Seeking a competent position that will enhance my skills for personal and professional growth.
Authorized to work in the US for any employer
Overview
35
35
years of professional experience
Work History
Credentialing Specialist
HCA HealthCare
Campbell, CA
02.2024 - 11.2024
Participated in credentialing committees, presenting cases and making recommendations.
Performed primary source verifications such as criminal histories, licenses and board certifications.
Updated credentialing software with new features to enhance process efficiency.
Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
Credentialing Coordinator
Mills Peninsula Hospital
Burlingame, CA
12.2022 - 11.2023
Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.
Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
Used [Software] to maintain facility databases containing physician records, files and credentialing documents.
Collaborated with physicians to ensure timely completion of hospital applications.
Checked applications for missing information and organized all paperwork.
Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
Performed database queries, compiling information according to requests and logging logistics changes.
Reviewed and processed applications to verify accuracy of credentialing information.
Responded to inquiries from internal and external sources regarding credentialing status.
Assisted in preparing reports related to provider data and credentialing activities.
Analyzed data collected during the verification process to identify discrepancies.
Managed confidential files related to each provider's credentials.
Prepared monthly reports summarizing status of provider credentials.
Verified documentation against compliance standards and communicated deficiencies to resolve issues.
Caregiver
Care Giver
Los Banos, CA
05.2018 - 06.2022
Responsible for providing domestic duties
Duties include assist with bathing, laundry, preparing meals, and companionship.
Improved patient outlook and daily living through compassionate care.
Maintained clean and well-organized environment for client happiness and safety.
Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
Created safe and positive living situations for clients by communicating with family and other staff about concerns or challenges.
Care Giver
Home Supportive Services, Merced County
Los Banos, CA
11.2010 - 04.2016
Responsible for providing domestic duties in home
Duties include assist with bathing, laundry, preparing meals, and companionship.
Provided companionship to clients through conversation, activities and positive interactions.
Reminded clients to take medications and picked up prescriptions from pharmacies.
Encouraged client independence as much as possible to promote mental and physical fortitude.
Credentialing Coordinator
Hardenbergh Interim Staffing Group
08.2015 - 10.2015
Responsible for processing new and reappointment applications from providers for medical staff privileges in the Credentialing Department
The Medical Staff Coordinator ensures new appointments and reappointments meet NCQA and The Joint Commission standards to oversee the day today operations and to complete the process appropriately.
Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.
Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
Collaborated with physicians to ensure timely completion of hospital applications.
Medical Staff Coordinator
Stanford Hospital and Clinics and Lucile Packard
Stanford, CA
12.2006 - 09.2013
Responsible for processing new and reappointment applications from physicians and Advance Practice Professionals for medical staff privileges
The Medical Staff Coordinator ensures the credentialing processes meet the NCQA and The Joint Commission standards to oversee the day to day operations to complete the process
The Medical Staff Coordinator also interprets the Medical Staff Bylaws, Rules & Regulations, general hospital policies and procedures and other regulations governing the Medical Staff.
This position also includes various work projects, attending credentialing meetings and taking minutes, processing Governing Board approval letters, auditing medical staff files, monitor proctoring and work directly with the assigned specialties to complete the credentialing process.
Assembly of files for data entry, verify and monitor all education, training, licensure, board certifications, NPI, NPDB, OIG sanctions, malpractice history, malpractice insurance and competencies for privileges requested.
Process background checks and report any red flags to the service chiefs and respective credentialing committees.
Maintained communication and transparency with governing boards, department heads and medical staff.
Merge and archive reappointment files to ensure merged files are complete and current.
Credentialing Coordinator
El Camino Hospital
Mountain View, CA
03.2006 - 12.2006
Responsible for processing new and reappointment applications from providers for medical staff privileges.
The Credentialing Coordinator ensures the credentialing processes meet the NCQA and The Joint Commission standards to oversee the day to day operations to ensure the process is complete.
In addition, the Credentialing Coordinator interprets the Medical Staff Bylaws, Rules & Regulations, general hospital policies and procedures and other regulations governing the Medical Staff.
Collaborated with physicians to ensure timely completion of hospital applications.
Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.
Credentialing Coordinator
Stanford Hospital and Clinics
Stanford, CA
10.2001 - 03.2006
Responsible for processing new and reappointment applications from providers for medical staff privileges.
The Credentialing Coordinator ensures the credentialing processes meet the NCQA and The Joint Commission standards to oversee the day to day operations to complete the process.
