Medical Customer Service
Resume:
Kimberly E. Boyd
Spring Hill, Tennessee 37174
SKILLS SUMMARY
More than twenty years of experience in the medical field in many different areas within healthcare.
Responsible for medical staff credentialing, bylaws, performance and quality improvement activities
and regulatory compliance. Strong leadership abilities and strategic focus on physician relations.
Experienced with credentialing requirements in hospitals, systems and credential verification
organizations. Extensive interactions with physician leadership, senior management and outside
organizations. Proficient in computer software programs and highly organized and capable of
working quickly and accurately under pressure to successfully meet deadlines.
EXPERIENCE
Tri-Star Centennial Medical Center, Nashville, Tennessee
Director of the Medical Staff Services (January 2017-May 2017)
Responsible and accountable for departmental services. Serves as a liaison in ensuring Medical Staff applications, appointments, privileges, credentialing, and administrative support services for the medical staff, and appropriate health professionals are coordinated in a thorough, accurate and timely manner. Ensures that minutes accurately reflect discussions and actions taken in associated medical staff meetings.
Applies the principles of continuous quality improvement in delivery of services, through assessment and monitoring of medical staff office services, processes and systems; analyzes trends and implements change as required.
Ensures the confidentiality of the medical staff committee records, are maintained at all times. Oversees administrative schedules, medical staff meetings, assists medical staff officers in complying with provisions of the Medical Staff Bylaws, Rules and Regulations.
Ensures Medical Staff Office and credentialing program is in compliance with Medical Staff standards, The Joint Commission, legal and all regulatory and accrediting agency standards. Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.
Oversees the coordination and ongoing evaluation of the new physician orientation program.
Acadia Healthcare, Franklin, Tennessee
Corporate Director of Compliance and Physician Credentialing (April 2016-December 2016)
Accountable for assisting and consulting over two hundred Joint Commission Facilities
owned by Acadia Healthcare with readiness for Surveys.
Responsible for working with the Medical Staff Services at all facilities on State and Joint
Commission concerns with accreditation.
Assist all Joint Commission facilities with training and standardization of all forms, policies and procedures throughout all the facilities.
Oversees all Regulatory Compliance concerns and issues for more than two
hundred United States Facilities owned by Acadia Healthcare.
Accountable for achieving appropriate outcomes and patient satisfaction on the Regulatory Compliance Hotline calls for all United States Facilities.
Rolling Hills Hospital, Franklin, Tennessee
Manager, Medical Staff Affairs and Administrative Services (December 2014-March 2016)
Manages and accountable for all recruitment, credentialing and on-boarding of all Physicians and Allied Health Professionals.
Oversight and Manager of Communication Staff.
Maintains Medical Staff Bylaws, Rules and Regulations, Joint Commission and CMS Regulations to ensure Regulatory Compliance.
Maintains all credentialing and re-credentialing through the Midas Credentialing Software.
Maintains OPPE, FPPE, audits and quality data for physician quality assurance.
Assist with Contract management and Fair Market Value for all physicians, clinical and non-clinical contracts for the facility.
Patient Advocate for the hospital to ensure continued patient satisfaction and assist the patient and family through complicated processes.
Nashville General Hospital at Meharry, Nashville, Tennessee
Coordinator, Medical Staff Services Department and Executive Assistant to the Chief
Medical Officer (November 2013-November 2014)
Accountable for all credentialing of physicians, allied health professionals, fellows and administrator of the Echo Credentialing System.
Responsible for overseeing and coordinating credentialing process for a major teaching hospital and management of staff.
Assured compliance with regulatory and accrediting organizations.
Assist Provider Enrollment Department to ensure a timely and seamless process.
Handle all administrative duties to the Chief Medical Officer.
Record, transcribe and maintain all minutes of all medical staff meetings. Assist with the preparation of materials, agenda notes, handouts, etc. as directed.
CogentHMG, Brentwood, Tennessee
Credentialing Specialist (May 2013-November 2013)
Credentialing of Hospitalist, Intensivist and Allied Health Professionals for the the West Business Region.
Screening Physicians and Allied Health Professionals for employment.
Daily multi-tasking several markets and providers on credentialing deadlines.
Assisting physicians on receiving medical licensing, DEA, Visa and medical malpractice insurance.
Assisting Athena with Provider Enrollment to Hospitalist, Intensivist and Allied Health Professionals.
St, Anthony's Medical Center, St Louis, Missouri 1992-2013
Credentialing Coordinator (November 2007-May 2013)
Credentialing of Allied Health Professionals and Allied Health Caregivers.
Verifications for other facilities and re-appointments for St. Anthony's Medical Center Physicians and Allied Health Professionals.
Overseeing the On-boarding process of Residence, Fellows and Medical Students.
Meeting minutes and ordering of supplies.
Day to day request of Physicians on medical staff questions and concerns.
Administrative Assistant (October 2001-October 2007)
Handle all administrative duties to the Director of a Behavioral Health System.
Assist Director in scheduling, Kronos and day to day issues with the Call Team and Receptionist Personnel.
Record, transcribe and maintain all minutes of meetings. Assist with the preparation of materials, agenda notes, handouts, etc. as directed.
Develop and prepare monthly statistical budget reports.
Responsible for maintaining all Quality Improvement data and reports
Business Office Representative (October 2000-September 2001)
Responsible and accountable for processing and quality of all admissions, benefit verification and insurance/medical billing.
Collections of deductibles, co-pays and insurance collection follow-up.
Coordinated payment activities with Utilization Management.
Psychiatric Nurse's Aide/Unit Secretary (August 1998-September 2000)
Administrated direct patient care as assigned and performed other nurse's aide duties under the direct supervision of a professional nurse.
Lead non-medical groups to promote social interaction.
Received phone calls for nursing personnel and relayed message to appropriate staff or patient.
Assembled charts for new patients and transcribed physician orders.
Customer Service Representative (July 1997-July 1998)
Investigated patient account inquiries and answered customer service questions for approximately 65 calls daily.
Communicated with insurance companies concerning payments and insurance verification.
Coordinated payment arrangements and informed patients of options and general questions on infertility treatment.
Psychiatric Nurse's Aide/Unit Secretary (July 1994-June 1997)
Performed same task as above (see August 1998-September 2000) with the exception of working directly with Chemical Dependent and Substance Abuse population.
Food Service Aide (June 1992-June 1994)
Prepared diet plans and menus for special need patients.
Assisted cook in preparing food trays for patients.
Berry & Leibrecht, LLC, 1998-2000
Legal Assistant (August 1998-September 2000)
Researched legal issues and cases and reported findings to attorneys.
Prepared legal documents and settlement brochures.
Assisted two attorneys in court preparation.
EDUCATION
CPMSM-In process of certification
Maryville University, St. Louis, Missouri (2002-2004)
Bachelor of Science
Meramec Community College, St. Louis, Missouri (1998-2000)
Associates Degree in Applied Science-Legal Studies
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