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Account Manager Credentialing Specialist

Location:
Weston, FL
Posted:
January 19, 2024

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Resume:

Saritha Ganji

Credentialing Specialist/Manager

Weston, FL 33331

954-***-****

Email: ad2w79@r.postjobfree.com

WORK HISTORY

TruMED Medical staffing, Kansas City, MO - (June 2022 – Dec 2023) Credentialing Manager

Responsible for onboarding and compliance for new employees.

Developing & training new compliance coordinators. Collaborating closely with internal recruiters & account managers as well as the compliance coordinators at the MSP, VMS & facility. The Applicant Tracking System is Labor Edge.

Completing onboarding process for employees. Processing provider application and re-applications. Sending welcome email with outstanding items. Setting up medical tests in chosen zip code, criminal background investigation, running sanctions, employment verifications and collecting vaccination records. Using Universal Background, Sterling Background, and other sources.

Assigning core & required tests through Relias & Healthcare staffing Hire. Ensuring proper state license is current and residing in compact state. The verification of expiration dates on medical records, driver’s license, running required county and or state background, social security checks and any other required documents.

Documenting and attaching all the compliance documents to traveler CRM file noting and setting up 45-day reminders for future expiration dates. Setting up and saving backup files in OneDrive to ensure all documents have a second source of verification for TJC and NCQA. Coordinating with recruiter & account manager to ensure traveler is prepared for start date.

Preparing documentation and conducting meetings with clients. GLC Group- Medical Staffing, Weston-FL (December 2019 - Apr 2022) Senior Credentialing Specialist

Developed & trained new compliance coordinators. Collaborating closely with internal recruiters & account managers as well as the compliance coordinators at the MSP, VMS & facility. Completing onboarding process for travel nurses in Hospital & LTC settings. Sending welcome email with outstanding items. Setting up medical tests in chosen zip code, criminal background investigation, running sanctions, employment verifications and collecting vaccination records. Using Universal Background, Sterling Background, and other sources.

Assign core & required tests through Relias & Healthcare staffing Hire.

Ensuring proper state license is current and residing in compact state. The verification of expiration dates on medical records, driver’s license, running required county and or state background, social security checks and any other required documents are current in traveler file. Documenting and attaching all the compliance documents to traveler file noting and setting up 45-day reminders for future expiration dates. Setting up and saving backup files in OneDrive to ensure all documents have a second source of verification for TJS. Coordinating with recruiter & account manager to ensure traveler is prepared for start on start date.

MSP/VMS systems: ShiftWise, AYA, AHSA, Medefis, Supplemental/BlueSky, Vizient/VAYA. Grapetree, Conexus, Medical Solutions, FocusOne, HWL, Einstein, PrimeHealth, many direct contracts as well as LTC facilities.

Medpro Healthcare Staffing (2019)

Credentialing/Licensure Specialist

Reviewing provider credential applications, client contracts and processing the files according to the requirements. Conduct background investigation, research, and primary source verifications for all components of the application file according to the TJC policies and guidelines. Updated expired documents and documented the conversations to the Salesforce credentialing application. Initiate the process for visa screen application for international nurses.

Sales Force- ATS System

HealthNet Data Link (CVO) (2016-2019)

Credentialing Coordinator

Review and maintain Initial & Recredentialing application for completeness and request missing information.

Perform primary source education, license verification, DEA, Board Certification and NPDB. Monitored and organized files to adhere to NCQA and TJC accreditation standards. Prepared reports and summaries of all credentialing activities. Participated in bi-weekly client meetings to update on the status of the healthcare provider credentials and recording the meeting minutes. SKILLS

Highly communicative 8 years of onboarding/compliance specialist.

Initiative-taker with the ability to learn and apply new skills quickly and easily.

Microsoft Share drive, fully proficient in ATS system: LaborEdge and Akken, Salesforce CRM app, Microsoft Outlook, Microsoft Word, Microsoft Excel, Adobe Acrobat and Docusign.

Excellent interpersonal, communication, organizational skills, computer and technology skills, a fast learner and problem solver.

EDUACATION

Master’s in computers, India - Major computers and Math



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