In addition, the Credentialing Coordinator interprets the Medical staff Bylaws, Rules & Regulations, general hospital policies and procedures and other regulations governing the Medical Staff.
This position also includes various work projects.
Kept close tabs on documentation expiration dates, communicating with correct personnel to submit files prior to expiration.
Collaborated with physicians to ensure timely completion of hospital applications.
Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.
Office Assistant IV (TEAM LEADER)
Stanford Hospital and Clinics
Stanford, CA
12.2000 - 10.2001
Under the direction of a HIMS Supervisor and Manager, a team leader serves as a working supervisor of a team of 3-7 staff members.
A team leader provides leadership and HIMS expertise to the team by demonstrating competence in team member HIMS skills, setting goals and priorities, report monthly statistics, delegate work to team members, troubleshooting issues with the computer systems, training staff, evaluating quality of work, reviewing staff work, ensuring adequate supplies, ensuring equipment maintenance, and provides input into policies and procedures.
Rotates to other Team Leader positions according to departmental needs.
Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation.
Greeted visitors or callers to handle questions or direct to appropriate staff.
Dispersed incoming mail to correct recipients throughout office.
Proofread and corrected correspondence and reports for error-free documentation.
Office Assistant III
Stanford Hospital and Clinics
Stanford, CA
08.1998 - 12.2000
Serves on a service team of 3-7 staff members in the section of Scanning and Indexing Area.
Responsibilities include the retrieval of inpatient and outpatient medical records and prepare each record for scanning and indexing process.
Each record is doc-prepped, scanned and indexed (indexed-electronically filed).
Daily records received in total numbers of 90-120 for processing.
All records completed in an 8-hour period.
Team works efficiently to prioritize all work duties and communicates effectively with one another.
An important function of this position is detail and accurate work habits.
Medical Records information is verified by team members to confirm correct medical data is processed for correct patient.
Medical Records Clerk II
Lucille Packard Children's Hospital
Palo Alto, CA
10.1997 - 08.1998
Manages physician incomplete process in accordance with the LPCH medical staff by- laws, JCAHO requirements and Title XXII.
Reviews inpatient and outpatient records to ensure the completeness of documentation for clinical pertinence standards.
Assist physicians with inquiry concerning completion of records.
Maintained complete confidentiality in accordance with organization and legal requirements.
Observed confidentiality and safeguarded all patient-related information.
Compile and publish suspension list of delinquent records on a weekly basis to send final notification to physicians and allied health professionals.
Kept department clean, organized and professional.
Relief Employee Office Assistant III
Stanford Hospital and Clinics
Stanford, CA
07.1996 - 10.1997
Duties include the retrieval and assembly of inpatient and outpatient records to ensure timely coding and abstracting with strict adherence to guidelines set forth by both department and JACHO guidelines
Utilization of the Bill Hold report to prioritize work
Update computer system upon receipt of pathology reports
Scan and Index medical documents in Chart Vision, using Panasonic and Kodak scanners
Maintain specified statistics of work processed for quality tracking purposes.
Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation.
Health Information Clerk
El Camino Healthcare Sunnyvale Medical Clinic
Sunnyvale, CA
12.1995 - 07.1996
Duties included conversion from alpha to numeric filing systems.
Medical Records Clerk II
Good Samaritan Hospital
Los Gatos, CA
03.1990 - 11.1995
Effectively held responsible positions on a continuous path of advancement.
Transcription Clerk
Support physicians in editing reports
Process and distribute transcribed medical reports
Prepare surgery
schedule for upcoming operating room cases
Monitor report results for discharge, file reports on nursing
units for in-house patients, and attend to a high volume of phone requests by physicians and other
healthcare facilities.
Medical Record Assembly and Analysis Clerk
Good Samaritan Hospital
Emphasis on arranging orderly medical charts and monitoring for pertinent documents prior to coding
Birth Recorder: Obtain pertinent information from birth mothers for birth certificates
Prepare and type birth certificates to route them to the State office of Vital Statistics.
Education
Diploma -
William C. Overfelt High School
06.1988
Skills
Hospital Experience
Medical Records
Credentialing medical staff with NCQA and Joint Commission standards
Detail oriented and flexibility in a changing environment
Strive for optimism and symmetry in my life
Communicate effectively and follow up with speech or with writing
In the absence of specific instructions, utilize best practices
Work independently and within a team to contribute to team objectives
Effectively support and foster team members
Dependable and Responsible
Supportive Personality
Utilize best practices with clear communication and team collaboration