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Health Medical Contract Management

Location:
Sunbright, TN
Posted:
October 23, 2023

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Resume:

Katie Iemma

ad0k14@r.postjobfree.com

716-***-****

Sunbright Tennessee

Highly organized, motivated professional with a diverse background in medical staff credentialing, finance, customer service, data analytics, employee relations, human resource management as well as policy writing and implementation. Strengths include strong managerial experience, prioritization and delegation of projects and tasks, and dynamic interpersonal skills with staff, customers and clients.

WORK EXPERIENCE

Credentialing and Enrollment Specialist

Privia Health

Initial/ reappointment credentialing and expirable management

PSV verifications and data management for over 4000 providers nationwide as per NCQA standards

High dollar concierge provider credentialing/ enrollment contract management

Process improvement and management of credentialing database processes

Owner and Operator

Iemma Consultation Services LLC

Human Resource Management, Recruitment and Retention Specialist August 2021-Present

Specializing in Recruiting, Retention, Policy and Procedure

Schedule management

HIPPA compliance

Behavioral and performance management

Manager Medical Staff Services

Garnet Health Medical Center- Catskills

(Formerly Catskill Regional Medical Center) October 2018-September 2021

Credentialing and Reappointment of all Medical Staff in compliance with all applicable regulatory bodies i.e., NYS, CMS, DNV, Joint Commission NYSAMMS and NAMSS.

Create and maintain policies and procedures, supporting the Mission Visions and Values of Garnet Health Medical Center.

Assist in preparing and coordinating provider information to/ from managed care quality committees and other internal departments and / or entities.

Ensure compliance with national standards of quality organizations and best practice.

Act as Human Resource contact for over 400 practitioners.

Analyze reports and data to ensure compliance as well as implement more efficient processes for better workflow and functionality.

Conduct all regulatory quarterly and operational meetings and orientations for the organization.

Managed Credential Committee Meeting schedules, approvals and minutes.

Manage all investments and transactions for the Medical Board

Case Management and Denials Coordinator

Catskill Regional Medical Center [Harris, New York]

January 2017 – October 2018

●Conducted rigorous and ongoing analysis of client-facing processes to ensure customer satisfaction and to limit financial loss and redundancy for the company.

Provided ongoing recommendations and support to modify internal systems to better develop and deliver on customer needs.

●Liaised between business and technical personnel to ensure a mutual understanding of processes and applications.

Established a process to improve discharge planning to confirm compliance with regulatory standards per CMS guidelines, dramatically reducing medical billing denials.

●Create, revise and maintain policies for the organization as well as train staff to adopt procedural changes and understand new expectations.

Payroll & Billing Coordinator

Career Connections Inc. (CCI) [Worked remotely]

March 2014 - June 2016

Resolution Agent

Lonstein Law Office [Ellenville, New York]

August 2012 – January 2013

TECHNOLOGY SKILLS

Microsoft Office Suite (Word, Excel, Outlook) G Suite (Documents, Calendar, Sheets, Slides) Go-To-Meeting teleconferencing Web-ex Zoom Google Meets Adobe Creative Cloud (Adobe sign, Adobe Acrobat) CredentialStream Salesforce Form Assembly EPIC Midas social media (Facebook, Twitter, YouTube, Instagram)

EDUCATION

Bachelor of the Arts in Criminal Justice, State University of New York at Fredonia

Concentration in New York State Law, Criminal Law, Juvenile Justice and Homeland Security

Professional Memberships

NAMSS- National Association Medical Staff Services

NYSAMMS – New York State Association for Medical Staff Services



Contact this candidate