Summary
Overview
Work History
Education
Skills
Timeline
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Maria A. Butler

Happy Valley,OR

Summary

Detail-oriented team player with strong organizational skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude with a high degree of accuracy.

Overview

15
15
years of professional experience

Work History

RCH Administrative Coordinator/FPPE Coordinator

Legacy Health Systems
03.2019 - Current
  • Assisted with special projects to complete all tasks by deadlines.
  • Managed and maintained electronic filing systems to keep essential documents and information easily accessible and organized.
  • Maintained databases and contact lists to keep important contact information accurate and up to date.
  • Prepared detailed documents and reports in adherence administrative processes.
  • Ability to meet deadlines, maintain strict confidentiality, produce high work volumes, work independently as well as in diverse team environment.
  • Working knowledge of NCQA, Centers for Medicare and Medicaid Services, Oregon Health Authority and The Joint Commission.
  • Coordinated and scheduled meetings for six committees. Responsible for minute taking, distribution of meeting materials, and coordinating guest speakers.
  • Created presentations and other materials to support organizational activities. Responsible for coordinating and moderating New Physician Orientations.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Organized meetings for executives and coordinated availability of conference rooms for participants.
  • Implemented project management techniques to overcome obstacles and increase team productivity.
  • Manage and track system-wide medical staff dues for all six hospitals.
  • Performed FPPE system-wide per The Joint Commission.
  • Conducted performance reviews and provided feedback to managers on employee performance.

Delegated Credentialing Specialist

Providence Health & Services
01.2013 - 01.2019
  • Conducted primary source verifications such as background checks and board certifications.
  • Prepared records for site visits and file audits.
  • Performed clinic audits.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Responsible for facilitating responsive, timely and accurate recredentailing files for State of Washington and Montana. Evaluating for missing and inaccurate information.
  • Worked closely with clinic mangers and medical staff to obtain assistance in ensuring providers were meeting their recredentialing obligations.
  • Followed NCQA standards per Payer Contracts and policies and procedures.
  • Ensured confidentiality and protection from discovery of re-credentialing and quality information.
  • Constantly maintained, updated and ensured accurate database to include pertinent provider data and provider effective dates with Payer.
  • Created reports related to recredentialing productivity, appeals, and provider performance.
  • Answered Payer inquiries and/or correspondence relating to recredentialing.
  • Contributed to positive work environment through positive interactions with team members, other departments, providers, clinic managers, medial staff and Payers.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Conducted performance reviews and provided feedback to managers on employee performance.

Administrative Assistant/Front Office Lead

Calcagno Pediatrics
02.2009 - 12.2011
  • Excelled in combined patient services/administrative role within high volume pediatric clinic.
  • Developed strategies to streamline and improve office procedures.
  • Sorted and distributed office mail and ordered and maintained office supplies for entire clinic.
  • Executed record filing system to improve document organization and management. Worked with outside vendor to turn patient paper charts into electronic charts.
  • Extensive knowledge of HIPAA.
  • Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
  • Coordinated and scheduled appointments to optimize scheduling of multiple physicians and three mid-level providers.
  • Negotiated contracts with vendors and suppliers for office supplies, equipment and services.
  • Assisted development and implementation of new administrative procedures.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Volunteered to help with special projects of varying degrees of complexity.
  • Assisted in hiring and training of front office staff.
  • Compiled and gathered information to recredential existing providers and mid-level providers, as required by insurance companies.

Education

No Degree -

Mount Hood Community College
Gresham, OR

Skills

  • Handling Complaints
  • Operational Efficiency
  • Excellent communication with internal and external customers, both verbally and in writing
  • Maintaining accurate and confidential records
  • Administrative Leadership
  • Meeting Coordination
  • Special Event Projects
  • Credential Verification
  • Coordinate Schedules
  • Interdepartmental Communication
  • Ability to analyze and interpret relevant laws, administrative rules, policies and governing agencies

Timeline

RCH Administrative Coordinator/FPPE Coordinator

Legacy Health Systems
03.2019 - Current

Delegated Credentialing Specialist

Providence Health & Services
01.2013 - 01.2019

Administrative Assistant/Front Office Lead

Calcagno Pediatrics
02.2009 - 12.2011

No Degree -

Mount Hood Community College

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Maria A. Butler