Julie Chrismer
Federal Way
Summary
Applying my skills to obtain responsible and challenging employment, while demonstrating my ability to work as a team member within a company that can
benefit from my experience.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Credentialing & Enrollment Specialist
Sea Mar Community Health Centers
Federal Way
02.2023 - Current
- Credentialing process including application distribution, application processing upon return, primary source verification, file preparation for credentialing board review and approval, and dispatching approval letters to applicants.
- Completed delegated credentialing by preparing minutes and policies, monitoring activities, and reviewing delegation agreements to ensure compliance and effective collaboration.
- Prepare for accreditation audits from The Joint Commission and HRSA.
- Evaluated policies and procedures annually for alignment with NCQA, Joint Commission, and HRSA standards, submitting findings to Credentialing Committee for review and approval.
- Information Integrity audits conducted monthly to meet NCQA standards.
- Maintain tracking spreadsheet of completed applications and track time taken for each step.
- Educated new hires on credentialing process, enhancing team knowledge and ensuring adherence to best practices.
Credentialing Manager
First Choice Health Network
Seattle
12.2003 - 02.2022
- Led staff meetings, prepared weekly reports, managed monthly staffing analyses to enhance team alignment and operational effectiveness.
- Trained new staff and supervised credentialing personnel to maintain compliance with industry standards.
- Developed and maintained Microsoft-based systems for efficient data management.
- Interpreted data efficiently and monitored workflow implementation.
- Authored policies and procedures, overseeing provider applications and IT collaboration.
- Promoted to manager, audited credentialing files for accuracy.
- Conducted weekly one-on-one staff meetings with up to 10 employees to provide guidance and support for professional development.
- Prepared key indicator reports and coordinated peer reviews for committee evaluation.
Provider Coordinator
Magellan Behavior Health
Tacoma
11.1995 - 12.2003
- Successfully facilitated recruitment of providers in underserved areas for Magellan Behavioral Health Network.
Negotiated competitive provider rates to optimize overall network effectiveness.
Reviewed provider applications to ensure adherence to established criteria and completeness.
Performed site visits for home-based practitioners to assess compliance with operational standards.
Enhanced communication and support through effective management of customer service and provider relations.
Resolved billing and networking issues for practitioners with efficiency and clarity. - Facilitated communication between clients and healthcare providers, improving service delivery outcomes.
- Coordinated intake processes for new clients and services at Magellan Behavioral Health, streamlining service delivery.
- Maintained accurate client records in electronic health record systems for compliance.
Skills
- Regulatory compliance
- Workflow implementation
- Data analysis
- Deadline management
- Work prioritization
- Team leadership
- Problem solving
Certification
- Certified Professional Credentialing Specialist (CPCS)- NAMSS- 2025
Timeline
Credentialing & Enrollment Specialist
Sea Mar Community Health Centers
02.2023 - Current
Credentialing Manager
First Choice Health Network
12.2003 - 02.2022
Provider Coordinator
Magellan Behavior Health
11.1995 - 12.2003