privileging coordinator resume example with 12+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Organized, resourceful coordinator focused on boosting customer satisfaction and service quality. Familiar with documentation, reporting and compliance requirements. Skilled in managing employee documentation and maintaining files and records. Possesses outstanding prioritization, multitasking and planning abilities to juggle responsibilities. Systematic and methodical professional 5 years of hands-on experience handling various administrative duties and tasks in office setting. Commended and recognized for meticulous file management abilities.
Skills
Patient Scheduling
Administrative Leadership
Financial Management
Verbal and Written Communication
Correspondence and Reports
Project Management
Consulting
File and Data Retrieval Systems
Database Management
Scheduling and Calendar Management
Strategic Planning
Medical Terminology
Regulatory Compliance
Recordkeeping
Relationship Building
Education and Training
Mead High SchoolSpokane, Expected in 06/2009 ā āHigh School Diploma: - GPA:
Glendow Academy Spokane, Expected in ā ā:Esthetician License - GPA:
Experience
Specialists On Call - Privileging Coordinator Remote, VA, 09/2021 - Current
Coordinates the initial and reapplication processes for for all providers who are pursuing obtaining privileges at a facility.
Evaluates provider's credentials in order to ensure compliance with accrediting agencies such as the Joint Commission, CMA, or NCQA
Ensures all credentialing deadlines are met in a timely manner
Maintains all credentialing related databases such as Echo, SalesForce, & CAQH
Sustains data integrity while ensuring the accuracy of all documents
Creates trainings for new hires as well as supports all other functions of duties assigned by leadership
Skills
Excellent organizational abilities
Outstanding customer service skills
Excellent written and oral communication skills
Attention to detail and accuracy
Client service oriented (both internal and external)
Creative and persistent problem solver; ability to āthink outside the boxā at times
Ability to interact and communicate with individuals at all levels of organization
Ability to multi-task and prioritize workload in a fast-paced environment
Strong interpersonal skills to handle sensitive situations and confidential information.
Ability to work under tight deadlines
Self-motivated and shows initiative
Adjusted to working fully remote successfully and efficiently (3yrs)
Currently studying to get my CPCS
Qualifications
2 years of credentialing experience
Experience working directly with providers, CVO's and MSO's
Knowledge of Joint Commission and government regulatory requirements
Experience in Microsoft Word, Excel, and Outlook
NAMSS certified within one year of employment
Midland Care Connection - Medical Billing Specialist Emporia, KS, 01/2021 - 09/2021
Responsible for charging, calculating, and collecting payments for medical procedures and services.
Maintained billing software
Receive, sort, and track incoming and outgoing payments
Kept accurate records of client accounts and outstanding balances
Updated patient medical information and ensured it was accurate
Prepared invoices
Examining patient bills for accuracy and requested any missing information
Investigated and appealed denied claims
Skills
Problem Solving Skills
Excellent Communication
Superb time management
Great multitasker
Outstanding organizational skills
Attention to detail
Conflict management skills
Siskin Children's Institute - Practice Coordinator Chattanooga, TN, 11/2018 - 12/2020
Built, monitored, and adjusted daily and weekly provider schedules
Main point of contact and source of communication regarding provider schedule and any necessary changed requested by physicians
Admin for meetings and calendar management for MDS
Appropriately refers to healthcare programs, specialists and other multidisciplinary team members such as ambulatory care management, home visit provider, home health, pharmacist
Consistently and positively communicates and collaborates with colleagues, supervisor, and customers (internal and external)
Communicates patient and family difficulties and concerns to appropriate staff
Schedule new patient, follow-up and surgical center appointments using EMR scheduling software.
Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
Verify and update all insurance and HIPAA forms and information as needed.
Skills
Medical Terminology
Patient Handling
Billing Systems
Medical Office Operations
Strong proficiency in Power Point, Excel, & Outlook
On an ongoing basis and in a timely manner, accurately applies cash collections to the customers account using appropriate accounting and business managements software
Manually review remittance from customers or clients and match the payments to the appropriate invoices to make sure the payments had been received.
Transfer the daily Lockbox files from bank websites to the appropriate network folders for automated payment application or rejection
Perform timely and accurate application of daily receipts and reconcile cash balance to general ledger account on a daily basis
Post ACH, wire transfers, and RDS deposits to appropriate GL accounts.
Skills
Accounts receivable
Account reconciliation
Account Payable
Accounting
Invoicing
Cash Posting
Data Entry
Five Guys - Waitress/Shift Leader Parma, OH, 02/2018 - 11/2018
Welcoming and seating guests
Taking guests orders
Communicating orders effectively to the kitchen staff
Memorizing the menu and offered recommendations
Ensure the guest feels important and welcome
Maintained knowledge of all food, liquor, beer, and wine retail offered
Looked for ways to consolidate servies and increase table turns
Adhere timing standards for products and services
Followed all cash handling policies and procedures
Skills
Excellent customer service
Team player
Sell to customers needs
Stamina
Food safety permit
Point of sales operations
Dependable
Adaptability
Pizza Hut - Shift Lead City, STATE, 02/2011 - 04/2015
Provided direct supervision of employees as well as feedback
Ensured everything ran smoothly and efficiently
Covered absences
Managed cash drops/drawers
Prepared bank deposits
Scheduled employee shifts/duties
Resolved employee issues
Fostered a positive working environment
Skills
Excellent communication and interpersonal skills
Leadership skills like decision making, motivation, and goal setting
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