Samaantha Ryner

• Maintains confidentiality of all pertinent pharmacy and provider information.
• Submit pharmacy permits and renewals
• Submit Pharmacist in Charge changes and renewals
• Administers credentialing and re-credentialing to ensure compliance with regulatory accreditation and various managed care plan polices and protocols, standards and requirements
• Tracks credentialing and re-credentialing to ensure compliance with time sensitive materials
• Completes new Medicaid applications and renewals or re-credentialing
• Medicaid portal maintenance and updates
• Pull Medicaid remits for billing upon request if portal access is limited
• Manage PBM credentialing requests and maintenance
• Maintain NCPDP profile for all pharmacy sites
• Certificate of Insurance updates and dissemination to plans
• NPI updates
• URAC, ACHC support during accreditation implementation or reviews
• Fraud, Waste, and Abuse annual attestations

• Maintaining an updated database of credentialed providers, allowing for quick access to essential information when needed by senior management or other departments within the organization.
• Prepare and submit applications for licensure and certifications to Boards of Pharmacy and ensure applications are complete, accurate, and submitted within the required deadlines.
• Compile and submit necessary documentation for participation state Medicaid and Medicare programs.
• Conducted detailed verification of pharmacists' and pharmacy technicians credentials ensuring compliance with state and federal regulations.
• Streamlined the credentialing process by implementing efficient tracking systems and maintaining accurate records.
• Managed strict deadlines effectively, prioritizing tasks and efficiently allocating resources to ensure optimal productivity.
• Liaison with Regulatory Agencies..

• Received and evaluated applications to look for missing and inaccurate information.
• Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
• Provides exceptional customer service to physicians and physician office staff members as well as internal customers, such as members of additional departments.
• Educates physicians and physician office staff on credentialing processes and maintains ongoing contact with these individuals throughout the process.
• Responsible for processing and verification of documents related to medical staff reappointment of providers (every 2 years), and ongoing maintenance of credential’s files for current licensure, certification, liability coverage, controlled substance and drug enforcement certification.
• Acquires timely and accurate primary source verification for all credentialing functions according to Medical Staff Bylaws, Joint Commission, and other regulatory bodies.
• Supports Medical Staff Supervisor in providing all credentialing, privileging and meeting support activities for Orlando Health Medical Staff and its leadership.
• Ensures compliance with Orlando Health Health Central Hospital Medical Staff Bylaws, Rules and Regulations, and Orlando Health policies and procedures.
• Assure reappointment files are complete prior to being reviewed by appropriate chairmen/section chief.

Risk Management

• Answer phone calls, routes callers, takes messages, and provides routine information to callers.
• Establishes and maintains files and records on an ongoing basis. Types routine correspondence, reports, special projects, technical papers usually from written copy.
• Maintains established departmental policies and procedures. Prioritizes work load to manage multiple priorities. Handle large amounts of written, electronic and verbal information concerning hospital and medical affairs in a corporate compliant and discreet manner.
• Works with information that may be of a confidential nature. Maintains regular, punctual attendance consistent with Orlando Health policies, ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Medical Staff Services

• Manages expirables.
• Interacts on a daily basis with medical staff leadership, department chairs, medical staff members, administration, and executive staff. Assists with development and implementation of credentialing/ privileging processes.
• Interacts daily with Credentialing manager. Develops and implements processed and special projects assigned by Credentialing manager in the department.
• Assists credentialing manager in promoting use of technological resources to automate credentialing processes.
• Exhibits extensive attention to detail and requires attention to detail from team members.
• Exhibits and promotes within Medical Staff Services team excellent customer service to Medical Staff leaders, medical staff members, medical staff applicants, hospital administration, as well as internal and external customers.
• Assist physicians and others with all matters relative to medical staff. Maintains confidentiality.
• Meet incoming customers and medical staff professionals with professional approach and provided friendly, knowledgeable assistance.

• Welcoming patients, family, and visitors as they enter the hospital as well as helping them find a particular service or unit.
• Providing appropriate information and accessing, as needed, the desktop computer that has current information on location of patients in hospital.
• Organizing and maintaining forms and office stationary for front desk activities.
• Keeping reception area ready for each working day, opening on time and having all front desk effects fully operational at the start of business hours.
• Turning off and unplugging applications, appliances, and machines. Handling any form of emergency quickly, efficiently, and effectively. Respecting and maintaining privacy and dignity of clients and ensuring client confidentiality at all times.
• Providing information to patients requesting information on clinic policies and timings, test results, and requests to consult practitioners on an urgent basis.