Damita J. Whiting **** Centinela Avenue Apt * Inglewood, CA 90203

January 2, 2019

To Whom It May Concern:

My name is Damita Jo Whiting and I am submitting my resume with details of my work experience and training in the Healthcare Industry. I am a highly qualified Physician Credential Coordinator through years of self-initiated on the job training. My work experiences reflect my multiple skills and abilities in the field of verifying Physicians credentials in every medical specialty. The Credentialing process includes background screenings, arranging appointments, and obtaining previous application status, to name a few.

My resume also reflects my previous duties and responsibilities with Molina Healthcare, and encompasses detailed Physician Credential verification and background screening responsibilities that I currently manage. I also processed enrollment applications for consideration into Molina Healthcare, and provide superior administrative support and customer service. The performance in my work history has remained stellar for years with a high proficiency and accuracy rate.

Additionally, my resume will reveal my abilities to work independently and as a team member that requires initiative, interpersonal skills and a keen ability to follow specific instructions. It is also important to highlight that my work ethics are above reproach as they reflect good time management skills and attention to detail when completing my assignments while displaying a pleasant demeanor, dedication, and loyalty to my employers.

In closing, after your review of my resume it is my anticipation that I would have met the fundamental requirements for your current vacant position.

Sincerely,

Damita Jo Whiting

Damita Jo Whiting

1327 Centinela Avenue Apt 2

Inglewood, CA 90203

Cell Phone: 213-***-****

Professional Objective

It is my desire to obtain a position in the healthcare industry and continue to process and verify physician’s credentials for medical facilities throughout the United States.

Training/Education

Motivation and dedication to learn the healthcare industry led to being self-taught on all

In 1975 my career and on-the-job training in the Healthcare Insurance industry began. My aspects of Physician Credential Coordinator responsibilities and duties.

Professional Experience

11/9/2018 - 3 month Assignment Credentialing Specialist – Century City Oral & Maxillofacial Surgery, Los Angeles, CA My responsibilities include processing California Participating Physician Application (CPPA), initials and reappointments, verifying their reported credentials, National Practitioner Data Bank (NPDB), American Medical Association (AMA), Medical and Dental Board of California, and various on-line queries, organizing providers current files by date order including their off sites hospital approval letters, privileges, Vaccination, TB, and Hepatitis. Coordinates with clinical staff to gather expiring documents including Medical Licenses, Federal Drug Enforcement Agency (DEA) certification, ACLS/BLS and malpractice face sheets as required in preparation for The Joint Commission formally Joint Commission on Accreditation of Healthcare Organizations (JCAHO) inspection.

Professional Experience

9/2018- 11/6/2018 - (Independent Contractor) Credentialing Specialist – 360 Behavioral Health, Van Nuys, CA My responsibilities include processed California Participating Physician Application (CPPA), initials and reappointments for commercial health plans, verified their reported credentials, National Practitioner Data Bank, Medical Board of California, American Medical Association (AMA), and various on-line queries Coordinates with clinical staff to gather expiring documents including Medical Licenses, Federal Drug Enforcement Agency (DEA) certification, ACLS/BLS and malpractice face sheets, as required in preparation for submission to various commercial Health plans.

Professional Experience

2007- 8/2018 – Company Layoffs Physician Services Coordinator – Molina Healthcare, Long Beach, CA My responsibilities include processed all pre-applications and verified their reported credentials, temporary privileges (locums) and reappointments to complete their Boarding process. I used the State’s database to query and ascertain the information required.

Additionally, I corresponded with other medical facilities and healthcare organizations regarding the status of previous physicians. I also enrolled and maintained the records of all Molina Medical Groups, clinics, and Providers in Medi-Cal, Medicare, Railroad Medicare, Child Health and Disability Prevention Programs (CHDP), California Children’s Services (CCS), Clinical Laboratory Improvement Amendments (CLIA), Clinical Laboratory Registration (CLR), and other Payor programs.

