PIERE JOUBERT
Dixon,CA
Summary
Detail-oriented Credentialing Specialist with expertise in regulatory compliance and effective communication. Proven track record in managing provider credentialing processes and conducting audits to ensure accuracy and completeness with a proven track record in regulatory compliance and project management. Expertise in data management and vendor relationships, ensuring efficient credentialing processes and high standards of accuracy.
Overview
16
16
years of professional experience
Work History
Credentialing Specialist
Marin Health
Greenbrae, California
06.2019 - Current
- Managed provider credentialing processes and ensured compliance with regulations.
- Reviewed and verified documentation for new healthcare providers.
- Maintained accurate databases for practitioner credentials and licenses.
- Facilitated communication between providers, departments, and external agencies.
- Conducted audits of credentialing files for accuracy and completeness.
- Assisted in updating policies related to provider credentialing and privileging.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
- Coordinated with internal departments such as medical staff services or risk management to resolve any issues identified during the verification process.
- Attended meetings and seminars related to healthcare industry regulations and trends.
- Assisted in developing and implementing departmental procedures related to provider enrollment and maintenance activities.
- Performed database queries, compiling information according to requests and logging logistics changes.
- Participated in credentialing committees, presenting cases and making recommendations.
Practice Manager
Kenneth Light, MD Spine Surgeon
03.2014 - 06.2019
- Oversaw daily operations of a high-volume spine surgery practice.
- Coordinated patient scheduling and clinic workflow to maximize efficiency.
- Facilitated communication between patients, surgeons, and administrative staff.
- Oversaw staff training and development programs for clinical team members.
- Managed vendor relationships for supplies and services essential to practice operations.
Administrative Officer 2
UC Office of the President
01.2010 - 02.2014
- Managed daily operations to ensure smooth workflow and efficiency.
- Facilitated communication between staff and management for effective decision-making.
- Provided guidance to team members on how to effectively complete tasks within established timelines.
- Ensured the security and confidentiality of sensitive information.
- Represented the organization at external events and conferences.
Education
Bachelor of Science - Business Administration
University of Phoenix
08-2006
Skills
- Provider credentialing
- Data management
- Project oversight
- Medical staff relations
- Case presentation and Documentation review
- Healthcare operations
- Effective communication
- Vendor management
- Report generation
- Regulatory compliance
Relevant Course work and work experience:
- Contract development, Property Management development and Project Management
- Utilization of Social Media Platforms, Website development, office software applications and databases
- Human resource management (HRM) and CMEs in Healthcare
Timeline
Credentialing Specialist
Marin Health
06.2019 - Current
Practice Manager
Kenneth Light, MD Spine Surgeon
03.2014 - 06.2019
Administrative Officer 2
UC Office of the President
01.2010 - 02.2014
Bachelor of Science - Business Administration
University of Phoenix