Sharonte M. Whipple

**** ******** **. ***********, ** 30281

404-***-****

ad27nd@r.postjobfree.com

Summary

Hard working, self-motivated, dedicated professional who has an ambition to succeed. With over 20 years of extensive medical healthcare experience. Respected team player who leads by example with strong commitment to customer service and committed to excellence. Excellent decision making and problem-solving skills along with leadership and presentation. Adept at managing multiple tasks, attention to detail and resolving or minimizing problems by identifying them early. Key Skills

Team-building &Supervision Spreadsheet &Database Creations Staff Development & Training Medical Terminology

Policies & Procedures Manuals Kronos/ Time Keeping Meeting & Event Planning Inventory Management

Professional Experience

Piedmont Healthcare Atlanta, GA

Credentialing Assistant (November 2018 – Present)

• Providing initial contact and follow up with Section Chiefs, new applicants and recredentialing applicants for Piedmont Clinic membership consideration.

• Process all Clinic Applications in accordance with Clinic Bylaws, Credentialing Policy and Procedures, NCQA or equivalent standards, and state and federal law.

• Assuring credentialing and recredentialing documentation from the Piedmont Central Verification Office (CVO) is received in a timely manner to provide to the Clinic’s Credentials Committee monthly meetings.

• Reviewing the CVO documentation and verifying/expanding on the information provided, as needed.

• Creating the monthly Credentials Committee memorandum for review by the Clinic Credentials and Executive Committee.

• Review with the Medical Director the background information on each Clinic applicant prior to the monthly Clinic Credentials and Executive Committee.

• Work closely with the CVO to coordinate timely Primary Source Verification (PSV) activities.

• Accurately and timely enter data into Cactus for each Clinic member.

• Assuring timely delivery to Clinic members of their completed credentialing and recredentialing documentation (e.g. membership confirmation letter, Physician Agreement, etc.).

• Monitors and coordinates the physician reappointment process for Piedmont Clinic as well as preparation for approval of the physician initial process.

• Perform and assist with other department duties as needed. Vista Staffing Solutions Lawrenceville, GA

Credentialing Verification Specialist (July 2015 – November 2018)

• Prefill Government/Corrections applications as well as VISTA/HCP applications with all available information before sending to providers.

• Process VISTA/HCP Applications in a timely manner after receipt from Providers.

• Gather all necessary supporting documents from providers, including medical malpractice explanations, work history gaps and procedural logs.

• Responsible for completing the Credentialing process for Initial and Re-Credentialing Government/Corrections providers every two years; including verification, references, and reports.

• Initiate and complete Background Fingerprint Investigation process for all Government VA providers.

• Obtain Primary Source verifications for previous work history and medical malpractice for all active provider, as well as Education /Training as necessary.

• Provide additional Privileging coverage to Psychiatry Team on an as needed basis.

• Maintain communication with the facility’s Medical Staff Office to provide any necessary support.

• Maintain weekly metrics; credentialing/privileging log

• Be knowledgeable of client/facility requirements. The Emory Clinic Atlanta, GA

Patient Account Rep II (August 2000 – July 2015)

Patient Financial Services, High Balance Management Sr. Medical Secretary (March 2011 – March 2014)

Cardiology, Cardiac Rehabilitation

Financial Counselor (February 2008 – March 2011)

Oral Surgery, General Surgery, Bariatric, Neurology Patient Account Rep I and II (August 2000 – February 2008) Patient Financial Services

References

References are available upon request

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