Joy Fields
Summary
Seasoned Credentialing Services Specialist with 17 years of hands-on experience seeking to transition into a Credentialing Supervisor role. Proven ability to manage high volumes of credentialing tasks while maintaining accuracy, timeliness, and compliance. Strong leadership skills with a background in training, mentoring, and supporting the credentialing team.
Overview
23
23
years of professional experience
Work History
Credentialing Services Specialist III
Southern California Permanente Medical Group
05.2008 - Current
- Coordinate the credentialing process for healthcare providers including physicians and allied health professionals and ensure completion within established deadlines with 100% QA score.
- Evaluate credentialing application and identify discrepancies and adverse information.
- Conduct primary source verification of provider credentials such as licenses, certifications, education, post-graduate training, hospital affiliations, and professional references.
- Communicate credentialing status updates to providers and stakeholders efficiently.
- Train and mentor new hires and serve as a source of information for the credentialing team.
- Assist with regulatory surveys and audits.
- Participate in different departmental projects such as Teleradiology, Board Certification, and ECMO.
- Assist the local medical staff office at KP Downey and KP West LA in processing full-time credentialing files.
Administrative Specialist II/Staffing Clerk
Kaiser Foundation Hospital
06.2002 - 04.2008
- Manage payroll duties for 150 medical-surgical nursing staff. Investigate and resolve paycheck discrepancies.
- Create budget and expense reports.
- Maintain Department Administrator's calendar, schedule meetings, and arrange travel and hotel accommodations.
- Plan, coordinate, and schedule employee trainings and staff meetings.
- Accurately document meeting discussions and action items.
- Maintain inventory of supplies and ensure accurate reconciliation of vendor invoices.
- Gather data and prepare routine reports.
- Maintain and monitor certifications, licensure and renewals for all licensed personnel.
- Support daily unit staffing operations based on nursing acuity and established guidelines.
- Assist the Clinical Nurse Specialist in developing and maintaining patient education materials.
- Approve training, vacation, and educational leave for 150 medical-surgical nursing staff. Assist the department in creating the monthly staffing schedule.
Education
Business Administration
Pasadena City College
Pasadena, CABusiness Administration
Los Angeles Valley College
Los Angeles, CAInternational Studies
Miriam College
Manila, Philippines Skills
- Attention to detail
- Critical thinking and analytical skills
- Ability to manage multiple priorities
- MSOW
- Certified Provider Credentialing Specialist (CPCS)
- Training and Onboarding
Timeline
Credentialing Services Specialist III
Southern California Permanente Medical Group
05.2008 - Current
Administrative Specialist II/Staffing Clerk
Kaiser Foundation Hospital
06.2002 - 04.2008
Business Administration
Pasadena City College
Business Administration
Los Angeles Valley College
International Studies
Miriam College