Sheena Ceasar
Milwaukee,WI
Summary
Methodical Credentialing and Privileging Specialist with extensive experience in healthcare administration and strong organization skills in managing technical and personnel resources. Possesses proficiency in primary verification, legal documentation and provider relations, contributing to the effective credentialing and privileging of healthcare practitioners in compliance with regulatory standards and protocols.
Overview
3
3
years of professional experience
Work History
Credentialing and Privileging Specialist
VA Medical Center
Milwaukee, WI
03.2024 - Current
- Oversee the credentialing and privileging processes to authorize healthcare practitioners for clinical practice, ensuring compliance with federal, state, and hospital regulations.
- Conduct thorough primary source verifications, including background checks, board certifications, and ongoing monitoring of provider credentials to maintain organizational integrity and patient safety.
- Collaborate with multidisciplinary teams to facilitate effective onboarding of new providers, and maintain accurate records for accreditation purposes.
Registrar
Waukesha Memorial Hospital
Waukesha, WI
02.2022 - Current
- Provided guidance to staff on day-to-day operations related to registrar functions.
- Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
Credentialing Coordinator
Molina Healthcare
Wauwatosa, WI
11.2022 - 03.2024
- Monitored expiration dates for provider documentation, proactively communicating with relevant staff to avoid delays in credentialing and patient care services.
- Conducted internal file audits and participated in managed care audit processes to ensure adherence to practices and standards.
- Reviewed records in cases of potential liability and determined compliance actions.
Registrar
Froedtert Hospital
Mequon, WI
07.2022 - 05.2023
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Coordinated with faculty to ensure course availability and scheduling.
- Accessed patient charts to collect, abstract and extrapolate patient data.
Education
Associate of Applied Science - Associates in Business
Bryant And Stratton College
Wauwatosa, WI05-2012
Skills
- Demographic Information Management
- Certified Medical Administrative Specialist
- Legal and Credentialing Documentation
- Critical Thinking and Problem Resolution
- Data Entry and Maintenance
- Background investigations
- Effective communication and active listening
- Risk Management
- Files and Records Management
Additional Experience
- Mortgage Loan Processor II at UW Credit Union, Milwaukee, WI
- Home Equity Mortgage Processor at JP Morgan Chase, Milwaukee, WI
- Enrollment Processor at United Health HealthCare, Wauwatosa, WI
Timeline
Credentialing and Privileging Specialist
VA Medical Center
03.2024 - Current
Credentialing Coordinator
Molina Healthcare
11.2022 - 03.2024
Registrar
Froedtert Hospital
07.2022 - 05.2023
Registrar
Waukesha Memorial Hospital
02.2022 - Current
Associate of Applied Science - Associates in Business
Bryant And Stratton College