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Candidate's Name
Street Address  Bellaire Loop Land OLakes, FL Phone: PHONE NUMBER AVAILABLE EMAIL AVAILABLEEducation/TrainingBaltimore City College  Baltimore, MDAssociate of Arts; May Street Address
Catonsville Community CollegeCertification as Medication Tech; June 1996Professional ExperienceMedical Staff Coordinator: 2018  PresentUniversity of Maryland Medical Center  Baltimore, MDPrepare and distribute Credentialing and Re-credentialing applications to pertinent individualsSecure required information relating to credentialing and re-credentialing in a confidential mannerIdentify red flags and works with division head to resolve.Secures copies of Malpractice claims and completes legal summaries for each.Compiling data analysis of OPPE and FPPE reports according to required timelines.Organizes and prepares files for monthly credentialing meetings.Ensure that all expiring documents and files are reviewed and obtained promptly.Maintains the accuracy and integrity of the credentialing and privileging database systemPrepare files and participate in delegation auditsCollaborates with the internal departments and the new appointments or rotating residents on-boarding process.Responsible for sending out numerous correspondences to providers, credentialed staff, requests for information and pertinent offices with needs from the credentialing departmentPrepare parking privileges and ID letters for providers.Responsible for the collection of provider dues and depositing the dues monthly.Make change of status requests in the database to ensure accurate data on credentialed/provider individualDetailed understanding of Professional Liability Standards.Medical Staff Supervisor; 2014  2018Georgetown University Hospital  Washington, DCCredentialing Coordinator; 2013  2014Booz/Allen/Hamilton  Rockville, MDCredentialing Coordinator; 2006  2012JOHNS HOPKINS HEALTHCARE  Baltimore, MDPrepared for NCQA Accreditation.Responsible for all of the Delegated Credentialing and Audits.Assembled and prepared credentialing information for appropriate committees.Maintained and updated database to track applications and the credentialing process.Provided administrative support such as generating and distributing mailings.Participated in the appointment process and coordinated medical staff meetings.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.Various Medical Assignments; 2003  2006KELLY TEMPS  Baltimore, MDCredentialing Specialist; 1999  2003MAGELLAN BEHAVIORAL HEALTH  Columbia, MDReview provider files for appropriate documentation required for the credentialing process.Prepare files for audits and maintain electronic data input activities.Processes all departmental requests of provider applications following proper credentialing policies, procedures and protocols.To assess and evaluate providers eligibility for participation against established criteria for inclusion into the network.TechnologySoftware:MS Office Suite (Word, Access, Excel, PowerPoint) MS Outlook, Vistar Credentialing Software, Cactus, Echo, MD Staff Credentialing Software