compliance.
Leveraged strong analytical and problem-solving skills to make informed decisions and enhance operational efficiency.
Overview
20
20
years of professional experience
Work History
Medical Staff Coordinator
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, PA
01.2019 - Current
- Coordinate the credentialing process for initial appointment and reappointment for the medical and allied health professional staff
- Ensure all individuals with clinical privileges provide services within the scope of their training, licensure and individual clinical privileges granted
- Upon receipt of completed hospital-specific packets, initiates data collection and compilation from Centralized Verification Office (CVO)
- Critically review primary source verification (psv) scanned documents to determine any incorrect, omitted or discrepancies in data entry and psv requests
- Compare psv, curriculum vitae and credentialing information form
- Initiate any additional psv required per established policies and procedures
- Inform CVO of incorrect data entry and/or missing psv
- Identify any issues in file red flags requiring further review
- Compile and create practitioner files including all pertinent information in accordance with departmental policies
- Forward and track complete files to Division Chiefs and Department Chairmen for approval
- Forward approved files to credentials Committee for review and approval
- Obtain quantitative and qualitative data for practitioners in the credentialing process either from applicant (initial appointments), internal databases (reappointments Impromptu/Corporate Database) or from practitioner's primary facility
- Ensure complete and accurate credentialing information is provided to chiefs and chairpersons to enable them to make informed decisions regarding clinical privilege
- Proactively obtain supporting documentation to support requests for privileges by developing contacts with other facilities and medical leaders
- Maintain close communication and develop working relationships with the Centralized Verification Office, department enrollment specialists, medical staff officers, department chairmen and committee chairmen to ensure expeditious flow of recommendations for timely credentialing through the medical staff committee and Board review and approval process
- Provide informational emails/mailings to facility departments information updates regarding approved credentialing actions
- Maintain credentialing schedules and status reports for practitioners in the credentialing process
- Implement process for re-credentialing of physicians and allied health professionals to the medical staff to adhere to regulatory standards
- Maintain a working knowledge of the Hospital Bylaws, General Rules and Regulations, Medical Staff Bylaws, General Rules and Regulations and Department Rules and Regulations
- Maintain knowledge of latest recommendations for the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Commission on Quality Assurance (NCQA) the State Medical Society, and other state requirements particularly with reference to accreditation standards
Credentialing Coordinator
University of Pittsburgh Physicians – Human Information Management – Ophthalmology, Otolaryngology, Pediatric, and Physical Medicine & Rehabilitation
Pittsburgh, PA
01.2016 - 01.2019
- Maintained around 120 physician’s and 130 Pediatric mid-level provider’s (CRNPs and PAs) credentials
- Responsible for initiating credentialing process for new fellows in Ophthalmology, Otolaryngology, and Physical Medicine & Rehabilitation
- Responsible for initiating new hire applications for physicians and Pediatric mid-level providers
- Responsible for initiating new site applications for physicians
- Assisted CRNPs and PAs with credentialing and reappointment applications at UPMC facilities
- Assisted physicians with credentialing and reappointment applications at UPMC facilities
- Assisted Credentials Verification Office (CVO) with primary and secondary source verification of provider’s credentials, education, and employment history
- Prepared monthly new hire, sites, and reappointment reports for physicians and Pediatric CRNPs and PAs for departmental managers
- Maintained state medical licenses, DEA licences, certifications and PPDs for physicians and CRNPs and PAs
- Maintain data integrity and accuracy in Apogee
- Resolved practitioner, CRNP, and PA’s concerns in a timely manner
- Volunteered to act as interim credentialing coordinator for the Department of Plastic Surgery for 6 months until management could fill the position
- Took on additional responsibilities by managing Pediatric CRNPs and PAs in order to round out my credentialing knowledge
- Established and developed a strong working relationship with Credentials Verification Office (CVO), Medical Staff Office (MSO), and departmental physicians, CRNPs, PAs, operating managers, and administrative staff
Associate Financial Analyst
University of Pittsburgh Physicians – Finance Pods – Cardio-Thoracic/Dermatology/Ophthalmology/Otolaryngology
Pittsburgh, PA
01.2013 - 01.2016
- Prepare, process and review daily eVoucher, ePro & Travel & Business expenses
- Create and maintain Dept. of Dermatology’s clinical trial studies through WePay
- Create and process intercompany journals entries
- Manage departmental reclass journal entries
- Create BAR invoices through Peoplesoft
- Manage and analyze physician discretionary spending reports on monthly basis
- Manage and analyze 3 departmental accounts payable reports on monthly basis
- Manage and analyze Dept. of Ophthalmology’s profit & loss reports on monthly basis
- Create and manage EPIC charges/payments for Dept. of Dermatology on monthly basis
- Reconcile Dept. of Dermatology’s BAR invoices on quarterly basis
- Audit and reconcile departmental change funds on semi-annual basis
- Manage and analyze multiple physicians’ monthly charges, payments & WRVUs Cognos reports
Associate Accountant
University of Pittsburgh Physicians – Department of Pathology
Pittsburgh, PA
01.2009 - 01.2013
- Maintain monthly UPMC and Pitt faculty payroll spreadsheet and create invoices to reimburse the department for payment of Pitt employees’ pay.
- Maintain a monthly staff payroll spreadsheet used in the monthly revenue projection.
- Prepare and post monthly and quarterly routine/special journal entries to the general ledger
- Manage daily revenue spreadsheet which prepares revenue projection reports on weekly, monthly, and yearly basis
- Manage and updated several A/R accounts and produce monthly and quarterly reports
- Provide monthly financial statements
- Generate invoices through Microsoft Access for consultation services rendered by pathologists at the request of several hundred outside institutions
Associate Accountant
University of Pittsburgh Physicians – Department of Otolaryngology
Pittsburgh, PA
01.2006 - 01.2013
- Analyze and prepare account and departmental reclass journal entries several hundred accounts
- Manage 30 – 40 physicians’ discretionary account balances
- Maintain, analyze and prepare balance sheet account reconciliation reports in both departments
- Regularly participate in yearly budget process which includes an extensive preparation of initial data used on a departmental and account basis
- Prepare, process and review daily disbursement requests and travel & business expense reports
- Generate an initial monthly revenue forecast for the controller
- Analyze and create a monthly variance report on several hundred expense accounts
- Manage and prepare checks for deposit on a weekly basis for over a dozen departments
- Audit eight departmental petty cash accounts on a monthly basis
Education
B.A. - Accounting
University of Clarion
Clarion, PA01.2005
A.A. - Accounting
Butler County Community College
Butler, PA01.2003
Skills
MSOW VerifyStream
Microsoft Office Software
Oracle Peoplesoft Enterprise
IBM Cognos (Power Play Cubes)
Timeline
Medical Staff Coordinator
UPMC Children’s Hospital of Pittsburgh
01.2019 - Current
Credentialing Coordinator
University of Pittsburgh Physicians – Human Information Management – Ophthalmology, Otolaryngology, Pediatric, and Physical Medicine & Rehabilitation
01.2016 - 01.2019
Associate Financial Analyst
University of Pittsburgh Physicians – Finance Pods – Cardio-Thoracic/Dermatology/Ophthalmology/Otolaryngology
01.2013 - 01.2016
Associate Accountant
University of Pittsburgh Physicians – Department of Pathology
01.2009 - 01.2013
Associate Accountant
University of Pittsburgh Physicians – Department of Otolaryngology
01.2006 - 01.2013
B.A. - Accounting
University of Clarion
A.A. - Accounting
Butler County Community College