Damita J. Whiting

Resume

Page 2

My supplemental duties and responsibilities included maintained and updated the Payor Credentialing requirements, researched and resolved credential discrepancies, discussed CME reimbursement with physicians, processed and submitted PTO requests and Timekeeping/Payroll for the Medical Director. Finally, I ensure that all licenses, legal documentation, and special accreditations for physician credentialing are current. I also maintained and ordered providers prescription pads, On-Call schedules, prepared correspondence for the hospital medical staff and review applications for physician reappointments. Coordinates with clinical staff to gather expiring documents including Medical Licenses, Federal Drug Enforcement Agency (DEA) certification and malpractice face sheets. Finally, I updated provider and billing information, rosters, maintained records, and kept updated filing systems. I also processed yearly clinic renewal fees for CLIA, CLR, Clinics business license, and Alarms.

2005 – 2007 Medical Staff Coordinator - Encino Tarzana Regional Medical Center, Tarzana, CA

My responsibility in credentialing verification included initiating and managed applications for reappointment to the Medical Staff or Allied Health Professional Staff in accordance with the Medical Staff Bylaws with primary source verification. The information provided included National Practitioner Data Bank, Medical Board of California, DEA, American Medical Association (AMA), and various on-line queries as required in preparation for routing to the appropriate medical staff committees.

In addition, I assisted in facilitating and coordinated the Credentials/Interdisciplinary Practice Committee meetings and maintained attendance records. Furthermore, I provided administrative support, customer service and receptionist responsibilities by greeting physicians, hospital personnel, visitors, answered and directed incoming calls, ordered and monitored office supplies/inventories as requested, and maintained hospital-wide physician demographics information in the computer systems. Finally, I prepared correspondences and was responsible for opening and routing incoming mail, distribution of correspondence, and other materials to Departments as directed.

2001 – 2005 Credentialing Specialist – PER-SE Technologies Billing Service,

Los Angeles, CA

My responsibilities were to maintain 322 provider files and ensure that all initial applications were processed for credentialing in a timely manner. I was also responsible for credentialing several groups, such as, UCLA Head & Neck, Jules Stein Eye Medical Group, Gynecologic Oncology Associates, USC Doheny Eye Medical Group, USC Neurosurgeons, Neurology, Orthopedic, Loma Linda University Anesthesiology & Surgery Medical Group, and resolved credentialing issues through research and by reviewing all provider credentialing applications prior to sending them to the Payers. Additionally, I managed new client start-up, individual, and group credentialing and communicated credential status to providers, client directors, client managers, and operation managers on an as needed basis.

Finally, I handled outgoing phone calls to outside agencies, which included Medicare, Railroad Medicare, Medi-Cal, CCS, CHAMPUS, Blue Shield San Francisco, Blue Cross, PROP 99, and Cal Optima while inquiring on the status of our client’s application. I also contacted insurance companies obtaining provider numbers, effective dates and in some cases UPIN numbers and maintained updated provider credentialing spreadsheets on Excel.

Damita J. Whiting

Resume

Page 3

1975 – 2000 Medicare Provider Credentialing, Enrollment Analyst – Transamerica Life Insurance Company, Los Angeles CA

During my tenure, I interfaced with providers and billing agencies for physicians and hospitals and answered incoming telephone calls from physicians, medical groups and non-physicians inquiring about the status of their applications. I also made outgoing calls to outside agencies, such as the Medical Board of California and California Licensing Board to ascertain information to verify applicant status. Additionally, I made contact with various cities to verify city business licenses.

My responsibilities also included my role as a liaison between the state and local government agencies to resolve provider enrollment matters. Also, I interacted with the Fraud Department for coordination and sharing of provider information, maintained site visits to ensure and verify licenses to establish legitimacy of practice locations, and examined applicant qualifications for provider enrollment. Finally, I processed written correspondence received from physicians and non-physicians relating to their Medicare ID number, updated addresses, name, tax number, specialty changes, and termination of Medicare ID numbers and resolved customer related issues, which in some cases involved interacting with the Center for Medicare and Medical.

Technical Skills

Microsoft Office

References

Preston Prothro

CMS Health Insurance Specialist

Centers for Program Integrity

Investigations and Audits Group

Phone: 714-***-****

ac8cuk@r.postjobfree.com

References

Karen Henkenius

Golden Shore Medical

Former Molina Healthcare

Credentialing Manager

Phone: 562-***-****

ac8cuk@r.postjobfree.com

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