Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Seeking a role as a Provider Enrollment Specialist.
Overview
5
5
years of professional experience
Work History
Medical Staff Coordinator
Grant Memorial Hospital, Inc
Petersburg, WV
05.2023 - Current
Assists in the management of the medical staff support function for the entity Medical Staff Organization as outlined in the entity Medical Staff Bylaws.
Coordinates receipt of credentialing and privileging applications following processing and primary source verification by the UNM Health System Credentialing Verification Office (CVO); performs review and analysis, identification and follow up of "red flag" items; prepares files for review and recommendation by the medical staff.
Coordinates credentialing end-of-committee process to ensure notification of providers, departments and CVO; database updates; breakdown, completion and scanning of files as appropriate.
Schedules, coordinates, prepares agenda, takes minutes, provides follow up for medical staff committees outlined in the entity Medical Staff Bylaws.
Prepares summary reports of credentialing/privileging recommendations and ensures flow of information and action items for medical staff committees outlined in the entity Medical Staff Bylaws.
Assists in coordination, tracking and monitoring of the OPPE and FPPE process ensuring compliance with regulatory standards and Medical Staff Affairs policies.
Interprets federal, state, local, and government/insurance agency regulations and guidelines, as well as University, Medical Staff Bylaws, rules and regulations, policies and procedures; advises providers, management, and administrators on compliance issues as appropriate.
Generates queries and reports from credentialing and privileging database.
Assists with clinical privilege development and maintenance of the entity privilege database.
Performs miscellaneous job-related duties as assigned.
Assisting and coordinating the development of strategic physician recruitment plans.
Performing initial interview and screening processes to determine candidates' suitability.
Interviewing Physicians and Onboarding.
Maintaining and managing outstanding communication with Physician candidates.
Recruiter
Grant Memorial Hospital
Petersburg , WV
02.2023 - 05.2023
Sourced and screened potential candidates for open positions.
Reviewed resumes, conducted phone screens, and managed candidate pipelines.
Developed job descriptions and postings to attract qualified applicants.
Conducted in-depth interviews with top candidates to assess skills and fit.
Maintained Applicant Tracking System records of all applicants.
Negotiated salaries and other employment terms with successful applicants.
Provided feedback to unsuccessful applicants on the status of their applications.
Collaborated with hiring managers to understand position requirements.
Organized recruitment activities such as career fairs, campus visits.
Built relationships with universities, colleges, alumni associations.
Identified best practices for recruiting process improvement.
Created reports on key recruitment metrics such as time-to-fill and cost-per-hire.
Coordinated background checks on successful candidates prior to offer acceptance.
Assisted in onboarding of new hires by providing orientation materials and training sessions.
Provided ongoing support throughout the entire recruitment life cycle processes.
Reviewed employment applications, candidate backgrounds, skills, compensation needs and other qualifications.
Billing Office Manager
E.A Hawse Nursing & Rehabilitation Center
Baker, WV
05.2022 - 02.2023
Develop and implement strategies to improve the efficiency and effectiveness of the business office operations, ensuring accurate and timely processing of financial transactions and compliance with regulatory requirements.
Manage and oversee the payroll process, ensuring accurate and timely payment of employees, and compliance with payroll tax regulations.
Ensure compliance with HIPAA regulations and maintain confidentiality of patient information.
Provide leadership and guidance to the business office staff to promote a positive work culture and employee engagement, resulting in increased productivity and employee satisfaction.
Develop and maintain relationships with insurance companies to ensure accurate and timely reimbursement of claims.
Implement strategies to improve the accuracy and efficiency of patient billing and collections in the business office, ensuring timely and accurate payment of claims and reducing outstanding balances.
Develop and implement strategies to ensure effective communication and collaboration between the business office and other departments, resulting in improved efficiency and coordination of daily operations.
Human Resource /Administrative Assistant
EA Hawse Nursing & Rehabilitation Center
Baker , WV
04.2021 - 05.2022
Supports human resources department by screening, testing, and interviewing applicants.
Prepares payroll by calculating pay, distributing checks, and maintaining payroll records.
Provides orientation for new employees by providing information packets, reviewing company policies, gathering withholding and other payroll information, explaining benefit programs, and obtaining signatures for documents.
Maintains human resources records for employees by recording the hiring, transfer, termination, change in job classifications, and merit increase dates as well as tracking vacation, sick, and personal time.
Administers employee benefit program including student loan, medical insurance, savings bond, and disability programs by advising employees of eligibility, providing application information, helping with form completion, verifying submission, and notifying employees of approvals.
Documents and tracks human resources actions by completing forms, reports, logs, and records.
Sets up and schedules complicated meetings for interviewees, hiring managers, employees, and department heads.
Accomplishes human resources department and organization mission by completing related results as needed.
Office Assistant
Hardy County Health Dept
Moorefield, WV
09.2019 - 03.2021
Greeted visitors, determined their needs and directed them to the appropriate personnel.
Provided administrative support to staff members, including copying and scanning documents, filing paperwork, and ordering supplies.
Organized office operations and procedures, such as managing calendars, scheduling appointments, preparing reports and maintaining records.
Answered incoming calls in a professional manner and directed callers to the appropriate personnel.
Performed data entry tasks into various computer systems accurately and efficiently.
Assisted with special projects as needed by researching information on the internet or through other sources.
Created spreadsheets using Microsoft Excel to track expenses and other financial data related to the office budget.
Maintained an organized filing system of paper documents and electronic files.
Collected payments, issued receipts and updated accounts to reflect new balances.
Collected and coded various documents to prepare for filing, storage and processing.
Dispersed incoming mail to correct recipients throughout office.
Education
High School Diploma -
Union Educational Complex
Mount Storm, WV
05-2007
Business Administration
Penn Foster Career School
Scranton, PA
Diploma - Business & Accounting
South Branch Vocational Center
Petersburg, WV
Skills
Maintaining Confidentiality
Dependable and Responsible
Remote Office Availability
Self-Directed
Supervision and leadership
Networking
Customer Relations
Training & Development
Decision-Making
Process Implementation
Attention to Detail
Time Management Abilities
Public Speaking
Written Communication
Multi-tasking
Adaptability and Flexibility
Staff Management
Federal & State Laws Knowledge
References
References available upon request.
Timeline
Medical Staff Coordinator
Grant Memorial Hospital, Inc
05.2023 - Current
Recruiter
Grant Memorial Hospital
02.2023 - 05.2023
Billing Office Manager
E.A Hawse Nursing & Rehabilitation Center
05.2022 - 02.2023
Human Resource /Administrative Assistant
EA Hawse Nursing & Rehabilitation Center
04.2021 - 05.2022
Office Assistant
Hardy County Health Dept
09.2019 - 03.2021
High School Diploma -
Union Educational Complex
Business Administration
Penn Foster Career School
Diploma - Business & Accounting
South Branch Vocational Center
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