Seeking a position in a professional organization utilizing my abilities and experiences with an opportunity for professional growth based on my performance in order to obtain my (CPCS) Certified Professional Credentialing Specialist. Organize and Prioritize work in order to maintain the positive growth of the organization.
Methodist Health System Medical Staff Office/CVONovember 2011 to CurrentCredentialing Coordinator Dallas, Texas
Obtain valuable and confidential information from Department/ Committee Chairs, Medical CEO, Executive VP's and Medical Chiefs in order to complete the Credentialing process.
Establish and maintain an effective relationship between the CVO, Medical Staff Office and affiliated Hospitals.
Maintains knowledge of standards of the Joint Commission on Accreditation of Healthcare Organizations, National Committee on Quality Assurance, and State and Federal regulations related to Medical Staff organization.
Maintains working knowledge of the Medical Staff Bylaws, Rules and Regulations, and Hospital policies, and works to ensure the medical staff's compliance with the stated parameters.
Processes confidential healthcare provider files requests for, but not limited to new applications, reappointment applications and resignations/ Retirement in accordance with Medical Staff Bylaws, Rules and Regulations, JCAHO standards, and State and Federal law.
Assists the Credentials Committee with development of privilege criteria, privilege delineations, and other documents necessary to an effective credentialing process.
Set up meetings, prepare agendas/reports, take minutes, and provide support the Medical Executive Committee & Credentialing Committee.
Apogee Physicians Medical GroupMay 2009 to November 2011Dallas, Texas
January 2009 to May 2009Lead Credentialing Specialist
Review provider files for appropriate documentation required for the credentialing process.
Prepare files for audits and maintain electronic data input activities.
Coordinate credentialing and re-credentialing applications and conduct document research.
Collect and maintain files in relation to credentialing of network providers, including application, contracts, current physician licenses, DEA licenses, malpractice insurance, board certifications and other pertinent forms.
Prepare documents for Credentialing Committee review.
Forward applications to providers and ensured accuracy and completeness of information.
Interface between providers and hospital staffs to collect required information.
Perform credential verification and request information from appropriate data banks.
Submit applications to manager, medical director and Credentialing Committee for review.
Actively searching for work Medical City Dallas.
July 2008 to December 2008Credentialing Coordinator
Provides administrative support to the Medical Staff leaders, departments and Committees.
for integrity of provider data and management data.
Disseminated to health plans.
Reported to Director.
of MSS Department.
Strong interpersonal and management skills, team building and understanding.
diversity in the workplace.
L'OrealOctober 2004 to CurrentRetail Sales Coordinator
Marketing, Sales and training sales professionals to ensure monthly goals are obtained.
Quarterly sales meeting to introduce new produces and strategies for same.
Prepare weekly reports for.
management and adhere to compliance.
Dillard'sMarch 2001 to October 2004Sales Associate-Trainer Customer care specialist
maintained weekly visual, ensured inventory was up to date daily.
telephone screening and channeling of customer orders.
Excel and awarded for being the most.
productive sales associate for the year.
October 2000 to March 2001
United States NavyOctober 1994 to October 2000Signals Analyst
Handled case sensitive material on a daily basis,.
operated various high tech signals equipment daily.
Responsible for destroying expired classified.
material as needed.
Worked with all branches of the United States Armed Forces.
Baylor Scott & White, CVOCredentialing Specialist
Responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.
Facilitates all aspects of Baylor Scott & White Health System credentialing, including initial appointment, reappointment, expirables process, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers outlined in the Health System Entity Medical Staff Bylaws, policies, or related contracts.
Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.
Responsible for the accuracy and integrity of the credentialing database system and related applications.
University of PhoenixMBA
01/2016Masters of Health Administration/Masters of Business Administration: GerontologyGerontology
University of Phoenix06/2015Bachelors: Health Care Administration Health
ManagementHealth Care Administration Health
El Centro Community College12/2008AMA-Approved Associated Applied Science