Nicole Duryea
Billings,MT
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Medical Staff Credentialing Coordinator
St. Vincent Regional Hospital
Billings, MT
06.2019 - Current
- Prepare comprehensive reports for presentation at Medical Staff Committee meetings, demonstrating detailed knowledge of current credentialing matters.
- Ensure compliance with Joint Commission regulatory standards by regularly updating and maintaining physician credentials files.
- Manage the initial and reappointment process for medical staff members, ensuring continuity of care for patients.
- Successfully manage high volume of workload while maintaining attention to detail and accuracy in all tasks performed as Credentialing Coordinator.
- Develop constructive relationships with medical staff members, promoting a supportive and collaborative environment.
- Provide exceptional customer service to physicians during the application process, addressing concerns promptly and professionally.
- Reduced turnaround time for medical staff applications through effective communication with applicants and clinic managers.
- Monitor expiration dates on licenses, certifications, and insurance policies, proactively preventing lapses in coverage or compliance issues.
- Participate in internal audits to ensure adherence to established credentialing standards and practices within the organization.
- Received and evaluated applications to look for missing and inaccurate information.
- Prepared records for Joint Commission site visits and file audits.
Medical Assistant
St. Vincent Regional Hospital
Billings, MT
06.2016 - 06.2019
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Prior Authorization Coordinator
St. Vincent Regional Hospital
Billings, MT
01.2015 - 06.2017
- Verified eligibility and compliance with authorization requirements for service providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Maintained accurate case files, updating relevant information as needed to ensure efficient record-keeping practices.
- Optimized turnaround times for prior authorization requests, collaborating closely with physicians and clinical staff to expedite necessary treatments.
Receptionist
St. Vincent Regional Hospital
Billings, MT
06.2012 - 01.2015
- Greeted incoming patients professionally and provided friendly, knowledgeable assistance.
- Answered phone promptly and directed incoming calls to correct offices.
- Handled cash transactions and maintained sales and payments records accurately.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and referrals.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Education
Bachelor of Science - Business Administration
Capella University
07.2022
Skills
- Audit preparation
- Confidentiality Practices
- Policy Enforcement
- Data Management
- Medical Staff Relations
Timeline
Medical Staff Credentialing Coordinator
St. Vincent Regional Hospital
06.2019 - Current
Medical Assistant
St. Vincent Regional Hospital
06.2016 - 06.2019
Prior Authorization Coordinator
St. Vincent Regional Hospital
01.2015 - 06.2017
Receptionist
St. Vincent Regional Hospital
06.2012 - 01.2015
Bachelor of Science - Business Administration
Capella University