Dynamic credentialing professional with over 20 years of experience, including a pivotal role at SCP Health. Expert in quality assurance and compliance, ensuring accurate provider data and timely credentialing. A collaborative team player with strong organizational skills, adept at managing complex processes while maintaining confidentiality and fostering provider relations.
Overview
40
40
years of professional experience
Work History
Medical Staff Liaison
SCP Health
Traverse City
02.2010 - Current
Collaborated with healthcare professionals to collect essential credentialing documents.
Managed databases to track provider credentials and their expiration timelines accurately.
Guided providers on necessary documentation to ensure timely credentialing completion.
Evaluated credentialing applications for accuracy and completeness.
Managed re-credentialing applications for current providers in compliance with contract standards.
Supported responses to external inquiries about credentialing details.
Tracked and documented certification and credentialing processes.
Ensured accuracy of provider data by maintaining detailed entries in credentialing system.
Collaborated with medical staff services and risk management to address verification process issues.
Conducted verification of criminal histories, licenses, and board certifications.
Credentialing Consultant
Emergency Consultants, Inc.
Traverse City
06.2005 - 02.2010
Collaborated with physicians to ensure timely completion of hospital applications.
Managed confidential files related to each provider's credentials.
Monitored and tracked progress of credentialing applications to ensure timely completion.
Provided guidance and advice to providers on the credentialing process.
Created and maintained records for all providers in accordance with the organization's standards.
Maintained database of provider information, including contact details and licensure expiration dates.
Performed primary source verifications such as criminal histories, licenses and board certifications.
Ensured strict confidentiality of provider information in accordance with HIPAA regulations.
Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
Mailroom Coordinator
Emergency Consultants, Inc.
Traverse City
06.2004 - 06.2005
Managed daily mail distribution for staff and various departments.
Coordinated shipping and receiving of packages using tracking software.
Ensured proper handling of confidential documents and sensitive materials.
Assisted in organizing bulk mailings for company communications.
Maintained inventory of mailing supplies and ordered as needed.
Greeted visitors and answered incoming calls professionally and courteously.
Retail Management
Meijer
Traverse City
07.1986 - 06.2004
Fostered a collaborative work environment through effective communication and support.
Monitored staff performance and addressed issues.
Enforced customer service standards and resolved customer problems to uphold quality service.
Coached, mentored and trained team members in order to improve their job performance.
Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
Trained employees on additional job positions to maintain coverage of roles.
Maintained up-to-date records of employee attendance, payroll information, vacation requests.
Recruited and hired qualified candidates to fill open positions.
Conducted regular meetings with staff to discuss progress and identify areas of improvement.
Managed vendor relationships by negotiating contracts and ensuring timely delivery of goods and services.
Retail Sales Associate
Meijer
Traverse City
07.1985 - 07.1986
Assisted customers with product selection and inquiries in a fast-paced retail environment.
Maintained cleanliness and organization of sales floor and merchandise displays.
Operated cash register efficiently during high-volume transaction periods.
Collaborated with team members to restock shelves and manage inventory levels.
Provided excellent customer service, addressing concerns and resolving issues promptly.
Director of Medical Staff Services at University of Miami Hospital & ClinicsDirector of Medical Staff Services at University of Miami Hospital & Clinics
<ul>
<li>Hours per week: 40.</li>
</ul>
<p><strong>Duties, Accomplishments, and Related Skills:</strong></p>
<ul>
<li>Supervise and coordinate daily administrative workflows for a team of 15 employees, ensuring timely task execution, adherence to protocols, and consistent performance monitoring.</li>
<li>Maintain accurate records and documentation related to property intake, detainee processing, transportation, and deportation; verify and audit files to ensure regulatory compliance, and data integrity.</li>
<li>Execute high-volume data entry (up to 8 hours per day), including the entry of case notes, customs documentation, custody logs, and internal reports into secure federal databases.</li>
<li>Develop, review, and edit administrative reports and forms for internal use and government audits; ensure completeness, accuracy, and policy alignment.</li>
<li>Serve as the primary liaison between facility staff, supervisors, and stakeholders; facilitate clear, professional communication, and documentation flow across departments.</li>
<li>Identified discrepancies in data entries and corrected them accordingly.</li>
<li>Oversee inventory control processes, including the secure receipt, tracking, and storage of personal property, using standardized procedures and government tracking systems.</li>
<li>Conduct routine audits and quality control reviews to ensure that administrative practices meet federal operational standards.</li>
<li>Apply sound judgment to evaluate options, solve problems, and make informed recommendations on administrative and operational matters, contributing to efficient workflow management, and compliance with agency standards.</li>
<li>Assist in developing and revising privacy and security policies concerning Personally Identifiable Information (PII); identify potential compliance risks, and recommend solutions.</li>
<li>Coordinate logistics for detainee transportation to court and medical appointments, manage schedules, and track movement through detailed administrative planning.</li>
<li>Conduct roll calls, and ensure accountability through diligent documentation, system updates, and status reporting.</li>
</ul>
<p>Supervisor: Scott Jackson (949) 456-2706.</p>
<p>Permission to contact: Yes.</p> at ProTech USA LLC, Government Contracting<ul>
<li>Hours per week: 40.</li>
</ul>
<p><strong>Duties, Accomplishments, and Related Skills:</strong></p>
<ul>
<li>Supervise and coordinate daily administrative workflows for a team of 15 employees, ensuring timely task execution, adherence to protocols, and consistent performance monitoring.</li>
<li>Maintain accurate records and documentation related to property intake, detainee processing, transportation, and deportation; verify and audit files to ensure regulatory compliance, and data integrity.</li>
<li>Execute high-volume data entry (up to 8 hours per day), including the entry of case notes, customs documentation, custody logs, and internal reports into secure federal databases.</li>
<li>Develop, review, and edit administrative reports and forms for internal use and government audits; ensure completeness, accuracy, and policy alignment.</li>
<li>Serve as the primary liaison between facility staff, supervisors, and stakeholders; facilitate clear, professional communication, and documentation flow across departments.</li>
<li>Identified discrepancies in data entries and corrected them accordingly.</li>
<li>Oversee inventory control processes, including the secure receipt, tracking, and storage of personal property, using standardized procedures and government tracking systems.</li>
<li>Conduct routine audits and quality control reviews to ensure that administrative practices meet federal operational standards.</li>
<li>Apply sound judgment to evaluate options, solve problems, and make informed recommendations on administrative and operational matters, contributing to efficient workflow management, and compliance with agency standards.</li>
<li>Assist in developing and revising privacy and security policies concerning Personally Identifiable Information (PII); identify potential compliance risks, and recommend solutions.</li>
<li>Coordinate logistics for detainee transportation to court and medical appointments, manage schedules, and track movement through detailed administrative planning.</li>
<li>Conduct roll calls, and ensure accountability through diligent documentation, system updates, and status reporting.</li>
</ul>
<p>Supervisor: Scott Jackson (949) 456-2706.</p>
<p>Permission to contact: Yes.</p> at ProTech USA LLC, Government Contracting
Account Liaison / Supervisor at CareCloud / Origin Healthcare / Meridian MedicalAccount Liaison / Supervisor at CareCloud / Origin Healthcare / Meridian Medical