JAQUAN POPE
WAUKEGAN,US
Summary
Credentialing Specialist with over 8 years of experience in healthcare settings, demonstrating expertise in schedule coordination, inventory management, and process improvement. Known for meticulous attention to detail and adaptability, facilitating seamless surgical procedures and enhancing operational efficiency. Committed to fostering strong communication and collaboration among medical teams, ensuring patient care excellence.
Overview
5
5
years of professional experience
Work History
Credentialing Specialist
Advocate Condell Medical Center
Libertyville, IL
08.2024 - Current
- Coordinate medical staff services, ensuring compliance with regulatory standards. Streamline credentialing processes, reducing turnaround time substantially.
- Foster interdepartmental relationships to enhance medical staff operations. Implement innovative solutions for efficient document management and tracking.
- Drive process improvements in medical staff services, resulting in measurable increases in productivity and accuracy of credentialing procedures.
- Provide comprehensive support to medical staff, facilitating smooth onboarding and maintaining up-to-date records. Ensure timely resolution of inquiries.
- Spearhead process enhancements in medical staff services, driving substantial improvements in credentialing efficiency and accuracy.
- Coordinated with healthcare providers to obtain necessary documentation for credentialing.
- Mentored junior staff on best practices in the credentialing process and system usage.
- Collaborated with cross-functional teams to address and resolve credentialing challenges proactively.
- Analyzed and refined workflows, leading to continuous improvement in overall operation effectiveness.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Conducted primary source verifications such as background checks and board certifications.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
Surgical Coordinator
Vista Medical Center East
Waukegan, IL
12.2021 - 08.2024
- Coordinates appointments with patients and staff according to availability
- Documents all calls, correspondence, and encounters with patients according to established office guidelines
- Reviews paperwork to verify accuracy and completeness prior to scheduled surgery
- Acted as liaison between physicians, vendors, insurance companies, patients and their families regarding surgical procedures.
- Provided administrative support to surgeons, nurses and other medical staff in the operating room.
- Coordinated with hospital personnel to ensure proper preparation of OR rooms prior to surgery.
- Ordered and maintained supply inventory for medical office.
- Located scheduling barriers and implemented appropriate solutions.
- Worked with operating facilities to schedule procedures on behalf of surgeons.
- Checked expiration dates on all medications prior to use in order to ensure safety of patients.
- Ordered supplies needed for OR setup based on anticipated cases scheduled for that day, week, month.
- Collaborated with nursing staff to ensure patient comfort before, during, and after surgery.
- Assisted anesthesiologists in the preparation and administration of anesthesia during surgical procedures.
- Ensured all required equipment, supplies, and medications were available for each procedure.
- Participated in staff meetings discussing new techniques or updates regarding patient care policies.
- Managed pre-operative assessments, ensuring compliance with regulatory standards and protocols.
- Facilitated patient education sessions, improving understanding of surgical processes and recovery expectations.
- Streamlined documentation processes, enhancing accuracy in patient records and reducing administrative errors.
- Efficiently managed high volume caseloads while maintaining meticulous attention to detail in scheduling logistics and documentation.
- Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.
- Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Served as a liaison between patients, families, clinicians, and hospital staff throughout the entire surgical process.
- Contributed to a reduction in surgery cancellations by closely monitoring patient compliance with pre-surgical instructions.
Lead Patient Service Representative
PediaTrust, LLC
Northbrook, IL
01.2021 - 11.2021
- Traveled between 18 different pediatric office locations to assist as needed
- Managed office logistics including maintaining, scanning, and filing patient records
- Scheduled patient appointments and coordinated cancellations, and reschedules for wellness checks, sick calls, and vaccinations
- Accurately calculated and collected patient copays and any outstanding balances
- Ensured timely and accurate patient data entry into electronic medical records system.
- Obtained insurance information, copies insurance cards, collects/verifies referral status and necessity based on insurance type
- Worked closely with providers and monitored schedules meticulously
- Coordinated with physicians, nurses, insurance companies and other healthcare personnel to ensure appropriate care for patients
- Performed daily audits of patient accounts to ensure accuracy of information entered into system.
- Trained new hires on proper patient access protocols, procedures and customer service skills.
- Maintained current knowledge of products and services offered by the organization.
- Served as a resource for Patient Access Representatives, providing guidance and assistance with complex registration issues.
Education
Some College (No Degree) - Health Care Administration
Rasmussen University
12-2027
High School Diploma - undefined
Waukegan High School
Waukegan, IL06-2006
Skills
- Written Communication
- Oral Communication
- Project Management
- Process Improvement
- Critical Thinking
- Leadership
- Detail Oriented
- Adaptability
- Flexibility
- Time Management
- Calendar Management
- Office Administration
- Schedule Coordination
- Office Workflow
- Correspondence Writing
- Scheduling
- Documentation Review
- Medical Terminology
- CPT Coding
- Administrative Support
- Inventory Management
- Credentialing oversight
- Provider relations
- Application management
- Document review
- Regulatory compliance
- Employee onboarding
- Credentialing documentation
Timeline
Credentialing Specialist
Advocate Condell Medical Center
08.2024 - Current
Surgical Coordinator
Vista Medical Center East
12.2021 - 08.2024
Lead Patient Service Representative
PediaTrust, LLC
01.2021 - 11.2021
High School Diploma - undefined
Waukegan High School
Some College (No Degree) - Health Care Administration
Rasmussen University