Lorena Hearns
Detroit,MI
Summary
Proven leader in healthcare administration with a track record of enhancing compliance and patient safety at Henry Ford Health. Expert in HIPAA regulations and peer review coordination, adept at multitasking and driving operational improvements. Achieved significant advancements in medical staff credentialing processes, demonstrating exceptional records management and leadership skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Medical Staff Coordinator
Henry Ford Health
08.2019 - Current
- Under very limited supervision, serve as an essential link and resource between the Department Chair and the incoming medical staff.
- Ensures compliance with regulatory standards by conducting regular internal audits of departmental policies and procedures.
- Coordinates the operational processes and ongoing privileging, and medical staff governance functions of the Office of Clinical Quality and Medical Affairs.
- Responsible for review, analysis and follow up of privileging applications, maintaining strict confidentiality and ensuring compliance with organizational policies and accrediting regulatory agencies.
- Expedites files and privileging documents, enabling timely commencement of clinical services by newly hired physicians and advanced practice providers.
- Schedules, coordinates, prepares agenda, takes minutes, provides follow-up for Credential Committee members outlined in the Henry Ford Medical Staff Bylaws.
- Assists with clinical privileging development and maintenance of the privilege database.
- Reviews privileging applications and all primary source verifications ensuring accuracy.
- Coordinates credentialing end-of-committee process to ensure notification to providers, departments and CVO of all files taken to the Credential Committee meeting for the month.
- Prepares all files that went to the Credential Committee meeting for the Medical Executive Committee and the Board of Trustees meeting.
- Maintains up-to-date knowledge of industry trends and regulations, ensuring the department's continued compliance with changing requirements.
Credentialing Specialist
Henry Ford Health System
05.2017 - 08.2019
- Collaborated with healthcare providers to gather necessary information for review and analysis of applications and accompanying documents.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Conducted thorough background investigation, research and primary source verification of all components of the application file.
- Identified issues that required additional investigation and evaluation.
- Validated discrepancies and ensured appropriate follow - up.
- Prepared credentials file for completion and presentation to the Medical Staff Offices, ensuring file completion within time periods specified.
- Maintained confidentiality of provider information.
- Performed other duties as assigned.
Credentialing Associate
Henry Ford Health
08.2015 - 05.2017
- Prepared provider's documents for the Specialist.
- Liaised with providers to obtain necessary documentation for accurate credentialing.
- Maintained copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents.
- Compiled and maintained current and accurate data for all providers.
- Set up and maintained provider information in an online credentialing database.
- Maintained confidentiality of provider information.
Customer Service Representative
Henry Ford Health System
01.2014 - 07.2015
- Handled patient inquiries and suggestions courteously and professionally.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Assisted in registration procedures of patients.
- Obtained medical history information in confidence.
- Answered phone calls and scheduled appointments.
- Performed miscellaneous duties as assigned.
SICU Unit Secretary
Henry Ford Hospital
07.2009 - 11.2013
- Coordinated essential equipment maintenance and repairs, minimizing downtime and ensuring availability for critical care needs.
- Reduced response time for diagnostic results by efficiently managing communication between laboratory technicians, radiologists, and the ICU staff.
- Maintained patient confidentiality at all times according to HIPAA regulations while handling sensitive medical information daily.
- Assisted in the maintenance of medical charts and/or electric medical records.
- Adeptly managed a multi - line phone system.
- Entered physician orders into the computer database efficiently and without errors.
Education
High School Diploma -
Oak Park High School
Oak Park, MINo Degree - Human Services
Baker College
Allen Park, MI05.2025
Skills
- Peer Review Coordination
- Leadership Qualities
- HIPAA Compliance
- Joint Commission Compliant
- Patient Safety
- Medical Terminology
- Adept Multitasker
- Medical Office Experience
- Records Management
Timeline
Medical Staff Coordinator
Henry Ford Health
08.2019 - Current
Credentialing Specialist
Henry Ford Health System
05.2017 - 08.2019
Credentialing Associate
Henry Ford Health
08.2015 - 05.2017
Customer Service Representative
Henry Ford Health System
01.2014 - 07.2015
SICU Unit Secretary
Henry Ford Hospital
07.2009 - 11.2013
High School Diploma -
Oak Park High School
No Degree - Human Services
Baker College