Tonya Mauney
Summary
Driven by a results-focused approach, I leveraged my expertise in HIPAA compliance and data management at Kintegra Health to enhance credentialing processes, ensuring timely and accurate provider enrollments. My leadership at Gaston Family YMCA contributed to strategic growth and improved staff proficiency, demonstrating my ability to manage priorities and solve complex problems effectively.
Overview
18
18
years of professional experience
Work History
Credentialing Specialist
Kintegra Health
02.2023 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted HRSA Audit.
- conducted a checklist for provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Enrolled providers and Medicaid, Medicare, and private insurance plans for onboarding process.
- Behavioral Health onboarding.
- Managed multiple onboarding projects simultaneously, ensuring timely completion while maintaining high-quality standards.
- Conducted primary source verifications such as
- Research of Licenses and certifications.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Put together employee files and collected required digital or physical information to meet requirements.
- Worked closely with new hires, answering questions and addressing various concerns during onboarding process.
- Orientation presenter for the credentialing team.
- Volunteer with Job Fair events with other departments within Kintegra.
Behavioral Intervention Specialist
Gaston County Schools
10.2010 - 02.2023
- Evaluated student progress using data-driven assessments, modifying interventions as needed to ensure continued growth.
- Increased parent engagement by maintaining open lines of communication and providing resources for at-home support.
- Reduced behavioral incidents by collaborating with educators to develop targeted support plans for students.
- Collaborated with multidisciplinary teams to create comprehensive treatment plans addressing academic, emotional, and behavioral needs of students.
- Facilitated group sessions focused on social skills development, fostering peer relationships and collaborative problem-solving abilities.
- Participated in professional development opportunities to stay current on best practices in behavioral intervention strategies.
- Provided crisis intervention support during times of escalated behaviors, ensuring the safety of all involved parties while working towards resolution.
Site Director
Gaston Family YMCA
08.2006 - 03.2020
- Managed a team of professionals, ensuring high-quality performance and adherence to company standards.
- Developed strategic plans for site growth, resulting in increased revenue and profitability.
- Provided leadership and guidance to staff through ongoing training initiatives, boosting employee retention rates.
Education
Associate of Applied Science - Paralegal Studies
Gaston College
Dallas, NC06.2008
High School Diploma -
Lincolnton High School
Lincolnton, NC06.1993
Skills
- HIPAA Compliance
- Provider enrollment
- Background Checks
- Credentialing oversight
- Data Management
Timeline
Credentialing Specialist
Kintegra Health
02.2023 - Current
Behavioral Intervention Specialist
Gaston County Schools
10.2010 - 02.2023
Site Director
Gaston Family YMCA
08.2006 - 03.2020
Associate of Applied Science - Paralegal Studies
Gaston College
High School Diploma -
Lincolnton High School
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