Highly skilled critical thinker with exceptional memory, adept at efficiently organizing vast amounts of data. Strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Committed to contributing to team success and continuously developing professional skills. Brings a positive attitude, dedication to continuous learning and growth, and strong problem-solving abilities. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges with dedication and enthusiasm to advance organizational objectives.
Overview
27
27
years of professional experience
Work History
Accreditation and Compliance Assistant
Oklahoma Surgical Hospital
01.2025 - Current
Accreditation and Compliance Assistant
Assist in the preparation, coordination, and submission of accreditation and compliance documentation for regulatory bodies (ACHC, CMS).
Monitor and track hospital policies, procedures, and standards to ensure adherence to local, state, and federal regulations.
Support the compliance team in conducting internal audits and assessments to identify areas of improvement and non-compliance.
Collaborate with department leaders to develop and implement corrective action plans.
Maintain and update the hospital’s accreditation databases and documentation systems.
Assist in the preparation of the hospital’s annual reports, ensuring all regulatory requirements were met.
Coordinate with external auditors, surveyors, and regulatory agencies during accreditation surveys.
Assisted with development of compliance objectives and strategies.
Maintained up-to-date knowledge of applicable laws and regulations.
Prepared and distributed communications to staff regarding upcoming surveys, changes in regulations, and compliance expectations.
Kept informed regarding pending industry changes, trends or best practices.
Senior Credentialing Specialist
Fifth Avenue Healthcare Services
01.2020 - 11.2023
Utilized the MD Staff credentialing database, optimizing efficiency, and performing query, report and document generation
Verified provider's requirements for approval to work in specific states and plans
Established and maintained a system for timely processing of initial credentialing and reappointment files in accordance with NCQA, AAAHC, TJC standards
Obtained all relevant documents to ensure that the applicant completes his / her application within the specified time frame
Reviewed applications for accuracy and completeness
Communicated with physician and allied health practitioners to complete credentialing documentation requirements
Query relevant primary sources to verify appropriate education and training requirements (AMA, AOA, NSCH or applicable direct program)
Query relevant board to verify certifications
Query all appropriate State Licensing Boards to verify license and restrictions, if applicable
Review and enrollment of National Practitioner Data Bank
Query hospital site for hospital affiliation verification
Communicate directly with those sites that do not have online accessibility
Communicated with peer reference requests and followed up to obtain peer verifications
Monitored applicable expirable documents and malpractice insurance
Perform monthly OIG / GSA checks and sanction monitoring
Maintained accurate records of all credentialing activities
Populated, updated and maintained credentialing software and filing systems
Generated monthly reports detailing the progress of each provider's credentialing file
Property Manager
01.2000 - 01.2008
Responsible for the overall day-to-day operations of a residential property
Duties included tenant screening, lease management, rent collection, maintenance coordination, property inspections, and ensuring compliance with local regulations, all while maximizing the property's profitability and maintaining tenant satisfaction
Receptionist and Assistant
01.1998 - 01.1999
Duties included answer and direct phone calls, maintain contact lists, and produce and distribute correspondence
As an assistant my duties included scheduling meetings, managing calendars, answering phone calls and emails, taking notes, helping with daily time management, planning travel, coordinating events, drafting correspondence and maintaining filing systems