Healthcare
Open To Work
LISA CROYLE
SCP Health, Medical Staff Administration
Wake Forest,NC
Work Preference
Job Search Status:
Open to work
Desired start date:
2 weeks notice
Desired Job Title
Medical Staff System AnalystMedical Staff Services Specialist and Regulatory Compliance AnalystProvider Enrollment SpecialistAssociate Proposal DeveloperClinical Safety Coordinator
Work Type
Full Time
Location Preference
Remote
22
Years of experience
Detail-oriented Medical Staff Specialist with over 20 years in administrative roles within healthcare. Expertise in managing comprehensive databases for thousands of employees and contractors while fostering relationships with clients, regulatory boards, and insurance carriers. Proven ability to excel in both collaborative and independent work environments, including 18 years of remote operations.
Work History
Medical Staff System Analyst
6 Years 5 Months- Led initiatives to streamline workflows, resulting in reduced response times and increased user satisfaction.
- Collaborated with cross-functional teams to implement technology solutions aligned with business objectives.
- Analyzed system performance and identified areas for improvement to enhance operational efficiency.
- Developed detailed documentation of system processes and user requirements for stakeholders.
- Conducted regular system audits to ensure compliance with security protocols and best practices.
- Collaborated with cross-functional teams to develop innovative solutions for business challenges.
- Evaluated current systems and recommended improvements, ensuring optimal performance levels were maintained.
- Optimized database performance, which allowed for quicker data retrieval and reporting.
Regulatory Compliance Analyst
10 Years 7 Months- Ensure that all nurse practitioners and physician assistants (NP/PAs) are in compliance with the evolving requirements of seven southeastern provider states prior to employees’ scheduled employment dates.
- Monitored database weekly for new NP/PAs added to hospital clients, performing audits to ensure compliance and establish linkages with professional participants at each facility.
- Monitor database weekly for all new NP/PAs being added to both new and existing hospital clients and perform audits to ensure compliance and linkages with appropriate professional participants at each facility.
- Contact new and established client institutions to help providers to guarantee 100% compliance. Hold conference calls with risk management and operating teams to develop protocols for safeguarding such conditions, especially with new client institutions.
- Contacted new and established client institutions to ensure providers achieved 100% compliance; facilitated conference calls with risk management and operating teams to develop safeguarding protocols for new clients.
- Responded promptly to affiliation verification requests from outside parties regarding individual providers, documenting actions in contact records.
- Conducted compliance audits to ensure adherence to regulatory standards.
Provider Enrollment Specialist
7 Years 10 Months- Liaised with diverse professional providers and insurance companies to resolve enrollment and claims issues, ensuring effective communication and support.
- Coordinated managed-care documentation across multiple states to facilitate compliance and streamline enrollment processes.
- Secured provider number assignments, entered data for each applicant into the corporation’s Salesforce database, and maintained statistical reports for clients and the management team.
- Secured provider number assignments and entered applicant data into Salesforce, maintaining accurate statistical reports for clients and management.
- Managed provider enrollment processes to ensure compliance with regulatory standards.
- Collaborated with healthcare providers to resolve enrollment issues and streamline workflows.
Enrollment Coordinator
1 Year 7 Months- Prepared and submitted enrollment applications for out-of-state Medicaid plans, ensuring compliance with regulations.
- Followed up with various insurance carriers to secure timely provider billing number assignments.
- Managed enrollment processes for clinical trials, ensuring compliance with regulatory requirements.
- Developed and maintained relationships with healthcare providers to facilitate patient referrals.
- Coordinated communication between patients and clinical staff, enhancing service delivery efficiency.
Education
Bachelor's Degree - Psychology
Skills
User acceptance testing
System optimization
Problem-solving
Attention to detail
Organizational skills
Database management
Multitasking
Multitasking
Team collaboration
Excellent communication
Reliability
Timeline
Medical Staff System Analyst
SCP Health
03.2020 - CurrentRead More
Regulatory Compliance Analyst
SCP Health, Medical Staff Administration
01.2016 - CurrentRead More
Provider Enrollment Specialist
SCP Health, Medical Staff Administration
03.2008 - 01.2016Read More
Enrollment Coordinator
Duke University Health System
11.2004 - 06.2006Read More
State University of New York At Potsdam
Bachelor's Degree from Psychology
Read More