Summary
Overview
Work History
Education
Skills
Timeline

Stephanie Davison

Jefferson City

Summary

Credentialing professional with solid expertise in managing and verifying credentials for healthcare providers. Strong focus on team collaboration and achieving results. Reliable and adaptable, meeting organizational standards and compliance requirements. Skilled in data management, regulatory compliance, and communication.

Overview

11
11
years of professional experience

Work History

Credentialing Specialist

Columbia Orthopaedic Group
04.2024 - Current
  • Managed credentialing for payer enrollment at Multi Specialty Clinic. Oversaw submission maintenance, monthly monitoring, medical malpractice applications, and profiles for CAQH, NPPES, PECOS, and Missouri Medicaid. Submitted monthly and annual rosters to payer groups.

Credentialing Specialist

Medallion
02.2023 - 04.2024
  • Managed credentialing and re-credentialing for diverse clients. Conducted primary source verification and prepared provider files for Credentials Committees per NCQA standards. Credentialing covered all provider types across 50 states.

Credentialing Representative

Optum Health – United Health Group
06.2022 - 02.2023
  • Managed re-credentialing functions for MedExpress. Conducted primary source verification and maintained Symplr database. Prepared provider files for Credentials Committee and supervised compliance dates with The Joint Commission. Collaborated closely with MedExpress team.

Credentialing Coordinator

Missouri Health Plus
08.2021 - 07.2022
  • Managed Missouri Medicaid Managed Care credentialing for contracted FQHCs. Conducted primary source verification and maintained Echo OneApp database. Supervised expirables and liaised between FQHCs and health plans. Submitted bi-monthly rosters to Healthy Blue, United HealthCare, Home State Health, and Dentaquest. Ensured NCQA compliance and participated in audits.

Planner I

Department of Corrections, State of Missouri
03.2021 - 08.2021
  • Managed project planning and scheduling, analyzed data for reports, monitored timelines, and addressed completion issues. Oversaw multiple projects at various stages, coordinating teams and preparing agendas and minutes via Basecamp. Compiled and distributed monthly department reports.

Residency/Fellowship Coordinator

University of Missouri School of Medicine
12.2018 - 03.2021
  • Directed administrative operations for medical residency and fellowship within fast-paced hospital environment.
  • Guided residents in meeting essential educational criteria for program completion.
  • Maintained strict adherence to ACGME guidelines in all responsibilities.
  • Coordinated scheduling of medical student rotations along with advising meetings.
  • Facilitated vetting of resident applicants with program director and faculty input.
  • Conducted onboarding responsibilities covering licensure, credentialing, and HR tasks.
  • Supported eight faculty physicians by managing calendars and scheduling needs effectively.
  • Orchestrated travel plans while overseeing membership dues operations.
  • Managed social media platforms, completed paperwork filing, and ensured timely task completion.

Medical Staff Services Coordinator

Boone Hospital Center
12.2017 - 12.2018
  • Responsible for credentialing and privileging physicians, podiatrists, dentists, and advanced practice providers. Collaborated with BJC CVO, conducted primary source verification, and ensured compliance with federal and state laws. Maintained electronic privilege manual and Symplr database. Facilitated Medical Staff Committee meetings including Credentials and Executive Committees. Supervised sanctions and expirables and participated in surveys from Missouri, CMS, and The Joint Commission.

Medical Staff Coordinator

Blessing Hospital
11.2014 - 12.2017
  • Responsible for credentialing and privileging healthcare professionals including physicians, podiatrists, and nurses; conducts primary source verification and maintains electronic privilege manual per federal and state laws and standards.
  • Facilitates Medical Staff Committee meetings, overseeing Credentials Committee and Bylaws Committee while managing FPPE process and Cactus credentialing database.
  • Supervises sanctions and expirables; participates in surveys by Illinois Department of Public Health, CMS, The Joint Commission, and DNV-GL.

Education

Associate of Science Degree - Biology

John Wood Community College, Quincy, IL
08.2002

Bachelor of Science Degree - Business Administration

Culver-Stockton College, Canton, MO
05.2015

Skills

  • Credentialing and Re-Credentialing
  • Provider enrollment
  • Strong written and verbal communication
  • Data research and analysis
  • Problem-solving
  • Teamwork and collaboration

Timeline

Credentialing Specialist - Columbia Orthopaedic Group
04.2024 - Current
Credentialing Specialist - Medallion
02.2023 - 04.2024
Credentialing Representative - Optum Health – United Health Group
06.2022 - 02.2023
Credentialing Coordinator - Missouri Health Plus
08.2021 - 07.2022
Planner I - Department of Corrections, State of Missouri
03.2021 - 08.2021
Residency/Fellowship Coordinator - University of Missouri School of Medicine
12.2018 - 03.2021
Medical Staff Services Coordinator - Boone Hospital Center
12.2017 - 12.2018
Medical Staff Coordinator - Blessing Hospital
11.2014 - 12.2017
Culver-Stockton College - Bachelor of Science Degree, Business Administration
John Wood Community College - Associate of Science Degree, Biology

Similar Profiles

CREATE PROFILE
Stephanie Davison