Shenah Prasad
Portland,OR
Summary
Experienced professional seeking executive or senior-level management position leveraging business acumen, customer service, health services, and supply chain background. Excited to contribute directly to the growth and success of a System-Wide Centralized organization.
Overview
6
6
years of professional experience
Work History
Medical Staff Specialist
Providence Health & Services- Oregon Region Quality Management & Medical Staff Services
01.2019
- Oversee the orientation of new Epic Applicants Professional Staff, and leadership. Communication completion of access.
- Provided real-time support to physicians and other caregivers as needed.
- Being responsible for accurately gathering details of reported Epic- or Epic related technology incidents or requests.
- Perform various administrative and clerical duties in support of Professional Staff leadership and committees.
- Enter, update, and maintain computerized information Professional Staff members and Allied Health Practitioners for Oregon Region.
- Oversee maintenance of Professional Staff database and relevant data entry. Generate multiple weekly reports.
- Upload and generate reports and pull activity reports, affiliations, and other requested reports/tasks.
- Activity contributes to and perform medical staff and credentialing functions for the Oregon Region as assigned.
- Manage aspects of credentialing within the broader, state-wide organization on behalf of the individual ministries, which may include affiliation, activity reports, and Epic Provisioning.
- Demonstrate understanding and utilization of tones, tools, and behaviors that promote patient safety in a reliable organization.
- Coordinate and prepare for Professional Staff, supporting documents, securing signatures, and preparing correspondence.
- Participate and contribute to the Oregon Region work groups as assigned.
- Maintaining/Updating profiles in database using MSOW, working on daily, 3-day, and 7-day reports (Expirable), and day-to-day email correspondences.
- Monitoring documents and maintaining information in the database for Provider staff that expires- i.e., license, DEA, insurance related to the medical staff.
Credentialing Coordinator
Providence Health & Services Hospital - Providence Holy Family Hospital
01.2019 - Current
- Reviewed and currently reviewing provider credentialing applications and verifying information for completeness and accuracy (Between 25-55 applicants in a month)- Initial and Reappointment applicants/applications
- Entered and entering provider information in Health system databases such as Modio and MSOW
- Communicate with providers regarding application process, answer any questions and content by telephone, and via email.
- Communicate confidential and sensitive information with provider offices and various agencies.
- Maintain systems, upload, and follow-up for managing the credentialing process including paper and electronic files.
- Verify healthcare information with Primary source verifications such Oregon Board of Medical Examiners (OMB), National Practitioner Data Bank (NPDB), running background checks, pulling affiliations and work history from various queries or outside Primary sources. Pulling Education from American Medical Association (AMA), National Clearing house, and American Osteopathic Association (AOA).
- Taking minutes, creating board letters, forms, and agendas.
- Sending FPPE forms once Reappt application has been submitted and pulling OPPE data.
- Merge and produce pertinent materials and information for Department chair, Senior Medical director, Credentialing Manager and Supervisor.
- Daily routine correspondences between colleagues and providers in a timely manner.
- Maintain a detailed and confidential credentialing system.
- Participated in gathering data for my direct supervisor in an upcoming audit process.
- Provided coaching and training in a project I worked on during my time at Providence- Worked on verifying the recent graduates and gathering additional training documents. I had a group of 4. I trained them in what was needed to be done and had a sharing document of the notes we all gathered to see status.
- Perform other duties as they come such as the expirables process. Making sure certificates, boards, and any other requirements are up to date.
- Knowledge of current credentialing regulations with Jefferson and prior with Providence.
- Competency with Database programs, Microsoft suite, Tableau, and Sharepoint.
- Excellent customer service, work ethics and verbal communication.
- Ability to work in an environment with diverse individuals and groups. (Team settings)
- Ability to multi-task and work in a collaborative manner.
- Ability to follow the organization’s privacy and confidentiality guidelines.
Medical Staff Programs Coordinator
Jefferson Healthcare Hospital
08.2022 - 12.2022
- Facilitates Jefferson Healthcare credentialing, including initial, Reappointment, expirable, clinical privileging for medical staff, allied health, and other providers.
- Ensuring compliance with regulatory bodies DNV (Det Norske Veritas) as outlined in the Medical Staff Bylaws or contracts.
- Maintaining confidential credentials and peer review files/databases.
- Maintaining open communication with internal and external stakeholders regarding credentialing process.
- Utilize the Modio Credentialing database, optimize efficiency, and performs query, report, and document generation.
- Creating board letters, forms and assisted in creating agendas/meeting minutes.
- Retrieve National Practitioner Data Base Reports and NAMSS Pass.
- Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
- Knowledge of provider Washington Practitioner Application, CMS credential forms
- Knowledge of Background checks through WSP-Washington State Patrol
- FPPE/OPPE-Sending forms out once Reappt application has been submitted.
- Pulling Case logs and data from Tableau for our OPPE process.
Medical Staff/Credentialing Coordinator
Providence Health & Services- Oregon Region Quality Management & Medical Staff Services
10.2020 - 08.2022
- Coordinate and work with the System-Wide Credentials Verification Services to obtain necessary initial applications.
- Ensured compliance with Joint Commission bodies as outlined in the Medical Staff Bylaws or contracts.
