MEGAN FAGAN

• Oversee credentialing and re-credentialing for Air National Guard Providers and Practitioners for the Pacific Region
• Accurately prepare, review, and submit credentialing and privileging appointment applications
• Work closely with providers throughout the Credentialing and Privileging process to ensure timely completion of application
• Update and maintain each providers data into JCCQAS database system
• Pull monthly reports to ensure all expirable files are current and accurate
• Strong communication with National Guard leadership teams and providers
• Maintain knowledge and ensures compliance with appropriate policies and ANG regulations
• Perform primary source verifications
• Maintain and track all provider credentialing files
• Proficient in Microsoft Word, Excel, Power Point and Adobe Pro
• Remote work and self-motivation skills and experience.

• Provide management advisory services pertaining to labor management, company policies, attendance and leave usage
• Plan, develop, organize, implement and direct day-to-day functions of the clinic and its programs and activities to ensure compliance with federal regulations and laws
• Hire, train and oversea staff duties and responsibilities and provide feedback and guidance as needed
• Assist in obtaining documents for credentialing of provider and maintaining files
• Experience with CAQH
• Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
• Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
• Assessed processes and procedures, complying with OSHA, and HIPAA regulations.

• Developed systems and procedures to improve operational quality and team efficiency.

• Assist state credentialing team with initial and re-credentialing needs for UTARNG providers.

• Supervised operations staff and kept employees compliant with company policies and procedures.

• Responsible for identifying and securing internal and external resources needed to support the contract.

• Supervise assigned personnel, direct work effort, production, and quality.

• Ensure team member compliance with applicable standards, processes, rules and regulations.

• Provide deliverables to include reports and briefings as required by the contract.

• Coordinate and hold regular team meetings.

• Create, track and manage medical and dental cases in compliance with the Utah Army National Guard

• Responsible for maintaining and assisting with medical readiness of over 800 Service Members.

• In charge of maintaining multiple Case Management databases.

• Assisting as the primary liaison in the credentialing process of Utah Army National Guard healthcare providers.

• Processing healthcare provider files for clinical privileging.

• Uploading documents to and maintaining Service Member electronic medical record.

• Assisted physicians and nurses with clinical procedures following safe practices.
• Triaged incoming calls for provider to determine callers' needs for immediate appointments or scheduled visits.
• Precepted newly hired medical assistants to train each on office procedures and important tasks.

• Effectively manage and delegate clinical team's roles and responsibilities.

• Sanitized, restocked, and organized exam rooms and medical equipment.
• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
• Documented vital signs and health history for patients in clinic and hospital environments.
• Called and faxed pharmacies to submit prescriptions and refills.
• Documented patient information in EMR and prepared paperwork for medical staff.