Laura Hernandez

Canoga Park, Ca ***** 818-***-****

E-mail: ad2sg3@r.postjobfree.com

EXPERIENCE

Inventory Associate -WIS International, Inc. 07/2015-Present

Van Driver – Responsible for transport of employees to various locations.

Inventory Associate

Medical Staff Coordinator - Valley Presbyterian Hospital, Van Nuys, CA 09/2012-08/2013

Verifying competence, medical and/or professional education, residency, internships, fellowships, additional formal training, relevant board certifications, health care affiliations, work history, military experiences, professional references, licensure and certifications, DEA certificates, malpractice coverage and privileges the applicant is requesting.

Querying the National Practitioner Data Bank as appropriate.

Managing expireables as appropriate.

Maintaining the credentialing database assuring accuracy and completeness.

Acting as a liaison between the medical staff and other departments of the hospital and provide assistance in the coordination of the duties of the medical staff.

Organizing and maintaining credentials files in the medical staff office.

Presenting completed files to the Credentials Committee for recommendation of approval of appointments and privileges.

Maintained a working knowledge of the Medical Staff Bylaws and applicable Hospital policies to ensure the medical staff’s compliance with stated parameters.

Being familiar with the current Joint Commission standards, State and Federal Law pertaining to the Medical Staff and apply them to the credentialing process as needed.

Facilitating medical staff committee meetings as requested, which includes committee notification, drafting agendas, taking and drafting minutes; any follow up as required.

Other related responsibilities as required.

Store Associate - Homegoods, Woodland Hills, CA 03/2011-03/2013

Cashier - Handled up to approximately 250 cash and credit card transactions daily.

Customer Service – Assisted customers with purchases and helped locate merchandise.

Cash Office – Process daily receipts, reconciled the cash drawers.

Credentialing Specialist - Health Net, Inc., Woodland Hills, CA 09/1998-07/2010

Review provider files for appropriate documentation required for the credentialing process.

Data Entry of all provider files.

Prepare files for audits and maintain electronic data input activities.

Credentialing of Healthcare Delivery Organization

Coordinate credentialing and re-credentialing applications and conduct document research.

Collect and maintain files in relation to credentialing of network providers, including application, contracts, current physician licenses, DEA licenses, malpractice insurance, board certifications and other certifications and other pertinent forms.

Prepare documents for Credentialing Committee review.

Forward applications to providers and ensured accuracy and completeness of information.

Interface between providers and hospital staffs to collect required information.

Perform credential verification and request information from appropriate data banks.

Submit applications to manager, medical director and Credentialing Committee for review.

Implemented and monitored procedures and activities related to credentialing and re-credentialing of network providers.

Communicated with providers and field associates regarding credentialing status and information.

Assembled and prepared credentialing information for appropriate committees.

Received Managed Care and PPO provider applications and re-credentialing applications.

Maintained and updated database to track applications and the credentialing process.

Provided administrative support such as generating and distributing mailings.

Participated in the appointment process and coordinated medical staff meetings.

Knowledge of HIPPA, JACHO, and CMS regulations.

Oversight of Delegated entities ensuring compliance with government regulations.

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