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
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
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
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
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
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