Credentialing Coordinator Resume Example
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CREDENTIALING COORDINATOR
Summary
Results-focused home health professional with strength in telehealth, home health marketing and authentic relationship building. Proactive leader with strengths in communication and collaboration. Proficient in leveraging excellent care and precise knowledge to promote healthy living conditions at home. Adept at managing concurrent objectives to promote efficiency and influence positive outcomes. My communication and organizational skills are what allow me to assess situations quickly with successful and efficient outcomes.
Skills
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Experience
Phoenix Children's HospitalJanuary 2019 to January 2020Credentialing Coordinator
Laveen , AZ
Laveen , AZ
- Used USMON, Symplr, Intellecentrics/RepTrax, PArallon/HealthTrust to maintain facility databases containing physician records, files and credentialing documents.
- 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.
- Offered high level of assistance during managed care auditing process and conducted internal file audits.
- Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.
- Prepared employees for assignments by establishing and conducting orientation and training programs.
- Strengthened tractability by developing organization systems for records, reports and agendas.
- Implemented employee engagement and development activities, presentations and training to maximize productivity and unite workforce.
- Optimized processes by training employees to apply industry best practices and observe all protocols.
- Executed integrated recruiting campaign across multiple media channels.
- Worked with HR management to devise and update policies based on changing industry and social trends.
- Fostered productivity by coordinating itinerary and scheduling appointments.
- Developed process improvements and streamlined procedures to effectively resolve employee discrepancies.
Quipt Home MedicalJanuary 2015 to May 2018TRANSITIONAL CARE COORDINATOR
Norcross , GA
Norcross , GA
- Collaborated with facilities within the GSS network to provide patients the highest quality of care and reduce unnecessary 30-day hospital readmissions.
- Accessible to patient/family, SNF administrator, SNF clinician, SNF therapist, independent living and assisted living facilities.
- Served as an on-campus home health resource for inquiring assisted living and independent living residence.
- Attended SNF and daily morning meetings to keep an open communication line between HHA and GSS SNF staff as well as reviewing SNF patient list with the SNF team.
- Identified patients that are eligible for HH
- Facilitated the 72-hour conference to introduce home health services to the family and explain the transitional care program.
- Facilitated appropriate documentation to home health and Intake Coordinator. Educated patients on all important resources that would support homes services prior to rehab discharge including: Medication management (Pharmacy to deliver all meds in day to day packets) Home caregivers coordinate informational meeting with caregiver company and family, Coordinated with HH intake to ensure same day admit for SNF patients.
- Coordinated with caregiver that is providing transportation.
- Identified high-risk patients and coordinates with caregivers and home health staff to plan safe transition home.
- Worked on campus and updated admitting home health nurse on exact time of DC to ensure timely admit.
- Attended weekly HH Case Conference to discuss progress of as an of patients that are in their first 30 day window.
- Allowed Home Health in SNF staff to collaboratively identify patients that are eligible to return to SNF acute care and avoid re-hospital hospitalization.
- Performed follow-up call to patient one week after admission to Home Health.
- Documented patients comments concerns and communicated to appropriate home health staff.
- Diversified facility offerings by adding services such as Telemetry, Home Health and all Facility Education.
- Solicited medical history information from patients to provide the best and most effective medical advice.
- Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflow on task.
- Developed policies to align procedures with nursing home strategic initiatives and complied with statutory, regulatory, state and federal guidelines.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Communicated with patients with compassion while keeping medical information private.
- Improved ARC HH occupancy by 96% in 3 months.
- Implemented new hire training to further develop skills and initiate discussions on task prioritization.
- Directed daily operations at facility caring for more than 20 individuals.
- Participated in weekly meetings with department heads to discuss census information, admissions and discharges for residents.
VisionworksJune 2014 to June 2018TeleHealth Specialist
Attleboro , MA
Attleboro , MA
- Educated patients on cardiac conditions and treatments in easy-to-understand terminology.
- Compiled data from administered tests and produced reports for submission to doctors.
- Operated diagnostic systems, adhering to all protocols to minimize machine damage and patient injury.
- Ensured patient wellness through proactive responses to abnormal cardiac monitoring results.
- Set up equipment to prepare for patient procedures and tests.
- Documented findings manually and with recording devices such as blood pressure machine, oximeter and scale to update medical records.
- Resolved patient issues promptly, escalating more serious concerns to Rehab or HH nurse for assistance.
- Analyzed cardiac rhythms and reported results to nursing staff or physicians.
- Maintained confidential records on patient treatments and diagnosis to alleviate possible data breaches.
- Supported department document improvement and assisted with implementation.
- Collaborated effectively with interdisciplinary teams to deliver quality patient care.
- Recorded vascular information such as blood pressure and oxygen saturation to inform diagnostic processes.
- Territory was Tarrant, Parker, Dallas, Denton and Wise County. Priority every week was to make sure new installs were completed and follow up the patients and families to reassure and walk them through the process so they felt comfortable. The rest of the week was to schedule time to visit all existing patients.
- Most rewarding position I have ever held.
- Telehealth is a life savor and relief for most folks once they get over the fact it's "electronic." That was the best part of my job, educating to the folks that were scared or thought they wouldn't be able to do it. I sat with them and got to know them. Then I could relate the telehealth to some part of their life that they had a true passion for. When their grandkids were there that was the best. I taught them how to use it and that allowed the grandkids to help their granddad or their great grandmother how to use it and not be afraid of either the illness nor the monitor. Everyone was made apart of getting their family member safe and healthy.
- Truly Rewarding.
Education and Training
University of OklahomaSome College (No Degree): Communications and Public RelationsCity
Activities and Honors
Planning committee member of Easter Seals Professional Network Greater Fort Worth Member of The Fort Worth Chamber's "Women in Business"
Member of the Tri Delta Sorority Alumni Association - Theta Gamma Chapter
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Resume Overview
School Attended
- University of Oklahoma
Job Titles Held:
- Credentialing Coordinator
- TRANSITIONAL CARE COORDINATOR
- TeleHealth Specialist
Degrees
- Some College (No Degree) : Communications and Public Relations
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