Post Job Free
Sign in

Medical Assistant

Location:
Prairieville, LA, 70769
Posted:
March 09, 2010

Contact this candidate

Resume:

CAMILLE ELSBURY, CPCS

***** ****** ******** ******

Prairieville, LA 70769

225-***-**** cell

Email: ****************@*****.***

CERTIFICATIONS

Certified Provider Credentialing Specialist (CPCS) - Certified in 2005 by the National Association of Medical Staff Services

(NAMSS). Must re-certify every 3 years.

• This certification exam covered Principles of Credentialing/Recredentialing, JCAHO and NCQA Accreditation Standards

and Surveys, Legal Principles of Credentialing, Health Care Definitions, and Management of Information.

Certified Nursing Assistant (CNA) - Certified in 1990 by the Louisiana State Board of Nursing. Must maintain continuing

education and minimal direct clinical patient care every year. NOT RENEWED

• This certification covered basic nursing skills, body structure and function, infection control, CPR and Medical

Terminology.

EDUCATION

Louisiana State University - 1996 – 1998

Our Lady of the Lake College of Nursing- 1993-1995

Ascension College- 1993-1993

PROFESSIONAL EXPERIENCE

Camille Elsbury LLC – Private Credentialing Consulting Business

October 2004 to present

Medical Staff Department Manager - Earl K. Long Medical Center/LSU

August 2005 to July2009

Quality Improvement Assistant/ Credentialing Specialist – Capital Area Human Services District/DHH

July2004 to August 2005

Admission Coordinator – Progressive Health Center

September 2003 to September 2004

Nursing Home Administrator Assistant – St. James Place Retirement Center

September 2001 to September 2002

Lead Credentialer – Behavioral Managed Care Services/ General Health Systems

1998 to September 2001

Certified Nursing Assistant – Hospice of Baton Rouge

1998 to 2006

CONSULTIVE PROJECTS

(5) Site visits/ Diagnostic surveys

• Perform audit: propose changes to existing protocols and propose strategies for streamlining the credentialing and re-

credentialing process. Recommend forms, file compilation, and/or any additional departmental revisions.

• Assist facilities with meeting The Joint Commission, CMS and NCQA standards and requirements for credentialing and

re-credentialing including but not limited to: writing policies and editing existing Bylaws to ensure medical staff

standards compliance, training existing staff on The Joint Commission, CMS and NCQA medical staff requirements.

CONSULTIVE PROJECTS (continued)

(2) Long term (36 months +) CVO

• Compose and implement credentialing and privileging Bylaws, policies, procedures, forms, file compilation and storage

• Perform initial appointment by credential and privileging of practitioners according to The Joint Commission, CMS and

NCQA standards.

• Establish, create or update existing database for maintaining and tracking credentialing process and credentials data.

• Develop intranet and/or internet access for medical staff forms. Establish automated system if capabilities available,

including mail merged forms and letters, accessible online staff affiliation verifications and online re-credentialing

accessibility

(1) Short term (6 months) CVO

• Compose and implement credentialing and privileging Bylaws, policies, procedures, forms, file compilation and storage

• Acquire all reappointment files and credential and privilege all practitioners according to The Joint Commission, CMS

and NCQA standards.

• Establish, create or update existing database for maintaining and tracking credentialing process and credentials data.

• Develop intranet and/or internet access for medical staff forms. Establish automated system if capabilities available,

including mail merged forms and letters, accessible online staff affiliation verifications and online re-credentialing

accessibility

PROFESSIONAL ORGANIZATIONS

Member of Louisiana Society of Medical Staff Services (LSMSS)

Member of National Association of Medical Staff Services (NAMSS)

PROFESSIONAL PRESENTATIONS/PUBLICATIONS

Faculty- Louisiana Hospital Association (LHA) – ABC’s of Credentialing

Editor and Chief – Earl K. Long Medical Center (EKLMC) - Medical Staff Department Quarterly Newsletter

PROFESSIONAL RESEARCH/STUDY

Credentialing Fees: 2005

Objective: research credentialing fees, establish pros and cons of imposing fees.

Research paper was written and included the 2004 and 2005 EKL Medical Staff Department credentialing activity: the

number of credentialing and re-credentialing files reviewed in the past two years, the expense incurred for each file the

average cost per month and year the department spends for credentialing and re-credentialing. The study obtained feedback

on fees from all surrounding hospital and compared the fee of private facilities to those maintained by state funds.

CVO’s: 2006

Objective: research Credentials Verifications Offices, pros, cons, requirements, and services.

Research paper written and defined the CVO concept. The study conducted detailed the benefits, the complications

involved with, the JCAHO standards in relation to CVO’s and the scope of services. The research defined the

credentialing process using a CVO as opposed to the process conducted in a standard medical staff office.

PROFESSIONAL REFERENCES

Chapman Lee, MD, Chief of Surgery and Former Medical Director of Earl K. Long Medical Center

225-***-****

Karen Stone, MD, Chief Psychiatrist, Gonzales Mental Health Center

225-***-****

Shawn Doucet, Computer Professional and Program Developer, Self Employed

225-***-****

Marie Acierno, MD, Chief of Ophthalmology, EKL Medical Center

225-***-****

Tevora Tabor, RN, Director of Education Services, Louisiana Hospital Association

225-***-****

Additional References Available Upon Request



Contact this candidate