Rhonda Borders
Rolla,MO
Summary
Accomplished Manager of Medical Staff Services at Phelps Health, adept in Credential Stream software and Medical Staff Bylaws interpretation, streamlined credentialing for 400+ providers, ensuring compliance with TJC and NCQA standards. Spearheaded electronic credentialing, enhancing provider satisfaction and team productivity through effective decision-making and problem-solving. Excelled in policy development and staff motivation, fostering a culture of continuous improvement and collaboration.
Overview
38
38
years of professional experience
1
1
Certification
Work History
Manager, Medical Staff Servcies
PhelpsHealth
01.2017 - Current
- Successfully implemented an electronic credentialing software platform to manage more than 400 providers.
- Continuously met TJC, CMS and state standards for credentialing for providers.
- Developed policies to meet NCQA guidelines in collaboration with the Managed Care Enrollment team.
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Subject expert for Medical Staff Bylaws and policies.
- Enhanced physician and advanced practice personnel satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Developed a strong department culture focused on employee engagement, collaboration, and continuous learning opportunities.
Credentialing Coordinator, Medical Staff Office
Phelps Health
02.1995 - 01.2017
- Provided support to committees and teams to take and transcribe meeting minutes, track projects, and maintain a rotating meeting schedule for physicians.
- Collaborated with medical staff leaders to develop a comprehensive credentialing policies, ensuring compliance with industry standards.
- Served as a resource for hospital staff by maintaining a thorough understanding of current trends and best practices in the credentialing field.
- Reduced errors in documentation by thoroughly auditing provider files for completeness and accuracy.
Secretary, Quality Management and Risk
Phelps Health
07.1992 - 03.1995
- Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
- Organized daily patient logs for Care Managers.
- Maintained daily report documents, memos and meeting minutes.
- Prepared professional correspondence, including memos, letters, and emails, ensuring accuracy and timeliness.
- Maintained electronic filing systems and categorized documents.
Registration Clerk
Phelps Health
04.1987 - 07.1992
- Completed registration paperwork, verifying accurate patient information.
- Answered patient questions and inquiries regarding registration process and documentation.
- Provided training to new registration clerks on policies, procedures, and best practices for maintaining an efficient workflow within the department.
- Managed emergency department registration and minimal triage of patients.
Education
High School Diploma -
Rolla High School
Rolla, MO05.1983
Skills
- National Practitioner Data Bank Administrator for facility
- Provider Credentialing Specialist certification
- Credential Stream software implementation and management
- Microsoft Office Software skills
- Documentation and reporting
- Time management
- Verbal and written communication
- Complex Problem-solving
Certification
NAMSS Certified Provider Credentialing Specialist (CPCS) 2011 - present
Timeline
Manager, Medical Staff Servcies
PhelpsHealth
01.2017 - Current
Credentialing Coordinator, Medical Staff Office
Phelps Health
02.1995 - 01.2017
Secretary, Quality Management and Risk
Phelps Health
07.1992 - 03.1995
Registration Clerk
Phelps Health
04.1987 - 07.1992
High School Diploma -
Rolla High School
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