Hannah Dore
Watertown,MA
Summary
Efficient Credentialing Specialist known for high productivity and the ability to complete tasks swiftly. Specializes in credential verification, compliance management, and process improvement. Excels in communication, problem-solving, and organization, ensuring smooth credentialing processes and effective collaboration with healthcare professionals.
Overview
7
7
years of professional experience
Work History
Credentialing Specialist
Monte Nido Walden
Dedham , MA
2024.03 - Current
- Contributed to the development and implementation of policies for provider credentialing.
- Maintained relationships with external organizations involved in the credentialing process.
- Analyzed data trends related to credentialing activity for reporting purposes.
- Performed periodic audits of existing provider files for accuracy and completeness.
- Participated in meetings concerning regulatory changes impacting the organization's credentialing Bylaws, policies, and procedures.
- Managed end-to-end provider credentialing process, ensuring compliance with industry standards and regulations.
Credentialing and HIM Coordinator
Monte Nido Walden
Dedham , MA
2022.02 - 2024.02
- Accepted into Walden's President Fellowship Program and completed a year-long fellowship in 2023.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Developed and implemented both credentialing and restraint tracking procedures to improve workflows.
- Assisted with provider enrollments in Medicaid and Medicare.
- Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
- Responded to inquiries from internal and external parties regarding credentialing information.
- Trained new hires on compliance and HIM standards biweekly, and maintained/updated training materials
Medical Receptionist
Monte Nido Walden
Dedham , MA
2020.09 - 2022.02
- Served as the designated Human Rights Officer for the adolescent inpatient unit.
- Audited residential patient charts to confirm completion.
- Ordered and maintained supplies and resources for both staff areas and patient units.
- Administrative duties, including creating and maintaining directories and information packets; ensuring proper levels of building access for individual staff; registering the business with the proper authorities; sorting and delivering mail, et cetera.
- Greeted patients and visitors, answered questions, coordinated with healthcare workers and clinicians, and maintained an overall positive atmosphere throughout visits, admissions, and discharges.
- Maintained confidentiality of patient information according to HIPAA regulations.
Site Director
YMCA Boston
Boston , MA
2018.09 - 2020.08
- Worked with four other Directors and a Program Administrator to run a summer camp for over 150 children by maintaining camper and staff records, training and scheduling staff, mediating staff conflict, ordering supplies, and building parent and community relationships.
- Solely responsible for the daily curriculum and schedules of over 50 4-6 year old campers and 17 counselors during summer camp, de-escalating children displaying challenging or harmful behaviors, and recording and reporting any incidents to families and/or other necessary parties.
- Ran an after-school program at the Donald McKay in East Boston for over 25 students by creating a schedule, curriculum, and expectations for students, and directing staff in their implementation.
- Organized all paperwork related to licensing and incident reports, communicated all updates to families, and answered all their questions and concerns.
- Scheduled staff, submitted payroll, and maintained professional relationships with the school administrator.
Sports Specialist
Beaver Summer Camp
Chestnut Hill , MA
2018.06 - 2018.08
- Planned physical activities for groups of up to 30 campers and worked with counselors by guiding them in facilitating activities and supporting them in mentoring younger campers.
Americorps Member
City Year Boston
Boston , MA
2017.07 - 2018.06
- Provided academic and behavioral support to 25 students in a third-grade classroom at the McKay School in East Boston as a mentor and a tutor, using one-on-one and small group instruction.
- Spent one day a week in professional development, attending seminars and workshops on a variety of topics, including communication, networking, leadership, management, diversity and inclusion, analysis, and problem-solving.
- Oversaw 20 volunteers for multiple service projects as a Project Coordinator for the City Year Service Reserves, resulting in 4 new school murals and over 200 holiday gift bags being donated to those in need.
Education
Master of Science - Disability ServicesHigher Education Administration
City University of New York
New York, NY2023-05
Bachelor of Arts - English
Wesleyan University
Middletown, CT2016-01
Skills
- Database Maintenance
- Employee Onboarding
- Strategic Planning
- Credentialing Knowledge
- Legal Research
- Process Improvement
- Written Communication
- Interpersonal Relations
- Organizational Skills
- MS Office, Google Suite
References
References available upon request.
Timeline
Credentialing Specialist
Monte Nido Walden
2024.03 - Current
Credentialing and HIM Coordinator
Monte Nido Walden
2022.02 - 2024.02
Medical Receptionist
Monte Nido Walden
2020.09 - 2022.02
Site Director
YMCA Boston
2018.09 - 2020.08
Sports Specialist
Beaver Summer Camp
2018.06 - 2018.08
Americorps Member
City Year Boston
2017.07 - 2018.06
Master of Science - Disability ServicesHigher Education Administration
City University of New York
Bachelor of Arts - English
Wesleyan University
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