Evette L. Moss, CPMSM, CPCS
******.****@*****.***
Skills
Social Media: Linked in, Twitter, Facebook
Computer: Proficient in Microsoft Office Suite, MSO (Morrisey), PIMS
(Vistar) databases, and Healthline, MD Staff.
Office: Advanced experience in general office duties including, but not
limited to the following: Typing (65 wpm), Data Entry (numeric and alpha),
10 key by touch, multi-line phones, transcription, word processing,
spreadsheets, and reports
I possess strong communication, professional, and interactive skills. I am
receptive to company and customer needs. I enjoy accepting increased
responsibilities and new assignments.
Employment
Credentialing Experience:
Scripps Memorial Hospital- Encinitas- June 2009- present
Prepare meeting agendas, minutes, and follow up information for Department
and Committees
Coordinate compliance for proctoring reviews and evaluations, Continuing
Medical Education
AHMC/Alvarado Hospital- Medical Staff Coordinator- April 06-September
06/May 2007- June 2009
Perform Primary Source Verification of Practitioner credentials in
accordance to TJC, Title 22, and DPH standards,
Coordinate and prepare practitioner Reappointment files, Create reports
using Healthline database
Prepare meeting agendas, minutes, and follow up information for Department,
Supervisory and Committees
Rady Children's Physician Management Services (RCPMS) - Medical Staff
Coordinator September 06 to May 2007
Human Resources/Benefit administration for Children's Primary Care Medical
Group Practitioners
Initial credentialing, Recredentialing, Delegation Audit coordinator
Process, submit DHS/Medi-cal and CHDP applications for site locations
Revise/update Credentialing Policy and Procedures in accordance to NCQA
standards
Prepare Peer Review Committee Agenda/Minutes, Create reports using Access
Database
PREMERA- Credentialing Specialist- January 05-March 06
Perform Primary Source Verification of Facility and Practitioner
credentials: License, Board Certification, and Education in accordance to
Company and NCQA standards for networks in WA, AK, OR and AZ
Update and maintain practitioner demographic information in PIMS database
Verbal and written communication and follow up with practitioner offices,
and interdepartmentally.
University of Washington- Office of Medical Staff Appointments (OMSA) -
Office Assistant III- December 03-April 04
Perform Primary Source Verification of Practitioner credentials in
accordance to JCAHO standards
Update and load practitioner information is MSO database
Daily verification of practitioner license and DEA certificate
Coordinate and prepare practitioner Quality Recredentialing Profiles
CIGNA Healthcare of Georgia- Credentialing Specialist- May 98- February 00
Perform Primary Source Verification of Practitioner credentials in
accordance to NCQA standards
Back up contact for Credentialing Manager
Record and prepare minutes for Monthly Credentialing Committee Meeting
Prepared Practitioner files for review by the Medical Directors and
Credentialing Committee
Performed file audits for Delegated Entities
Administrative Experience:
University of Washington Medical Center- Administrative Coordinator- April
04-January 05
Maintain confidential practitioner Quality information
Coordinated and mailed Welcome letters to initially appointed practitioners
Updated and maintained Medical Staff Manual and Medical Staff Policies and
Procedures
Georgia Institute of Technology- Tech Connections- Administrative Assistant-
June 03-December 03
Creation and updating of Powerpoint presentations
Responsible for interfacing with vendors and customers to reconcile
accounts payable and receivable
North Seattle Community College- Office Assistant- Sept 01-June 03
Accounts payable and accounts receivable: processing invoices, purchasing,
maintaining operation budget
Responsible for interfacing with vendors and customers
Coordination interdepartmentally to determine processes for student
admissions, enrollment, registration and financial aid
Education: Pursuing Bachelor of Science in Communications concentration in
Technology- 6/2010- Present
North Seattle Community College- Associate of Science, August 2003
NAMSS- Certified of Practitioner Credentialing Specialist (CPCS),
November 2005- Present
Certified Professional Medical Services Management (CPMSM)
June 2009- Present