Teresa Oneal
West Palm Beach,FL
Summary
Accomplished Credentialing Coordinator with a proven track record at Piedmont Hospital, adept in practitioner application monitoring and providing exceptional support in credentialing processes. Demonstrates a keen eye for detail in application file verification and excels in fostering collaborative relationships, enhancing compliance, and streamlining provider enrollment.
Overview
14
14
years of professional experience
Work History
Credentialing Coordinator
Piedmont Hospital
Atlanta, GA
10.2020 - 09.2021
- Reviewed and processed applications to verify accuracy of credentialing information.
- Collaborated with other organizations to obtain required documents for verification purposes.
- Assisted with auditing processes for compliance purposes.
- Collaborated with physicians to ensure timely completion of hospital applications.
- Managed end-to-end provider credentialing process, ensuring compliance with industry standards.
- Conducted thorough background checks and verified educational and professional qualifications.
- Assisted in the accreditation process by gathering and submitting required documentation.
Credentialing Specialist
TeamHealth
Palm Beach Gardens, FL
05.2018 - 08.2019
- Researched discrepancies between submitted provider data and verified sources when necessary.
- Maintained detailed records of provider data in the credentialing database system.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Provided support in responding to inquiries from external parties regarding credentialing information.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Coordinated with internal departments such as medical staff services or risk management to resolve any issues identified during the verification process.
Palliative Care Coordinator
TrustBridge Health
West Palm Beach, FL
08.2007 - 01.2016
- Facilitated communication between family members and healthcare providers regarding changes in a patient's condition or prognosis.
- Maintained accurate records of all client contact information, treatments, medications, referrals.
- Coordinated end-of-life care services such as hospice or home health aides.
- Assisted in the development of policies related to palliative care programs within the facility.
- Provided emotional support to families of terminally ill patients, helping them cope with the diagnosis.
- Organized and facilitated interdisciplinary team meetings to discuss patient needs and progress.
- Collaborated with other healthcare professionals such as physicians, nurses, and social workers regarding treatment plans for each patient.
Education
Bachelor of Science - Human Resources Management
Strayer University
Palm Beach Gardens, FL10-2021
Bachelor of Science - Human Resources Management
Keiser University
Fort Lauderdale, FL01-2019
High School Diploma -
Cook County High School
Adel, GA05-1993
Skills
- Practitioner application monitoring
- Data entry proficiency
- HIPAA compliance
- Provider enrollment
- Background checks
- Application file verification
- Application coordination
- Credentialing oversight
- Employee onboarding
- Credentialing software
- Records and file management
- Re-credentialing processes
References
References available upon request.
Timeline
Credentialing Coordinator
Piedmont Hospital
10.2020 - 09.2021
Credentialing Specialist
TeamHealth
05.2018 - 08.2019
Palliative Care Coordinator
TrustBridge Health
08.2007 - 01.2016
Bachelor of Science - Human Resources Management
Strayer University
Bachelor of Science - Human Resources Management
Keiser University
High School Diploma -
Cook County High School
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