Lisa Cunningham

• Reviewed applications and verified qualifications of healthcare professionals to uphold credentialing standards.
• ⬧ Verify credentials for healthcare professionals, maintaining high standards.
• Communicated documentation requirements and statuses to providers, ensuring compliance and timely processing.

⬧ Verify credentials for healthcare professionals, maintaining high standards.

⬧ Address credentialing challenges, fostering seamless operations.

⬧ Facilitate reappointments, contributing to operational excellence.

⬧ Maintained accurate records of initial and reappointment credentialing, upholding regulatory standards and facilitating smooth audits.

• Coordinate credentialing for Mercy Hospitals, ensuring compliance and accuracy.
• Conducted thorough primary verifications for credentialing, ensuring compliance and enhancing patient safety across multiple healthcare facilities.
• Verify credentials for healthcare professionals, maintaining high standards.
• Streamlined the credentialing process for Allied Health Professionals, reducing turnaround time and improving operational efficiency significantly.
• Improved privileging processes to enhance operational efficiency across facilities., enhancing efficiency across SW Ohio facilities.
• Addressed credentialing challenges to ensure uninterrupted healthcare operations., ensuring smooth operations.
• Partnered with healthcare teams to implement best practices in privileging, fostering trust and enhancing interdisciplinary collaboration.

• Coordinated payor credentialing for all provider applicants to HealthSpan network, ensuring compliance with network standards and supporting overall network growth.
• Updated HealthSpan network records with accurate provider information, including additions, updates, and terminations across multiple PHO networks, enhancing data integrity and accessibility.
• Coordinated development initiatives to enhance community health programs.
• Managed communication between stakeholders and project teams effectively.
• Developed training materials for staff on program implementation strategies.

• Delivered comprehensive administrative support across multiple healthcare offices, ensuring smooth operations and effective communication.
• Managed office communications and correspondence for efficient operations.
• Organized meetings, prepared agendas, and coordinated logistics for team events.
• Maintained filing systems and ensured accurate record-keeping for easy access.

• Managed medical billing processes in Medical Management Division, including entry of charges, reconciliations, troubleshooting issues, and insurance filing.
• Achieved First Call Resolution for all incoming calls to Workers’ Compensation Division, processing First Reports of Injury (FROI), date extension requests, verifications, provider information, and billing issues.
• Provided information support for clients and staff on various inquiries.
• Maintained and updated company databases for accurate reporting and tracking.
• Assisted in developing informational materials for training and communication purposes.

• Delivered administrative support to multiple offices in healthcare, ensuring smooth operations and effective communication.
• Coordinated scheduling and appointments to optimize executive time management.
• Developed and implemented office procedures to enhance workflow efficiency.
• Managed office communications and maintained a professional environment for staff.

• Managed office operations for President of firm, ensuring smooth workflow and effective support.
• Processed payroll and calculated commission payments, ensuring timely and accurate employee compensation.
• Handled accounts receivable/payable, journal posting, and banking transactions to maintain financial accuracy.
• Maintained appointment logs and organized files for efficient retrieval.
• All secretarial work and phones.

• Scheduled appointments and testing across various departments at CCHMC, facilitating communication between parents, patients, and community physicians in call center environment.
• Troubleshot incoming referrals and orders from community physicians and clarified illegible and incomplete orders through direct communication with physicians’ offices.
• Rescheduled appointments, including physician schedule changes.
• Compiled detailed reports on unscheduled orders and referrals. regarding unscheduled orders and referrals independently.
• Utilized Epic to implement EHR system at hospital, enhancing patient data management.

• Assisted customers with product inquiries and order placements.
• Managed customer complaints and resolved issues efficiently.
• Provided detailed product information to enhance customer experience.
• Resolved inbound inquiries from United States representatives on account issues, facilitating communication between branches in a call center.
• Trained new specialists in Nurturing Area of Contact Center, offering guidance and support to enhance their onboarding experience.

• Administered Level 1C validation underwriting authority, ensuring compliance with lending standards and facilitating risk management.
• Processed conventional, FHA and VA loans, including clearance of conditions, purchases and refinances.
• Maintained extensive customer contact throughout loan process, enhancing customer satisfaction and trust.
• Served as liaison between customer, loan officer, closer, and title company, streamlining communication and coordination.

• Coordinated operations for Department of Anesthesiology in rapidly expanding practice.
• Coordinated pain clinic appointment scheduling to optimize patient flow and reduce wait times.
• Managed payer and medical staff credentialing for initial appointments.
• CPT and ICD-9 coding of anesthesia surgical procedures performed in 28 OR suites.
• Group Insurance Administrator – including COBRA and FML.
• Workers’ Compensation – First Report of Injury forms, certification of all department injuries and follow ups.
• Managed professional liability claims, scheduled depositions, and communicated with patients to resolve complaints and inquiries.
• Coordinate student rotations from three universities, all meetings and CME opportunities and travel for physicians.
• Meeting setup, agendas, minutes, CME submission.

• Coordinated medical staff credentialing for new and re-appointment applicants for Alliance Partners and hospitals of Health Alliance of Greater Cincinnati, including primary verifications to maintain compliance.
• Managed special projects for Credentialing Manager, ensuring timely delivery and adherence to quality standards.