Diligent Credentialing Specialist with solid background in credentialing processes and compliance management. Successfully managed credentialing for diverse healthcare providers, ensuring adherence to regulatory standards. Demonstrated expertise in meticulous documentation and effective communication with credentialing entities.
Overview
5
5
years of professional experience
Work History
Credentialing Specialist
Apex Staffing/TPMG Consulting Services
06.2023 - 03.2024
Process credentialing files in accordance with the published department process and workflows, ensuring a timely and accurate credentialing outcome, assist in the managing of expirable elements and support the preparation for oversight reviews and audits along with other duties assigned in the support of the credentialing process
Obtains accurate and complete primary source verifications for elements required
Maintains accurate information in the department database and other systems
Reviews and processes credentialing application for completeness following department guidelines and direction
Credentialing Coordinator
Randstand Staffing/SMART Physician Recruiting
11.2021 - 10.2022
Solid experience with MSO Office applications and Outlook Exchange skills
Possess excellent communication skills at all levels internal and external to the organization
Demonstrated ability to effectively communicate with medical staff leadership and administrative personnel
Make administrative decisions and judgments using critical thinking skills
Unique database management skills including querying, reporting, and document generation
Demonstrated ability to function independently with minimal the ability to exercise good judgment and be a team player
Medical Staff Coordinator
Robert Half /Eisner Health
09.2020 - 07.2021
Prepare re-credentialing packets
Check license, DEA board Certifications and malpractice insurance, making sure all are clear and in good standing as well as have the correct expiration
Prepare enrollment application, send to provider via DocuSign
Work on expirable report
Provider Enrollment Specialist
Robert Half/Brault
08.2019 - 03.2020
Process and obtain primary source verification for all aspects of provider credentialing (including initial and reappointment), as well as gather in-hospital quality/activity data
Interpersonal skills to successfully interact with physicians and physician office staff
Detail oriented with analytical skills
Education
High School Diploma -
Mark Keppel High School
Monterey Park, CA
06.1979
Skills
DocuSign
MS Teams
MS Office
ZOOM
Application coordination
Insurance procedures
Database maintenance
Credentialing documentation
License verifications
Facility credentialing
Microsoft office
Remote conferencing and communication
Timeline
Credentialing Specialist
Apex Staffing/TPMG Consulting Services
06.2023 - 03.2024
Credentialing Coordinator
Randstand Staffing/SMART Physician Recruiting
11.2021 - 10.2022
Medical Staff Coordinator
Robert Half /Eisner Health
09.2020 - 07.2021
Provider Enrollment Specialist
Robert Half/Brault
08.2019 - 03.2020
High School Diploma -
Mark Keppel High School
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