Professional Summary
Overview
Work History
Education
Skills
Certification
Timeline

Stephanie Novak

HealthPoint Family Care, Inc.
Cincinnati,OH
1
Certification
25
years of professional experience

Detailed-oriented Credentialing Specialist with 20 + years of experience in managing provider credentialing processes. Experienced in credentialing 55 + providers across multiple specialties in KY, OH & IN to include Family Medicine, Women’s Health, Dental & Behavioral Health. I am hard working & dedicated with strong organizational skills.

Work History

Credentialing Specialist

12 Years 3 Months
HealthPoint Family Care, Inc. | 05.2014 - Current

▪ Manage provider & facility credentialing processes with expedition to ensure compliance with regulatory standards as a Federally Qualified Health Center.

▪ Conduct primary source verifications.

▪ Facilitate privileging applications for Chief Medical Officer, CEO & Board of Directors approval.

▪ Collaborate & coordinate communication with providers & payer organizations.

▪ Manage multiple priorities effectively resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.

▪ Conduct audits of provider files ensuring all necessary documents are compliant with the Health Resources and Services Administration {HRSA} as well as the Federal Tort Claims Act {FTCA}.

▪ Demonstrate excellent problem-solving skills during the credentialing process.

▪ Enhance credentialing processes by developing a streamlined process for the documentation & verification procedures.

Credentialing Coordinator

2 Years 10 Months
Neighborhood Health Care, Inc. | 02.2011 - 12.2013
  • Managed provider credentialing processes to ensure compliance with regulatory standards.
  • Collaborated & coordinated communication with providers & payer organizations.
  • Coordinated with Administration to implement payer contracts.
  • Managed multiple priorities effectively resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
  • Conducted audits of provider files ensuring all necessary documents were up to date & compliant with regulatory requirements.
  • Demonstrated excellent problem-solving skills during the credentialing process.
  • Enhanced credentialing processes by developing a streamlined process for the documentation & verification procedures.
  • Proven ability to learn quickly & adapt to new situations while working independently & collaboratively in a team environment.

Medical Assistant/Credentialing Coordinator

9 Years 3 Months
BMF Pediatric Care, Inc. | 10.2001 - 01.2011
  • Assisted in patient intake and documentation, ensuring accuracy in medical records.
  • Supported physicians during examinations and procedures, enhancing patient care efficiency.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
  • Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
  • Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
  • Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
  • Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
  • Prepared lab specimens for diagnostic evaluation.
  • Implemented quality control measures to ensure accuracy in provider credentials and documentation submission.
  • Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
  • Assisted with special projects as needed, demonstrating adaptability and commitment to the success of the organization.

Education

Medical Terminology - Medical Terminology

Kiamishi Area Vo-Tech | Durant, OK

Medical Assisting - Medical Assistance

Canterbury Career School | Riverside, CA

High School Diploma

Walter E. Stebbins High School | Dayton, OH

Skills

Provider application coordination & demographic updates
Primary Source Verification {License
DEA
Databank
Board Certifications
Education}
Data management
maintenance
documentation & recordkeeping
Provider & Facility payer enrollment to include Medicare
Medicaid & Commercial plans
Knowledgeable in CAQH
PECOS
NPPES systems
the OH & KY Medicaid state provider portals PNM & KYMPPA as well as Commercial payer systems
Proficient in Microsoft Excel
Word
Foxit PDF

Certification

  • Medical Terminology, Kiamishi Area Vo-Tech
  • Medical Assistant, Canterbury Career School
  • Venipuncture Training
  • Immunization Outreach

Timeline

Credentialing Specialist

HealthPoint Family Care, Inc.
05.2014 - CurrentRead More

Credentialing Coordinator

Neighborhood Health Care, Inc.
02.2011 - 12.2013Read More

Medical Assistant/Credentialing Coordinator

BMF Pediatric Care, Inc.
10.2001 - 01.2011Read More

Kiamishi Area Vo-Tech

Medical Terminology from Medical Terminology
Read More

Canterbury Career School

Medical Assisting from Medical Assistance
Read More

Walter E. Stebbins High School

High School Diploma
Read More
Stephanie Novak