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Skills

  • Relationship development
  • Method equipment
  • Business operations
  • Budget optimization and cost savings
  • Compliance software implementation
  • Benefits administration
  • Compensation structuring
  • First Aid/CPR
  • Team management
  • Complex cases escalation management

Work Experiences

  • Provided policy and procedure guidance in order to harmonize responses, conduct appropriate investigations, and resolve grievances.
  • Collaborated cross-departmentally with HR and compliance teams to ensure all provider credentialing upheld state and federal standards.
  • Identified and resolved complex employee issues that had an impact on management and business decisions.
  • Achieved 46% increase in provider satisfaction.
  • Used the Power BI system to accurately prepare 18 months payroll and track data.
  • Updated training processes by reviewing existing documentation, soliciting associate feedback, and collaborating with legal and compliance teams.
  • Achieved 23% reduction in processing delays.
  • Collaborated with HR and compliance teams.
  • Avoided potential penalties of up to $12.
  • Increased new business opportunities by utilizing effective networking techniques.

Summaries

  • Stakeholder engagement and team leadership are my specialties.
  • Adept at overseeing credentialing.
  • Balance organizational targets with compliance and employee demands to ensure well-organized and efficient HR operations.
  • Client relations and quality assurance are two of his most well-known abilities.
  • Accomplished Credentialing Supervisor.
  • Achieved a 38% improvement in workflow productivity.
  • Driven and decisive, with a strong desire to build and retain high-performing teams.
  • Adaptable Credentialing Supervisor.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Organized planner with strong team-building and program-management skills.

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Resolved product issue through consumer testing.
  • Collaborated with team of 6 in the development of procedure.
  • Standardized onboarding procedures for new credentialing staff, contributing to 20% faster integration into team roles and responsibilities.
  • Updated credentialing policy documents to reflect changes in federal and state regulations, reducing audit findings by 26%.
  • Coordinated with state licensing boards, decreasing lag time in license renewals by 12 weeks by simplifying documentation requirements.
  • Enabled smoother interdepartmental coordination by implementing weekly cross-functional meetings, reducing provider complaints by 76%.
  • Facilitated team performance evaluations and personalized coaching, increasing team productivity by 41% year-over-year.
  • Achieved a 39% improvement in customer satisfaction by streamlining communication between credentialing team and healthcare providers.
  • Reduced the volume of credentialing requests backlog by 58% through efficient workload redistribution and priority setting.

Affiliations

  • Association for Supply Chain Management (APICS)
  • CredSimple (Medallion) Certified Provider Registration Management
  • Rotary International
  • Healthcare Financial Management Association (HFMA)
  • Lions Club
  • Council for Affordable Quality Healthcare (CAQH)
  • Professional Association of Health Care Office Management (PAHCOM)
  • American Organization for Nursing Leadership (AONL)
  • American College of Healthcare Executives (ACHE)
  • American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • National Association Medical Staff Services (NAMSS) Certification
  • Cisco Certified Network Associate (CCNA)
  • Healthcare Compliance Certification by Beacon Labs
  • Certified Risk Adjustment Coder (CRC) Certification
  • HIPAA Compliance Certification
  • CPHQ by category
  • Compliance and Ethics Program Certificate by method
  • Certified Credentialing Specialist (CCS)
  • Certified Professional in Credentialing (CPC)

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