- Conducts primary source verification and data collection on all assigned applicants for medical staff.
- Notifies manager of any key issues that come up during the verification process.
- Coordinates and administers the credentialing and or privileging practitioner to ensure valid and timely information is provided for practitioners.
- Pulling affiliations, case logs, work history and other data as needed to meet credential requirements.
- Performs data entry into MD Staff software for new applications and all updates associated with initial appointments or other credentialing actions or practitioner changes requiring data modifications.
- Conduct in-depth file review of all providers to ensure it meets criteria including requests for clinical, hospital privileges against privileging criteria.
- Conduct primary source verifications and collect other elements for all applicants to established policies and procedures.
- Use critical thinking while credentialing complex files to flag issues or information as they come up.
- Coordinate multi-site providers, including working from multiple Providence facilities to achieve standardized approach/outcome.
- Prepare an initial appointment for review, and review all submitted information for accuracy and identify problems as needed before it gets sent to the ARM Manager and signed by the Department Chair.
- Ensure the information is processed as required by accrediting bodies such Joint Commission as well as State and Federal law.
- Communicate with applicants, explaining the department application process.
- Enter all privileging information into the database.
- Notify necessary individuals of changes to the status of a medical staff member.
- Input all relevant data to MSOW.
- Entering all information into MSOW, and responsible for generating reports/creating correspondences/pulling activity reports/affiliations.
- Responsible for generating reports and creating correspondence.
- Provide orientation materials for new practitioner
Education
BA - Forensics Psychology
Bushnell University former name: Northwest Christian University
Eugene, Oregon12.2020
BA - Business Administration – Emphasis in Management
Northwest Christian University
Eugene, Oregon08.2010
Skills
- Background verification expertise Proficient in Epic provisioning and MSOV, and experience with Sharepoint, HealthStream, and SAP
- Self-directed professional development
- High-volume task coordination
- Stays updated on credentialing and privileging requirements
- Oversight of credentialing processes
- Accurately process current hospital affiliations, maintaining the process for review of expiring affiliations, certifications, and other aspects that are required for specific privileges
- Collaborative team player
- Effective judgment in diverse teams
- Proficient in problem-solving techniques
- Proficient in Microsoft Word, Excel, and PowerPoint
- Manage confidential credential files
- Compliance with Professional Staff By-Laws in administrative tasks
- Data entry and maintenance
- Participate in the onboarding process, which may include electronic health record provisioning/access
- Utilize effective communication for safety
- Manage sensitive assignments with discretion
- Decision-making in complex situations
- Enhance customer satisfaction for varied audiences
- Strategic thinker in challenging situations
- Strong background in customer relations
- Strong organizational skills
- Proficient in organizational analysis
Prior Retail Experience
- Delivered a friendly and efficient experience.
- Reinforced customer buying decisions at checkout.
- Recovered merchandise on the sales floor.
- Processed merchandise to be sales floor ready and maintained the back room.
- Assisted with projects as needed including floorset and shipment processing.
- Followed policies and procedures.
- Abided by Asset Protection and safety messages in daily operations.
- Thrived in customer service retail environment.
- Demonstrated sales and customer service results in fa fast-paced environment.
- Effective communication skills, being open to feedback and the ability to adapt quickly.
- Lead with curiosity and humility.
- Influenced and inspired with vision and purpose.
- Observed, Engaged, and Connected.
- Delivered business results.
Timeline
Medical Staff Programs Coordinator
Jefferson Healthcare Hospital
08.2022 - 12.2022
Medical Staff/Credentialing Coordinator
Providence Health & Services- Oregon Region Quality Management & Medical Staff Services
10.2020 - 08.2022
Medical Staff Specialist
Providence Health & Services- Oregon Region Quality Management & Medical Staff Services
01.2019
Credentialing Coordinator
Providence Health & Services Hospital - Providence Holy Family Hospital
01.2019 - Current
BA - Business Administration – Emphasis in Management
Northwest Christian University
BA - Forensics Psychology
Bushnell University former name: Northwest Christian University
Similar Profiles
Arlene AziziArlene Azizi
Certified Nursing Assistant at Providence Health & Services: Saint Joseph MedicalCertified Nursing Assistant at Providence Health & Services: Saint Joseph Medical
Genevieve FlemingGenevieve Fleming
Medical Quality Assurance Investigator at The Florida Department of Health-Medical Quality Assurance-Investigative Services UnitMedical Quality Assurance Investigator at The Florida Department of Health-Medical Quality Assurance-Investigative Services Unit
Melissa GoodwinMelissa Goodwin
Office Specialist 3-Team Lead for RDCC at GALT FOUNDATION-OREGON DEPARTMENT OF HUMAN SERVICES-OFFICE OF RESILIENCE & EMERGENCY MANAGEMENTOffice Specialist 3-Team Lead for RDCC at GALT FOUNDATION-OREGON DEPARTMENT OF HUMAN SERVICES-OFFICE OF RESILIENCE & EMERGENCY MANAGEMENT
James BensonJames Benson
Management at Care & Wellness Physical TherapyManagement at Care & Wellness Physical Therapy
Benjamin HadlerBenjamin Hadler
QA Specification Coordinator at Flowers FoodsQA Specification Coordinator at Flowers Foods