Dynamic Employee Health/Credentialing Specialist at Hereford Regional Medical Center, adept in HIPAA compliance and data management. Streamlined credentialing processes, enhancing efficiency and accuracy. Proven ability to conduct thorough background checks while fostering strong relationships with healthcare providers, ensuring timely onboarding and compliance with regulations.
Credentialing professional with proven track record in managing credentialing operations and ensuring compliance. Valued for strong collaborative skills and achieving results through efficient processes. Known for adaptability and reliability in dynamic environments, with expertise in documentation and regulatory standards.
Overview
17
17
years of professional experience
Work History
Employee Health/Credentialing Specialist
Hereford Regional Medical Center
08.2020 - 05.2025
Ensure compliance with all relevant federal, state, and local regulations related to employee health.
Keep all new and current employees up tp date with OSHA
Administer all needed immunizations to employees.
Initiate signed orders for testing of sick employees. Initiate sighed orders for titers for new employees.
Enter all vaccines given to Immrac for state and to Action Cue (internal program).
Maintain OJI files.
Participated in new employee health orientation.
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Conducted audits of provider files, ensuring all necessary documents
Conducted primary source verifications such as background checks and board certifications.
Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
Obtained NPI numbers for providers and facilities and updated existing profiles.
Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
Received and evaluated applications to look for missing and inaccurate information.
Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
Enhanced credentialing processes by streamlining documentation and verification procedures.
Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Front Desk Receptionist
BSA/ADC
03.2015 - 06.2018
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Scheduled, coordinated and confirmed appointments and meetings.
Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
Enhanced customer satisfaction by providing efficient and professional front desk services.
Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
Developed strong working relationships with team members, fostering a positive work environment.
Completed data entry and filing to keep records updated for easy retrieval.
Expedited check-in and check-out procedures for guests, ensuring seamless experiences during their visits.
Phlebotomist
BSA
02.2011 - 03.2015
Enhanced patient experience through compassionate care and communication during blood draw procedures.
Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
Maintained a high level of accuracy in labeling and tracking specimens, ensuring proper testing and timely results.
Centrifuged blood samples as outlined in clinical protocols.
Completed proper sanitation and cleaning of equipment and work areas between patients.
Tracked collected specimens by initialing, dating, and noting times of collection.
Stocked phlebotomy cart or carrier with appropriate supplies.
Demonstrated adaptability by effectively performing blood draws on diverse patient populations, including pediatric, geriatric, and challenging cases.
Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
Improved patient comfort by efficiently drawing blood samples using various techniques such as venipuncture and capillary puncture.
Front Office Assistant/Medical Assistant
FMC/CareExress
01.2008 - 02.2011
Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Maintained a professional and welcoming environment for clients, contributing to an overall positive experience.
Responded to inquiries from callers seeking information.
Directed phone inquiries, answered customer questions, and scheduled appointments.
Reviewed and updated customer information in database for accuracy.
Increased client retention by providing exceptional service while managing check-in and check-out processes.
Coordinated master schedule by booking and rescheduling appointments and balancing workloads.
Handled financial transactions accurately by processing payments, issuing receipts, and maintaining detailed records of all transactions.
Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
Enhanced customer satisfaction by promptly addressing inquiries and concerns at the front desk.
Collaborated with team members to improve overall front office performance through consistent feedback and process improvement suggestions.
Developed procedures for handling sensitive information, maintaining confidentiality and adhering to company policies.
Supported staff members with administrative tasks, improving productivity across various departments.
Updated client databases regularly while maintaining accuracy in contact details comprehensively.
Resolved conflicts professionally and efficiently, fostering a positive workplace atmosphere.
Processed payments and informed individuals of further financial responsibility to facilitate timely payments.
Processed incoming and outgoing mail, sorting and distributing to correct staff and departments.
Organized file systems both physical and digital through strategic categorization resulting in easy access and retrieval of documents.
Streamlined office operations for increased efficiency through effective organizational tasks such as filing, scheduling, and data entry.
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.