Proven Credentialing Coordinator with a track record of enhancing processing times and ensuring compliance at Providence St. Patrick Hospital. Expert in MSOW and adept at fostering teamwork, I significantly improved credential verification and re-credentialing processes. My organizational skills and proficiency in Microsoft Office streamline operations, boosting efficiency and staff integration.
Overview
24
24
years of professional experience
Work History
Credentialing Coordinator
Providence St. Patrick Hospital
07.2009 - 08.2024
Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
Maintained accurate files, records and credentialing documents in well-maintained databases using MSOW..
Ensured smooth communication flow between departments by acting as a liaison between medical staff services and other administrative units.
Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
Expedited the onboarding process for new medical staff by efficiently managing initial appointments but mostly reappointment's.
Conducted primary source verifications such as background checks and board certifications.
Received and evaluated applications to look for missing and inaccurate information.
Identified gaps in existing compliance processes and recommended updates.
Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the team environment.
Responsible for the managing the hospital call schedule, ensuring that there is always a physician available to treat patients, regardless of time
Organized and detail-oriented with a strong work ethic.
Moved to Montana
Moved
06.2009 - 07.2009
Medical Billing & Coding Terminolgy
OSC Technical School
02.2009 - 05.2009
Accelerated training course. Analyze and interpret medical terms by breaking them down into root works, prefixes and suffixes. Learn how to apply this knowledge in real-world scenario's.
Branch Manager
American General Finance
05.2000 - 11.2008
Interviewed and hired talented individuals with top-level strengths, improving organizational talent, and skill set.
Met deadlines by proactively managing individual and team tasks and streamlining processes.
Maintained friendly and professional customer interactions.
Complied with regulatory guidelines and requirements.
Implemented risk management strategies to minimize potential losses while maintaining a healthy balance between risk and return on investments.
Examined customer loan applications for loan approvals and denials.
Improved customer satisfaction ratings by enhancing service quality and resolving client issues promptly.
Performed banking, business administration and financial tasks to guarantee five-star service for clients.
Increased customer satisfaction with personalized banking solutions, tailoring services to meet individual financial goals.
Education
High School Diploma -
Luther Burbank High School
Sacramento, CA
06.1984
Skills
Effective written and verbal communication
HIPAA Compliance
Knowledgeable in MSOW
Re-credentialing processes
Credential verification
License verifications
Organizational Skills
Proficiency in Microsoft word and Excel
Credentialing Software MSOW
Teamwork and Collaboration
Application file verification
Languages
Spanish
Native or Bilingual
Timeline
Credentialing Coordinator
Providence St. Patrick Hospital
07.2009 - 08.2024
Moved to Montana
Moved
06.2009 - 07.2009
Medical Billing & Coding Terminolgy
OSC Technical School
02.2009 - 05.2009
Branch Manager
American General Finance
05.2000 - 11.2008
High School Diploma -
Luther Burbank High School
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