Driven and resourceful administrative professional with 10+ years of experience assisting with work of high-achieving executives. Track record supporting professional needs with well-organized precision. Successfully manages high-volume workloads in rapidly changing environments. Eight years of expertise in healthcare credentialing, leadership, and process optimization. Proven track record of providing exceptional customer service, offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Ability to work CST or PST
Overview
11
11
years of professional experience
Work History
Director of Credentialing
Cambay Healthcare
12.2022 - 12.2023
Led and oversaw credentialing process for healthcare professionals, including physicians, nurses, and allied health staff, ensuring accurate and timely verification of qualifications, licenses, and certifications
Collaborated with internal departments and external stakeholders to gather necessary documentation and information for credentialing process, fostering effective communication and information exchange
Established and maintained strong relationships with licensing boards, regulatory agencies, and accrediting bodies to stay abreast of changes in credentialing requirements and industry best practices
Developed and implemented training programs for staff involved in credentialing process, ensuring consistent and high-quality approach to credentialing activities
Acted as liaison between organization and healthcare professionals, addressing inquiries, resolving issues, and maintaining positive relationships
Participated in organizational committees and meetings to contribute to development and implementation of policies, procedures, and initiatives related to credentialing.
Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
Facilitated cross-functional collaboration for improved decision-making processes within organization.
Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
Established departmental performance goals and provided feedback for underperforming areas.
Optimized operational processes using analytics tools to address client-specific metrics.
Established culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
Credentialing Manager
InSync Consulting Services
06.2020 - 12.2022
Developed and executed robust credentialing strategies to ensure timely and accurate verification of qualifications, licenses, and certifications for healthcare professionals
Collaborated with internal departments, including HR and Compliance, to gather and verify necessary documentation for credentialing of healthcare professionals
Led and supervised team of credentialing professionals, fostering collaborative and results-driven work environment, and ensuring staff adherence to established protocols
Ensured readiness of credentialing department for audits, collaborating with internal audit teams to facilitate successful audits and maintain compliance with industry standards
Established and maintained effective communication channels with healthcare providers, addressing inquiries, providing support, and ensuring positive experience throughout credentialing process
Initiated and led process improvement initiatives, identifying areas for enhancement and implementing innovative solutions to optimize credentialing process
Proactively identified and mitigated risks associated with credentialing, implementing strategies to minimize errors and maintain a high level of accuracy in provider database.
Facilitated smooth communication between departments, fostering collaboration in support of credential management objectives.
Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Collaborated with department leaders to develop policies and procedures for maintaining accurate provider records.
Leveraged data and analytics to make informed decisions and drive business improvements.
Streamlined credentialing processes by implementing efficient tracking systems and reducing paperwork.
Reduced processing times for credential applications by optimizing workflow efficiency and staff allocation.
Set aggressive targets for employees to drive company success and strengthen motivation.
Established team priorities, maintained schedules and monitored performance.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Demonstrated excellent problem-solving skills in identifying and resolving discrepancies in provider documentation, ensuring compliance with regulatory requirements.
Assisted with preparation of reports for senior management, highlighting key achievements and areas for improvement within the department.
Established strong relationships with external agencies, streamlining communication regarding provider credentials and facility statuses.
Managed onboarding process for new providers, ensuring timely completion of all required documentation.
Assisted in organizing and overseeing assignments to drive operational excellence.
Enhanced compliance with industry standards by conducting thorough audits of credential files.
Led team meetings to discuss progress toward goals, troubleshoot issues, and share best practices among colleagues.
Credentialing Supervisor
MGA Healthcare
01.2016 - 03.2020
Provided effective leadership to credentialing team, including training, mentoring, and evaluating staff performance, fostering high-performing and collaborative work environment
Ensured adherence to state and federal regulations, accrediting body standards, and organizational policies throughout credentialing process, minimizing risks and maintaining compliance
Spearheaded recruitment process by conducting interviews, selecting, and training dynamic team of employees for credentialing department, ensuring alignment with organizational goals and standards
Designed and optimized workflow processes within credentialing department, streamlining tasks and improving efficiency in background check procedures and medical requirement setups for traveling healthcare staff
Established and enforced rigorous quality control measures to ensure accuracy and completeness of background checks, medical documentation, and credentialing files for traveling healthcare staff
Addressed and resolved any credentialing-related issues or discrepancies, working collaboratively with internal and external stakeholders to find effective solutions.
Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Conducted primary source verifications such as background checks and board certifications.
Managed high volume of provider applications efficiently while adhering to established timelines for completion and approval processes.
Maintained strict compliance with accreditation standards, ensuring all credentials were up-to-date and accurate.
Supported audits of credentialing records, demonstrating compliance with regulatory requirements and accreditation standards at all times.
Reduced errors in credentialing documentation by performing thorough reviews and maintaining clear communication with team members.
Improved credentialing processes by streamlining workflows and implementing effective tracking systems.
Prepared records for site visits and file audits.
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Managed time efficiently in order to complete all tasks within deadlines.
Improved customer satisfaction with prompt and professional responses to inquiries and concerns.
Student Services Coordinator
Unitek Nursing College
08.2012 - 01.2016
Provided comprehensive support and guidance to students, serving as primary point of contact for inquiries, academic concerns, and general assistance throughout their academic journey
Facilitated and organized new student orientation programs, ensuring smooth transition for incoming students by familiarizing them with college policies, resources, and academic expectations
Assisted students with registration process, ensuring accurate enrollment, resolving registration issues, and collaborating with academic departments to optimize course availability
Maintained accurate and up-to-date student records, tracking academic progress, attendance, and other relevant information, and ensuring compliance with institutional and regulatory standards
Provided crisis intervention and support services, addressing student concerns, resolving conflicts, and collaborating with counseling services when needed
Analyzed student data and feedback to generate reports, identifying trends and areas for improvement, and contributing to institutional decision-making processes.
Increased student satisfaction by addressing individual concerns and facilitating access to necessary resources.
Supported student social, emotional, and academic development.
Managed student records with accuracy and confidentiality, ensuring timely processing of requests for transcripts and other documents.
Organized successful orientation events for new students, easing their transition into college life.
Served as liaison between students and campus resources such as financial aid, tutoring services, and counseling centers.
Organized and allocated resources required to meet needs of over 200 students and 20 instructors.
Education
Some College (No Degree) -
De Anza College
Cupertino, CA
Skills
Data Analysis
Problem-Solving
Calendar Management
Time Management Aptitude
Documentation Management
Organizational Skills
Process Optimization
Decision-Making
Verbal and written communication
Customer Relations
Project Coordination
Healthcare Onboarding
Database Maintenance
Proficient in MS Office
Teamwork and Collaboration
Timeline
Director of Credentialing
Cambay Healthcare
12.2022 - 12.2023
Credentialing Manager
InSync Consulting Services
06.2020 - 12.2022
Credentialing Supervisor
MGA Healthcare
01.2016 - 03.2020
Student Services Coordinator
Unitek Nursing College
08.2012 - 01.2016
Some College (No Degree) -
De Anza College
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