EDUCATION
Teays Valley High School - Ashville, Ohio
Received High School Diploma in June, 1990
EMPLOYMENT
March, 2007 to Present
The Ohio State University Medical Center – Columbus, Ohio
Lead Credentialing Specialist – Corporate Credentialing (September, 2012 to present)
• Provides mentoring and training to Credentialing Specialists as needed to improve productivity and efficiency.
• Promotes team development and good interpersonal skills by modeling such behaviors.
• Ensures timely completion of applications by assessing/monitoring credentialing timeline milestones.
• Acts as a resource for the Credentialing Specialists for technical issues.
Credentialing Specialist – Corporate Credentialing (October, 2007 to August, 2012)
• Responsible for initiating and monitoring the provider corporate credentialing functions. This included coordinating activities with the Program Managers of The James Cancer Hospital, University Hospital, and University East Hospital, Director of Corporate Credentialing, Database Administrator, clinical department office staffs, and other internal departments to manage and participate in decisions regarding the credentialing process.
• Assisted in the distribution of application/reapplication material and monitored the progression of the appointment and reappointment process to the medical staff.
• Coordinated the preparation of credential files according to OSUMC Medical Staff Bylaws, The James Cancer Hospital Medical Staff Bylaws, OSU East Hospital Bylaws, JCAHO, and NCQA for presentation to the Credential Committee for approval.
• Coordinated all aspects of the credentialing and re-credentialing process, meeting specific accreditation time frames, with minimal supervision.
• Assessed completeness and adequacy of information and provider qualifications relative to standards of the organization for whom the credentialing is being performed.
• Reviewed and extracted key information from application materials for purposes of conducting investigations, special follow-up and preparation for Credentials Committee review.
• Organized and maintained provider files and records following confidentiality and quality control guidelines.
• Provided assistance with state of Ohio medical licensure for physicians
• Assisted applicants with DEA address changes
• Assisted applicants with completion of USIP malpractice insurance application
• Provided weekly notification of applicant status to clinical division/departments
• Utilized CAQH (Council for Affordable Quality Healthcare) and Visual Cactus
• Resource for questions regarding medical staff membership or clinical privilege eligibility
• Attended OSU/clinical department/division meetings on regular basis to provide education and information
Program Assistant – Corporate Credentialing (March, 2007 to September, 2007)
• Maintained expired documents to ensure that all licenses and certifications were kept current and updated in the database for all physicians and licensed healthcare professionals
• Completed requests from outside sources for verification of training and medical staff affiliation
• Provided support to the administrative assistant and credentialing coordinators by receiving and processing new credentialing applications, ordering supplies, distributing the mail and other miscellaneous tasks
August, 2003 to March, 2007
United HealthCare - Westerville, Ohio
Credentialing Specialist
• Provided clerical and data entry support
• Managed credentialing applications
• Ensured that credentialing requirements were met
• Verified information with licensing agencies
• Assured the confidentiality and integrity of all aspects of the credentialing verification program and process
• Worked on special projects as needed
August, 1997 to August, 2003
Mount Carmel West - Columbus, Ohio
Coordinator of Patient Registration
• Coordinated all activities on day shift in the admitting department and outpatient testing center
• Maintained appropriate staffing for daily operations and acted as a resource for associates
• Responsible for the efficient operation and flow of patients in designated areas including the ...
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