| Candidate Information | | Title | Medical Staff Coordinator, Exec Assistant, Credentialing Coordin | | Target Location | US-TX-Round Rock |
| | 20,000+ Fresh Resumes Monthly | |
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Click here or scroll down to respond to this candidate! "Performed training, orientation, and coaching for performance improvement within physician practices.Served as primary contact for providers serving as a liaison between the provider and the health plan. Conducted monthly face to face meetings with the providers; documented discussions, issues, attendees, and action items; researched claims issues on site and routing to the appropriate party for resolution. Received and responded to external provider related issues. Initiated entry or change of provider related database information. Oversaw testing and completion of change requests.Investigated, resolved, and communicated provider claim and credentialing issues and changes. Educated providers regarding policies and procedures related to referrals and claims submission, web site education, EDI solicitation and problem solving.Performed provider orientations, including creating and updating orientation materials.Credentialing Coordinator - Provider Enrollment University of Texas Medical Branch, Galveston, Texas January 2012 to February 2015Managed all phases of credentialing activities for potential practitioners and organizational providers.Managed 8 direct reports, responsible for oversight of their daily work activities.Worked with the Medical Staff offices to facilitate timely completion of the credentialing process.Processed all medical and allied health practitioner's initial and re-applications for appointment to staff.Verified licenses and documents with expiration dates for all current practitioners in a timely manner Contacted providers to request updates to licenses and documents with expiration. Participated in the re credentialing process each month.Maintained electronic file, performing accurate data entry updates to the credentialing and enrollment systems.Compiled weekly reports to the Medical Executive Committee on the status of provider enrollment.Credentialing Coordinator & Executive Assistant Seton Healthcare Network, Austin, Texas February 2001 to December 2011Planned and organized Medical Executive and Ethics Committee meetings (prepare packets, agendas, overhead presentations) and produce accurate, timely minutes. Responsible for the planning of the Annual meetings.Managed all phases of credentialing activities for potential practitioners and organizational providers.Maintained electronic file to facilitate the activity to include data entry. |
