HOLLY A. TALL
Berkley,MI
Summary
Knowledgeable Credentialing Coordinator with solid background in managing credentialing processes for healthcare professionals. Successfully coordinated credentialing activities to ensure compliance with regulatory standards, enhancing overall operational efficiency. Demonstrated proficiency in database management and detailed record-keeping, ensuring accuracy and promptness in all tasks.
Overview
31
31
years of professional experience
Work History
Credentialing Coordinator
University of Rochester Medical Center/CVO
Remote/Rochester, NY
05.2025 - Current
- Coordinated provider credentialing processes to ensure compliance with industry standards and regulations.
- Managed primary source verification for medical licenses, certifications, and training documents.
- Maintained accurate databases for tracking credentialing status and documentation.
- Expedited the onboarding process for new medical staff by efficiently managing initial appointments and reappointments.
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Reduced errors in documentation by thoroughly auditing provider files for completeness and accuracy.
- Expert knowledge of CredentialStream credentialing platform
ACO Roster Coordinator
Vytalize Health
Remote
07.2023 - 01.2025
- Reduced errors in data entry, instituting quality control checks.
- Generated reports detailing findings and recommendations.
- Maintained CMS database systems to track and analyze operational data.
- Experienced in IntelliCred, JIRA, and Salesforce.
- Entered data, generated reports, and produced tracking documents.
- Gathered and organized materials to support operations.
Advisor, Provider Data & Credentialing
CCA Health
02.2020 - 07.2023
- Responsible for credentialing process start-up, including establishing policies and procedures, verification resourcing, database clean-up, and all functions necessary to achieve a standardized NCQA credentialing process.
Credentialing Coordinator
NorthStar Anesthesia/Anesthesia Staffing Consultants
10.2014 - 02.2020
- Responsible for maintenance and processing of applications for credentialing/re-credentialing as per JCAHO
- Responsible for organizing staff privileges at hospitals and surgery centers
- Responsible for maintenance of all staff credentials
- Knowledge of IntelliCred and EchoOneApp software
Credentialing Specialist
Kidney Management Solutions
10.2013 - 08.2014
- Credentialing team lead with one direct report
- Responsible for all health plan enrollment and credentialing functions.
Credentials Coordinator
BCBSM/BCN
01.2005 - 10.2013
- Responsible for maintenance and processing of applications for credentialing and re-credentialing
- Knowledge of NCQA credentialing accreditation standards, OFIS, and federal regulations
- Knowledge of PORTICO, VISUAL CACTUS, EXCEL, WORD
- Liaison between Provider Enrollment, Contracting, Quality Management, and other operational areas.
Health Information Manager
Woodward Hills Nursing Center
01.1996 - 01.2005
- ICD-9 coding of inpatient records
- Patient tracking, documentation audits, legal requests
- Maintained patient demographic database
- HIPAA subject matter expert.
Health Information Manager
Peachwood Nursing Center
01.1995 - 01.1996
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
- Reduced errors in data entry, instituting quality control checks.
- Improved team collaboration with implementation of new communication tools.
- Generated reports detailing findings and recommendations.
- Maintained CMS database systems to track and analyze operational data.
- Experienced in IntelliCred, JIRA, and Salesforce.
Education
Associate of Science - Health Information Technology
Baker College
Flint, MI05-1999
Bachelor of Science - Psychology
Wayne State University
Detroit, MI05-1994
Skills
- Microsoft office
- Time management
- Team collaboration and leadership
- Attention to detail
- Documentation and reporting
- Information gathering
Timeline
Credentialing Coordinator
University of Rochester Medical Center/CVO
05.2025 - Current
ACO Roster Coordinator
Vytalize Health
07.2023 - 01.2025
Advisor, Provider Data & Credentialing
CCA Health
02.2020 - 07.2023
Credentialing Coordinator
NorthStar Anesthesia/Anesthesia Staffing Consultants
10.2014 - 02.2020
Credentialing Specialist
Kidney Management Solutions
10.2013 - 08.2014
Credentials Coordinator
BCBSM/BCN
01.2005 - 10.2013
Health Information Manager
Woodward Hills Nursing Center
01.1996 - 01.2005
Health Information Manager
Peachwood Nursing Center
01.1995 - 01.1996
Associate of Science - Health Information Technology
Baker College
Bachelor of Science - Psychology
Wayne State University