Medical Staff Coordinator

Angel Dunn

***** ******** ****. #***

Day: 832-***-****

Houston, Texas 77083

E-Mail: *****.******@*****.***

OBJECTIVE Seeking a position within a company in which will utilize my

administrative, management

and problem solving skills. While allowing the opportunity for

additional career development and growth within the

company.

EDUCATION Klein Forest High School - Houston, Texas

UNIVERSITY OF PHOENIX - Houston, Texas

AREAS OF SKILL & KNOWLEDGE

Outlook, Access

Windows 95, 2000, XP, 7, 2010 & 8

AMA, OIG, EPLS

3. Joint Commission

Oracle, I-Tell Reporting

Apartment Property Management

6. Customer Service Experience

7. Internet Explorer, Fire Fox

8. 10 key, Alpha Numeric

9. Adobe 7.0/8.0

10. Kit Trak, I-Sell

11. Printing and Distribution

12. Harris County Civil & Criminal

EMPLOYMENT HISTORY

July '12 to June '14 Texas Children's Hospital - Texas Medical Center -

Houston, Texas

Medical Staff Coordinator (Contract 7/12 thru 10/12)

. Proficiently coordinate and process all aspects of credentialing, re-

credentialing and privileging activities

. Maintaining confidentiality and compliance with HIPPA Guidelines in

regard to initial and re-credentialing of staff

. Resource to Chiefs of Service, Department Heads, Committee Members,

Governing Board and Legal Department

. Provide high level support to manager regarding Credentials Committee

meeting preparations.

. Ensure that initial and re-credentialing team meets deadlines &

Assists in follow-up actions.

. Accurately and efficiently handle all aspects of practitioner data to

ensure data integrity and confidentiality.

. Compliance with Medical Staff Bylaws, Rules and Regulations, policies

and procedures, accreditation standards (e.g., Joint Commission, NCQA,

etc.), and other applicable federal, state and local regulatory and/or

accrediting agencies.

. Verify that all licenses, certifications and professional liability

insurance are current and updated in

. Update demographic and other data elements as needed to ensure data

accuracy and relevancy.

. Provide administrative support as needed within MSSE department and as

delegated by manager/leader.

. Process reports from various data systems and disseminates as

appropriate.

. Maintaining a working knowledge of applicable laws and statutes by

regulatory agencies

. Heavy use of email and phone for verification of credentials and

communication purposes

. Collaborating with various departments with on-boarding process for

Physicians and Allied Health Professionals

. Preparing initial and re-credential files for Joint Commission

Meetings

. Participate in strategic case discussions in support of management

team

. Maintaining a "Can Do" attitude with fellow coworkers, vendors,

hospital visitors, Physicians and Allied Health Professionals

July '11 to July '12 Shriners Hospitals for Children - Texas Medical

Center - Houston, Texas

Regional Credentialing Specialist - Houston (Part-Time Position)

. Collection, verification of initial and re-credentialing of Medical

Staff and Allied Health Professionals for Houston

. Collaborating with the Human Resources to facilitate the on-boarding

process including drug testing and picture identification for

Physicians, Residents, Fellows, and Allied Health Professionals

. Ensuring compliance with Joint Commission, CMS and Shriners By Laws in

regard to Credentialing

. Maintaining a working knowledge of applicable laws and statutes by

regulatory agencies

. Gathering, verifying and evaluating required confidential

documentation for Medical Staff and Allied Health

. Maintenance of accuracy and integrity of the credentialing and

clinical privileging database systems

. Obtaining licensure, certification and board certificates at time of

initial and re-credentialing

. Updating credentialing database to reflect correct information

regarding each Medical and Allied Health Professional

. Collecting and maintaining data regarding Ongoing Professional

Practice Evaluations (OPPE)

. Compiling appropriate data in collaboration with the Chief of Staff

for the Focus Professional Practice Evaluation (FPPE)

. Assisting the Shriners Hospitals for Children Burn Unit in Galveston's

Credentialing Department as needed

. Collaborating with Medical Staff Executive Assistant to coordinate

training and orientation for Medical Staff and Allied Health

Professionals

. Attending monthly Medical Executive Committee and Board of Governors

Meetings to present initial and re-appointed Medical Staff, Allied

Health Professionals, Fellows, Residents and Interns.

April '09 to July '11 Memorial Hermann Healthcare System- Central

Credentialing - Houston, Texas

Credentialing Specialist/ Administrative Office Assistant

. Advanced support of the Central Credentialing department and Medical

Staff Offices throughout the Memorial Hermann Healthcare System

. Assisting in the daily operations of the department, Typing letters,

memorandums, and other documents

. Filing documents as established by departmental procedures

. Photocopying records, forms and other documents while maintaining

confidentiality

. Processing provider applications according to JCAHO and Memorial

Hermann policy and procedure

. Verifying information and resolving common problems

. Completing various tasks in a timely manner, Updating spreadsheets and

tracking logs

. Preparation of letters for verification purposes

. Answering telephones as necessary and assisting fellow employees

. Processing re-credential applications for current providers

. Heavy use of internet and customer service for credentials

verification

. Maintaining a positive relationship with various venders and providers

. Heavy customer and provider contact via email and phone

. Processing initial and re-credential applications for providers while

following HIPPA guidelines

October '07 to December '08 CIGNA Healthcare of South Texas - Houston,

Texas

Senior Administrative Assistant/ Marketing Coordinator

. Advanced support of the New Business, Client Manager and Client

Service Specialist Teams

. Manage support for Client Manager book of business

. Developing relationships with brokers and clients to insure needs are

met in a timely manner

. Processing orders through KitTrak system for client collateral items

. Conduct enrollment events, benefit fairs, employee education and brown

bag sessions

. Preparation of presentation binders for client meetings

. Bulk copying of documents for customer reporting

. Coordination of local special events, volunteer in various charity

organizational events

. Processing expense reports for Client Managers and upper management

. Tracking financial documents and deliveries, Maintain upper management

calendars

. Responsible for tracking pipeline and persistency case information via

I-Sell

. Processing Client Manager and upper management travel arrangements

CERTIFICATES OF ACHIEVEMENT

. Received several CIGNA Champion Awards for hard work, determination, a

positive attitude and going over and beyond.

REFERENCES Available upon request

Contact this candidate