Jessica Joslin
Claremore,OK
Summary
Persistent leader eager to lead and grow organizations. Skilled in strategic planning, problem-solving, and communication with good understanding of business principles, project management and team leadership. Collaborative with relentless work ethic.
I have over 15 years working in healthcare credentialing, including facility credentialing and payor enrollment. I thrive on creating processes and looking for ways to be more efficient. I enjoy policy writing and policy improvement. I have knowledge of Joint Commission, and NCQA, and URAC Accreditations. I am seeking CPCS certification Fall 2023. Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.
Overview
21
21
years of professional experience
Work History
Executive Vice President
Pie Health Usa
04.2023 - Current
- Strategic Affairs, Responsible for building a CVO in alignment with URAC and NCQA, and Joint Commission from the ground up
- Responsible for building a Compliance Program from ground up
- Responsible for developing a new education platform for MSP. PESC, and Credentialing Specialists.
- Responsible for developing Quality Assurance program from ground up
- This is a part time position for a start up company, helping them to become established and grow my own experience as well
Credentialing Specialist
Collaborative Imaging
04.2022 - 04.2023
- Performed payor enrollment for teleradiologists
- Performed facility credentialing and licensing applications
- Created payor enrollment processes
- Responsible for payor directory audits and attestation.
Provider Enrollment Specialist
Direct Radiology
09.2020 - 04.2022
- Handle payor enrollment for teleradiologists.
- Performed monthly audits to ensure all applicaitons have been completed
Provider Enrollment Specialist
Zotec Partners
08.2018 - 08.2020
- Handle payer enrollment for multiple specialties.
Sr. Credentialing Specialist
Community Care of Oklahoma
01.2013 - 01.2018
- Responsible for closing completed reappointment and delegated files
- Responsible for compiling source verification of credentialing and prepare for monthly committee
- Responsible for performing audits on delegated clients to ensure URAC and state laws were being followed
- Created monthly delegated reports to present at Committee
- Various reports and updates to physician credentialing.
Office Coordinator/Credentialing Specialist
Central States Orthopedic Specialists
01.2007 - 01.2012
- Coordinated large orthopedic office of 150 staff, 19 physicians, 5 physician assistants, and 14 therapists in multiple locations
- Provided administrative support to CEO, and members of management staff
- Handled credentialing of medical providers ensuring credentials was maintained
- Consistently drove spending down by finding new avenues and vendors in the form of office supplies and other supplies relative to a high volume clinic, with savings into the thousands of dollars a year
- Streamlined processes to reduce time, raise efficiency and ensure deadlines were met
- Responsible for designing and implementing an efficient internal insurance matrix, reducing time and effort of schedulers to accurately meet patients needs
- Responsible for updating administrative reports and presentations as directed
- Served as primary contact for employees, clientele, and patients regarding practice
- Additional duties: Handled meeting setups, travel arrangements and managing several manager's calendars, as well as managing Physician Call Schedules
- Organized and updated physician appointment protocols and ensured staff were aware of any changes and/or additions to the physician protocol
- Designed and implemented marketing material Responsible for updating HIPAA forms and policies.
Administrative Assistant
School of Mathematics, Rogers State University
01.2002 - 01.2004
- Worked to find new avenues of cost reduction to department
- Streamlined processes to reduce time, raise efficiency and ensure deadlines were met
- Responsible for maintaining Accreditation and Administrative Reports, updating and circulating for review as directed
- Served as primary contact for students in Health Sciences field
- Responsible for the daily operations of the School of Mathematics, Sciences, and Health Sciences, as well as the Department of Health Sciences
- Assisted Faculty as needed
- Assisted Dept
- Chair in
- Accreditation of Nursing Program and assisted EMT Director in Accreditation
- Handled the School's
- Continuing Education needs, including accreditation and CPR cards and processed instructors rosters
- Responsible for general office supply and all medical lab supply ordering
- Handled meeting set ups, and managed the Dean's and Department Chair's schedule
- Assisted Accreditation Specialists in various reports and duties
- Maintained Student and administrative files
- Handled creating, and implementing the end of semester student evaluations for Administrative and Accreditation use.
Education
Associate - Business Administration
Rogers State University
Claremore, OK 05.2003
Skills
- Develop Business Structures
- Effective Communicator and Public Speaker
- Process Improvement
- Strategic Planning
- Quality Control Planning
- Develop or improve policies and procedures
- Industry Expertise
- Strategize Plans
- Analytical and Critical Thinker
- Accreditation information management
Timeline
Executive Vice President
Pie Health Usa
04.2023 - Current
Credentialing Specialist
Collaborative Imaging
04.2022 - 04.2023
Provider Enrollment Specialist
Direct Radiology
09.2020 - 04.2022
Provider Enrollment Specialist
Zotec Partners
08.2018 - 08.2020
Sr. Credentialing Specialist
Community Care of Oklahoma
01.2013 - 01.2018
Office Coordinator/Credentialing Specialist
Central States Orthopedic Specialists
01.2007 - 01.2012
Administrative Assistant
School of Mathematics, Rogers State University
01.2002 - 01.2004
Associate - Business Administration
Rogers State University
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