Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information
Timeline
Generic

Michelle Moniz

Fall River,MA

Summary

Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills. Experienced administrative professional with 10+ years in provider credentialing services. Works productively with facilities, provider groups and individual professionals. Knowledgeable about application requirements for government and private insurance plans. Achievements include completing more than 25 healthcare provider applications each month with no critical errors. Highly organized and detail-oriented with in-depth knowledge of insurance regulations. Dedicated professional eager to create and implement successful strategies to improve organizational efficiency. Adept at utilizing data analysis to provide insights into HR initiatives. Strong communication and interpersonal skills and committed to pursuing best practices related to employee development and retention. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure a position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

10
10
years of professional experience

Work History

Credentialing Specialist

Lifespan: Hospitals
09.2020 - Current
  • Conducted primary source verifications such as background checks and board certifications.
  • Received and evaluated applications and reapplications to look for missing and inaccurate information.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Advocated for staff members, helping to identify and resolve conflicts.
  • Prepared records for site visits and file audits.
  • Worked alongside physicians and allied health professionals to determine privileges needed to support their disciplines.
  • Weekly follow ups to all applicants with pending items needed to complete applications.
  • Initiated virtual identification verifications with applicants to confirm identity.
  • Created and distributed Board of Trustee approval letters electronically to all applicants and applicant employers.
  • Attended Medical Executive Committee meetings and created minutes.
  • Forwarded completed applications to Division Directors, Department Chairs, Credentialing Committee committees and Board of Trustee members for review and signatures.

Medical Staff Credentialing Coordinator

Care New England
07.2018 - 09.2020
  • Prepared records for site visits and file audits.
  • Conducted primary source verifications such as background checks and board certifications.
  • Received and evaluated reappointment applications to look for missing and inaccurate information.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Developed and implemented onboarding and orientation programs for new employees.
  • Attended Credentialing Committee meetings and completed minutes.
  • Verified all expireables.
  • Created and forwarded all reappointment applications to upcoming physicians and allied health professionals for completion and followed up on non returns.
  • Processed and forwarded approved Board of Trustee letters.
  • Prepared records for site visits and file audits
  • Conducted primary source verifications such as background checks and board certifications
  • Received and evaluated applications to look for missing and inaccurate information

Credentialing Specialist

Southcoast Health
04.2015 - 07.2018
  • Prepared records for site visits and file audits.
  • Verified all expireables.
  • Received and evaluated reapplications to look for missing and inaccurate information.
  • Developed and implemented onboarding and orientation programs for new employees.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
  • Attended Departmental meetings, credentialing meetings and completed minutes.
  • Responsible for creating and forwarding all Board of Trustee letter approvals.
  • Conducted primary source verifications such as background checks and board certifications
  • Prepared records for site visits and file audits
  • Received and evaluated applications to look for missing and inaccurate information

Sr. Vice President Administrative Assistant

Southcoast Health System
02.2013 - 07.2018
  • Attended weekly meetings and special sessions of Leadership and Executive Leadership Teams and contributed to major administrative initiatives, policies and decisions.
  • Communicated with leadership teams to assist with administrative initiatives and decisions and attended weekly meetings to support policy changes.
  • Reviewed incoming correspondence and drafted appropriate responses for CEO and other high-level stakeholders.
  • Allocated work assignments and tasks to comprehensively manage administrative projects.
  • Planned budgets and communication initiatives for comprehensive facility management and allocation of space and funds.
  • Reviewed, identified, updated and prioritized strategic initiatives to provide comprehensive support to senior leadership.
  • Completed filings and upheld strict compliance with regulatory agencies and supervisors.
  • Prepared and recorded meeting minutes and documented actions taken at board meetings, committee meetings and special sessions.
  • Facilitated creation of governance policy for adoption by board of directors and committee chairperson.
  • Clarified roles, responsibilities and expectations of staff.
  • Responsible for travel arrangements and reimbursement of funds.

Education

Associate of Science -

Fisher College
Boston, MA
06.2000

Skills

  • Report Generation
  • Application Management
  • Sage 50 Accounting
  • Employee and Applicant Assessment
  • Adaptable to Changing Conditions

Accomplishments

  • Collaborated with team of 7 in the implementing of MD Staff to Southcoast Health and then showcased MD Staff to Boston Children's Hospital who has implemented MD Staff to their Medical Staff Office.

Additional Information

In 2019 I attended the Ed-U-Cate LLC. conference with founder Christine Mobley in San Antonio Texas. The week long conference provides education in credentialing and related medical staff governance and managed care areas.

Timeline

Credentialing Specialist

Lifespan: Hospitals
09.2020 - Current

Medical Staff Credentialing Coordinator

Care New England
07.2018 - 09.2020

Credentialing Specialist

Southcoast Health
04.2015 - 07.2018

Sr. Vice President Administrative Assistant

Southcoast Health System
02.2013 - 07.2018

Associate of Science -

Fisher College
Michelle Moniz