Experienced with credentialing processes and regulatory compliance in healthcare sector. Utilizes efficient database management and meticulous record-keeping to ensure accuracy and timeliness. Strong understanding of teamwork dynamics and adaptability, contributing to operational success.
Overview
14
14
years of professional experience
Work History
Credentialing Coordinator
Panoramic Health
02.2022 - 01.2025
Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
Maintained accurate files, records and credentialing documents in well-maintained databases using Athena, Verifiable and Tractmanager.
Strengthened relationships with external agencies by responding promptly to verification requests and inquiries regarding providers'' credentials.
Assisted with special projects as needed, demonstrating adaptability and commitment to the success of the organization.
Fostered a positive work environment through active participation in team meetings, collaborating on strategies to improve departmental performance.
Enrolled providers and Medicaid, Medicare, and private insurance plans.
Coordinated closely with clinical staff to ensure proper documentation was submitted for accurate billing purposes.
Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.
HIM Clerk
Copperspring East
08.2020 - 01.2022
Print daily notes needed for patient charts on a daily basis
Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Processed medical records requests from outside providers according to facility, state, and federal law.
Scanned medical records in digital format for easy retrieval and accessibility.
Printed and photocopied documents to provide patients with copies of medical records.
Maintained patient records systems by archiving, scanning and indexing important documents and files.
Responded effectively to requests for medical records from legal representatives, insurance companies, and other authorized parties in a timely manner.
Assisted in training new Medical Records Clerks, sharing best practices for managing files efficiently while maintaining confidentiality.
Business Operations
Momdoc
04.2018 - 04.2020
Collaborated with team members to achieve department goals, contributing to a positive work environment through clear communication and active participation in meetings.
Supported inventory management efforts by accurately tracking stock levels and assisting with order fulfillment processes when needed.
Responded to customer requests for products, services, and company information.
Maintained a clean and organized workspace to facilitate efficient mail handling processes.
Labeled, weighed and processed mail and packages for efficient distribution.
Records Coordinator
Encompass Health Services
08.2011 - 07.2017
Provided coverage for various positions in the company when needed
Developed strategies for long-term preservation of vital records, safeguarding crucial information against potential loss or damage over time.
Maintained accuracy, completeness, and security for medical records and health information.
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Coordinated with external agencies for accurate billing and insurance claims processing based on updated medical records.
Organized annual purging of outdated or unnecessary documents in accordance with retention policies, optimizing storage space usage.
Managed sensitive patient information securely while responding promptly to authorized requests for access or copies of records when necessary.
Facilitated smooth departmental operations by maintaining organized filing systems for both physical and digital documents.
Maintained strict adherence to HIPAA regulations, safeguarding patient confidentiality and privacy.
Maintained and organized supply room and purchased additional new materials according to department needs.
Scanned medical records in digital format for easy retrieval and accessibility.
Receptionist
Desert View Elementary
08.2010 - 05.2011
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Answered phone promptly and directed incoming calls to correct offices.
Resolved customer problems and complaints.
Responded to inquiries from callers seeking information.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Education
No Degree - Business
Devry Technical Institute
Phoenix, AZ
No Degree - General Studies
Northland Pioneer College
Winslow, AZ
High School Diploma -
Winslow High School
Winslow
05.1993
Skills
Effective written and verbal communication
HIPAA compliance
Data entry proficiency
Knowledgeable in Microsoft Office, Verifiable, Athena,
Records and file management
Re-credentialing processes
Provider enrollment
Credentialing documentation
Timeline
Credentialing Coordinator
Panoramic Health
02.2022 - 01.2025
HIM Clerk
Copperspring East
08.2020 - 01.2022
Business Operations
Momdoc
04.2018 - 04.2020
Records Coordinator
Encompass Health Services
08.2011 - 07.2017
Receptionist
Desert View Elementary
08.2010 - 05.2011
No Degree - Business
Devry Technical Institute
No Degree - General Studies
Northland Pioneer College
High School Diploma -
Winslow High School
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