Heather Butcher
York,PA
Summary
Articulate Credentialing Coordinator with exemplary critical thinking and decision making talents. An energetic professional with more than 7 years' requesting credentialing documents from providers. Ready to apply talents in credentialing and document workflows with a new organization.
Overview
14
14
years of professional experience
Work History
Senior Credentialing Coodinator
Wellspan Health
07.2016 - Current
- Maintained accurate files, records and credentialing documents in well-maintained databases using Cactus.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Assisted with managed care auditing processes and performed internal file audits.
- Payer Enrollment for providers and facilities
- Q&A Recredentialing Files
Health Information/ Credentialing Technician
Select Specialty Hospital
05.2010 - 07.2016
- Performed troubleshooting and diagnosis on malfunctioning equipment.
- Responsible for the daily activates of the Health Information Department which included scanning of medical records, chart assembly and analysis, correspondence, and filing.
- Responsible for credentialing activities which included scanning applications, obtaining expiable, processing temporary privileges, and working with physician offices in obtaining all the necessary paperwork to complete the credentialing process.
- Completed admission paperwork for all new patients.
- Prepare medical records for shipment to outside storage facility.
- Report History and Physical timeliness rates and delinquency rate on a monthly basis.
- Participate actively in weekly team meetings.
- Admit patient information into HMS system.
- Prior to each patients admission, coordinate signature/authorization for consent to treat and ensure that all questions on admission procedures were handled.
- Make self available to conduct effective family tours
- Develop and promote positive inter/intra-departmental relationships.
- Displays a "customer service" attitude toward patients, visitors, staff members, and referral sources.
- Demonstrates flexibility and responsibility in accepting work assignments.
- Responds positively to changing circumstances.
- Constantly monitors workflow to ensure maximum productivity.
Education
Associate of Applied Science - Health Information
Pennsylvania College of Technology
Williamsport, PA05.2010
Skills
- Documentation Workflows
- Practitioner Application Monitoring
- Issue Identification and Resolution
- Records and File Management
- Problem-Solving
- Interpersonal Skills
- Computer
- Written and Verbal Communication
Timeline
Senior Credentialing Coodinator
Wellspan Health
07.2016 - Current
Health Information/ Credentialing Technician
Select Specialty Hospital
05.2010 - 07.2016
Associate of Applied Science - Health Information
Pennsylvania College of Technology
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