Mary Thomas
Ashland,KY
Overview
45
45
years of professional experience
1
1
Certification
Work History
Credentialing Coordinator
Cabell Huntington Hospital
Ashland, KY
09.2013 - 04.2022
- Responded to inquiries from internal and external sources regarding credentialing status.
- Initiated contact with appropriate state boards and agencies as needed.
- Coordinated with departments within the organization to facilitate smooth completion of credentialing process.
- Collaborated with other organizations to obtain required documents for verification purposes.
- Monitored and tracked progress of credentialing applications to ensure timely completion.
- Managed confidential files related to each provider's credentials.
- Assisted with auditing processes for compliance purposes.
- Provided guidance and advice to providers on the credentialing process.
- Reviewed and processed applications to verify accuracy of credentialing information.
- Maintained database of provider information, including contact details and licensure expiration dates.
- Created and maintained records for all providers in accordance with the organization's standards.
- Analyzed data collected during the verification process to identify discrepancies.
- Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
- Collaborated with physicians to ensure timely completion of hospital applications.
- Performed database queries, compiling information according to requests and logging logistics changes.
- Assisted in the accreditation process by gathering and submitting required documentation.
- Maintained up-to-date records of credentialing statuses in database systems.
- Ensured strict confidentiality of provider information in accordance with HIPAA regulations.
- Responded to verification inquiries from other healthcare organizations and insurance companies.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Conducted thorough background checks and verified educational and professional qualifications.
- Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Participated in credentialing committees, presenting cases and making recommendations.
Credentialing Specialist
King’s Daughters Medical Center
Ashland, KY
06.2002 - 09.2013
- Prepared and submitted detailed reports on credentialing progress to management.
- Developed or implemented recruiting strategies to meet current or anticipated staffing needs.
- Conducted exit interviews and completed employment termination paperwork.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Checked applications for missing information and organized all paperwork.
- Researched discrepancies between submitted provider data and verified sources when necessary.
- Responded to verification inquiries from other healthcare organizations and insurance companies.
- Managed end-to-end provider credentialing process, ensuring compliance with industry standards.
- Maintained up-to-date records of credentialing statuses in database systems.
- Participated actively in special projects or initiatives pertaining to improvement of operational efficiency within the department.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
- Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Provided guidance and support to new providers throughout the credentialing process.
- Participated in periodic audits of credentialing files to maintain compliance with applicable regulations and policies.
Surgery Scheduler
King's Daughters Medical Center Ohio
Ashland, KY
06.1995 - 06.2002
- Booked surgeries according to physician volume and maintained prompt turnaround times.
- Created and managed surgical schedules for multiple surgeons.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Worked with operating facilities to schedule procedures on behalf of surgeons.
- Adhered to HIPAA guidelines when handling confidential information.
- Coordinated with patients, staff, and physicians to ensure accurate scheduling of surgeries.
- Communicated with ancillary departments on patient's behalf during the entire pre-operative process.
Human Resources Clerk
King;s Daughters Hospital
Ashland, KY
08.1994 - 06.1995
- Assisted in coordinating corporate events such as holiday parties or team-building activities.
- Processed, verified and maintained personnel-related documentation.
- Sorted personnel files, maintaining alphabetical, index and cross-referenced information electronically.
- Processed new hire paperwork and coordinated onboarding activities for all new hires.
- Provided administrative and clerical support to the Human Resources department.
Rehabilitation Unit Clerk
King;s Daughters Medical Center
Ashland, KY
05.1993 - 08.1994
- Recorded patient data in permanent records while maintaining HIPAA compliance and internal standards to protect individual medical information.
- Ordered and maintained supply inventory for medical office.
- Ordered office supplies, equipment, and other materials as needed.
- Organized and maintained filing systems for patient records.
- Maintained confidentiality of all patient information.
- Transcribed recorded practitioners' diagnoses and recommendations into medical records.
- Answered phones to transfer calls or relay messages to patients or staff.
- Provided support to physicians and nursing staff with administrative tasks.
Medical Scribe Assistant
Raymond V. Mecca, MD
Ashland, KY
04.1987 - 05.1993
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Accurately documented patient histories, physical examinations, and diagnoses in medical records.
- Collected vital signs from patients prior to their appointment with a physician.
- Demonstrated knowledge of terminology for multiple medical specialties, consistently seeking ongoing training to expand and maintain knowledge base.
- Managed and organized medical documents to ensure easy access for healthcare providers.
- Contributed to patient care by facilitating the order of tests and prescriptions under physician guidance.
- Assisted with the preparation of materials for patient education and follow-up care.
- Provided real-time support to physicians during patient encounters and ensured accuracy of medical documentation.
- Supported physicians in managing patient flow by preparing exam rooms and medical records before consultations.
- Followed clinicians throughout shift in high-volume, busy environments.
- Assisted physicians during patient visits by taking detailed notes on interactions and treatment plans.
- Prepared examination rooms by stocking supplies, setting up equipment, cleaning surfaces.
Office Manager
Cheryl Lynn Linkous, MD
Ashland, KY
07.1986 - 04.1987
- Maintained filing system for records, correspondence and other documents.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Responded to customer inquiries via phone or email in a professional manner.
- Prepared patients for their examinations
- Performed EKG's
- Phlebotomy procedures
- Applied 24-hour Holter Monitors
- Checked patients out and made follow-up appointments
Emergency Department Medical Scribe
King's Daughters Hospital
Ashland, KY
06.1977 - 07.1986
- Translated medical jargon and short-hand data into correct terminology.
- Provided support to nurses in collecting specimens, preparing medication trays.
- Transcribed recorded practitioners' diagnoses and recommendations into medical records.
- Demonstrated knowledge of terminology for multiple medical specialties, consistently seeking ongoing training to expand and maintain knowledge base.
- Contributed to patient care by facilitating the order of tests and prescriptions under physician guidance.
- Routed laboratory or diagnostic results to appropriate staff.
- Documented and initiated tests, scan and other orders.
- Prioritized and managed multiple tasks simultaneously in a high-pressure environment.
- Input details about patient histories, physical examinations, medications and other information into physical or electronic charts.
- Assisted physicians during patient visits by taking detailed notes on interactions and treatment plans.
Education
Associate of Applied Science - Administrative Medical Assistance
Ashland Community College
Ashland05-1977
Skills
- Credentialing processes
- Primary source verification
- Database management
- Regulatory compliance
- Data analysis
- Document tracking
- Accreditation support
- Application reviews
- Confidentiality management
- Effective communication
- Attention to detail
- Customer service
- Re-credentialing processes
- Excellent communication
Certification
- Certified Provider Credentialing Specialist - 2009
- LEAN Facilitator 2001
Timeline
Credentialing Coordinator
Cabell Huntington Hospital
09.2013 - 04.2022
Credentialing Specialist
King’s Daughters Medical Center
06.2002 - 09.2013
Surgery Scheduler
King's Daughters Medical Center Ohio
06.1995 - 06.2002
Human Resources Clerk
King;s Daughters Hospital
08.1994 - 06.1995
Rehabilitation Unit Clerk
King;s Daughters Medical Center
05.1993 - 08.1994
Medical Scribe Assistant
Raymond V. Mecca, MD
04.1987 - 05.1993
Office Manager
Cheryl Lynn Linkous, MD
07.1986 - 04.1987
Emergency Department Medical Scribe
King's Daughters Hospital
06.1977 - 07.1986
Associate of Applied Science - Administrative Medical Assistance
Ashland Community College