Medical staffing professional with 14 years experience, well-versed in credentialing protocols and regulatory compliance. Works productively with facilities, provider groups and individual professionals. Consistently collaborates effectively within teams and adapts to evolving requirements, showcasing strong organizational skills and attention to detail.
Monitors expiration dates on licenses, certifications, insurance policies and privileges, proactively preventing lapses in coverage or compliance issues.
Assists in enrolling providers in Medicaid, Medicare, and private insurance plans.
Improved organizational filing systems for Physician records, resulting in improved accessibility and efficiency.
Oversees the reappointment/initial process for the Physicians, Adjunct Professors.
Responsible for the onboarding of New Faculty( Physicians, fellows).
Works Closely with Hospital Medical Staff Offices/ Physician Administrators to ensure all Physician are in compliance.
Manager- Medical Staff Services
Dallas Medical Center
12.2020 - 08.2023
Managed Medical Staff Meetings ( Credentials, Medical Executive and Board of Trustees) which included Scheduling, Preparing Agendas, maintaining accurate records and providing lunch.
Managed the entire credentialing and privileging process, including application review, verification and follow ups to ensure the facility and faculty met accreditation standards.
Responsible for representing the medical staff services at all Joint Commission audits.
Audited ALL Credentialing files before presenting to the Department Chairs to include OPPE/FPPE
Provided training on medical record systems and procedures for the new hire coordinators.
Responsible for completing the ER on- call schedule for ALL Departments.
Manager- Medical Staff Services
Baylor Scott & White
12.2019 - 09.2020
Ensured Compliance with medical staff bylaws, institutional policies and regulatory mandates from The Joint Commission.
Oversaw minutes for all medical staff committees and department meetings, prepared agendas, presented files and/or department matrix.
Maintained accurate and complete credential files and ensured their accuracy prior to committee review.
Responsible for the ER on-call Schedule for all departments
Participated in weekly Director/Managers meetings.
Addressed any issues related to credentialing and compliance.
Medical Staff Coordinator
Texas Health Presbyterian Hospital Dallas
03.2016 - 11.2019
Assisted with Planning, scheduling and documentation of medical staff meetings.
Verified and maintain Medical Staff credentials, includes initial appointment, reappointment, and privileging requests.
Point of contact and liaison between medical staff and hospital administration.
Processed applications for new and existing providers to ensure accuracy and completion for all documents.
Established effective communication with Physicians.
Daily communication with hospital leadership and external organizations, regarding credentialing files and other related matters.
HR- Credentialing Specialist
Allina Health
04.2013 - 03.2016
Coordinated and maintained initial and reappointment applications for both physician/allied health providers in compliance with medical staff bylaws
Obtained all applicable hospital affiliations/Medical education and insurances etc.
Tracked expirations ( DEA, Licenses, Privileges) and ensured timely processing of renewals.
Conducted primary source verifications ( PSV) such as background checks and board certifications.
Conducted audits of provider files, ensuring all necessary documents were up tp date and compliant with regulatory requirements.
Demonstrated excellent problem- solving skills when confronted with complex issues or discrepancies during the credentialing process.
Licensing Specialist
Virtual Radiologic, LLC ( Vrad)
01.2011 - 04.2013
Verified the accuracy and completeness of documentation, such ad Medical educations, and other required supporting documents.
Tracked the status of licenses/applications to ensure compliance with regulations.
Completed and submitted medical license applications and renewals in a timely manner, adhering to board regulations and guidelines.
Maintained strict confidentiality of all physician files and sensitive information.
Responsible for effectively managing large amounts of information and documentation, including electronic files and databases.
Kept up to date on changing laws and regulations, ensuring compliance with all applicable standards.
Technical Denial Specialist at University of Texas Southwestern Medical CenterTechnical Denial Specialist at University of Texas Southwestern Medical Center
Site Head of Viral Vector Core cGMP at University of Texas Southwestern Medical CenterSite Head of Viral Vector Core cGMP at University of Texas Southwestern Medical Center
Medical Staff Credentialing Coordinator at Encompass Health Rehabilitation HospitalMedical Staff Credentialing Coordinator at Encompass Health Rehabilitation Hospital