Credentialing Specialist
Resume:
Theresa Renea Broussard
**** **** ****** **** ****** Texas, 77640
Email: ad2wxm@r.postjobfree.com
Objective: To provide a loyal and dedicated employee who is willing to work hard and make sure that a job is done right. To be an employee who is dedicated to being organized and working within a team or with little to no supervision. Making sure that everything is done according to employer's policy and procedures.
Experience:
AMN Healthcare
Supervisor: Caroline Sullo
Credentialing Specialist I
Rate of Pay: $22.73 6/29/2022 – Current Job Duties:
Review healthcare providers’ submitted requirements including licensure, certifications, screens, and other critical documents using the data platform system to determine healthcare provider (HP) document status versus requirements needed for specific assignment to pursue outstanding requirements.
Communicate timely updates of HP document status with all internal stakeholders via the data platform system, email, phone, etc. to facilitate a team approach to gathering all required documents.
Create urgency with healthcare providers via email and phone, to encourage timely and accurate document submission by establishing target dates and monitoring document submission progress to deliver comprehensive documentation to the client facility for an ontime assignment start date.
Coordinate response to assigned client regulatory audits, TJC/TWSM/NCQA documentation, and other requests by client facilities by completing the requests with accuracy and within the established/provided timelines.
Coordinate with 3rd party vendors to determine appropriate dates, times, and locations for HP candidates to complete necessary compliance steps including drug screens, background checks, immunizations, etc.
Facilitate quick book (QB) process for assigned facilities by taking lead role to collaborate with Account Managers, Recruiters, and the Housing department to determine reasonable start dates.
Collaborate with Contracts Credentialing Analyst to review all incoming new client contracts or contract revisions for Credentialing requirements, for assigned facilities to identify unique requirements.
Negotiate with client facility to reconsider unusual or uncustomary requirements by emphasizing the value and experience of Quality Services Department with client facilities to minimize disruption of placements and optimize fill rate.
Consult clients on Credentialing best practices by making recommendations on requirements expectations and realistic start dates to streamline submission and placement processes to increase fill rate of qualified HPs.
Maintain up-to-date and accurate facility database including updated contact information, new requirements, and client correspondence by following up regularly with clients to optimize service coverage and prevent gaps in service delivery.
Research new requirements (by The Joint Commission, OSHA, and others) that may impact the industry to present proposals to leadership that clarify appropriate action plans that will address the requirements with the least resources and expense.
Reason for leaving: laid-off due to work force reduction
AMN Healthcare
Supervisor: Ashley Aguilar
Title: Associate Vendor Coordinator (AVC)
Rate of Pay: $19.75 2/15/2021 – 6/28/2022 Job Duties:
Credentialing liaison between AMN and our Recruiters for clinicians booked at MSP accounts. Collaborated with Account Management to ensure the credentialing requirements are communicated and enforced with associate vendors.
Reviews all credentialing document submissions to make sure they are accurate as submitted from associate vendors.
Provides consultation and communication with associate vendors to clarify requirements and answer questions.
Ensure expiring documents/requirements are communicated to the associate vendor and assists as necessary to ensure that updated documentation is uploaded prior to the expiration date.
Other duties and responsibilities as needed to support Credentialing.
Reason for Leaving:
This roll was moved over to Radiant
Kelly Services @ ExxonMobil B&P
Representative: Jennifer Woods
Title: WCA/IWCA
Rate of pay: $17.50
6/17/2017- 3/20/2021
My position requires me to work 12-hour shift work. I am provided 2 schedules inbound and outbound. When inbound loads arrive, I am to use the schedule to determine if the load is a live or drop load. Live loads are to be set up immediately to a dock door to be off loaded, drop loads are to be put in the yard for future offload. Outbound loads are setup and loaded as per the schedule. All orders are set up using GWM and Stripes in SAP. 1 provide truck drivers with their bill of lading, also keeping a signed copy for Exxon records. Assist loaders with cancelling transfer orders and recreating transfer orders to a new location. I also have taken on the job of scanning all documentation into the system on their I Drive to make the site paperless. I also assisted in training the label printers.
Manpower Group @ ExxonMobil Representative: Tia Roy
Title: Administrative Assistant
Rate of pay: $15.00
07/13/2015 — 03/07/2016
My position required me to work 4 — 10 hour days with some overtime. I received preventative maintenance data sheets, spec sheets, and repair sheets where first I looked over them to verify all pertinent information is documented. Then scanned them into a specific folder on the shared drive
using unique notification numbers. Then I entered the information into the GRT database. I also accessed SAP to look up equipment and function locations. They also have a Microsoft database the I entered the information from the analyzer data sheets as most of these are specifically for environmental, I was also responsible for all the filing of Paperwork. I reorganized the file room so that all documents were easily accessible. I also took over as the HUB to send out any employees broken radio's and then notify them when they were returned. I was always willing to learn or help in any other way that I could. I also attended weekly safety meetings and monthly stewardship meetings. Safety is key and practicing LPSA on every job task.
Reason for leaving: Contract ended
OutComes/Altegra Health Solutions
Title: Field Reviewer
Rate of pay: $4.00 per chart scanned
09/12/12- 6/2015
Part time when they do have assignments
Job Duties
Go to an assigned facility pull requested patient charts
scan specific patient forms that are needed from that file (such as: progress notes, doctor's orders, consultations...etc.
Transmit all patient files on a secured network to coders for review
Reason for leaving:
Job is only an as needed basis for different projects that they receive.
LifeShare Blood Centers
Supervisor: Laura Young (BMT) 409-***-**** and Kay Brown (SHV) 318-***-****
Title: Product Management Senior Tech II
Rate of Pay: $11.27
02/27/2012 to 9/3/2013
I have returned to my previous job and although I was hired on 2/27/12 I did however receive all my previous time worked back so technically they have readjusted my time to show that my hire date is 10/18/2005.
Job Duties:
Making blood and blood components
Send tubes up for testing to assure that products were acceptable for patient use
Discard products not acceptable
Completed/or verified all paperwork before products were labeled
Blood filtration
Irradiate products for patient use
Quality control checks of equipment every morning
Keep inventory of products available
Keep inventory of products in hospitals
Deliver products to hospitals
Other jobs as assigned
Reason for Leaving:
Had to relocate to Shreveport, LA. Job did not work out as the center there subjected me to substandard working conditions such as: exposing me to unprocessed blood (due to blood bags leaking and not cleaned up per OSHA's standards.
Also, I was needed back home in Texas closer to my family to help take care of my aging parents.
Baptist Hospital of Southeast Texas
Supervisor: Shelia Schoolfield 409-***-****
Title: Medical Records Clerk
Rate of pay: $9.03
06/17/2008 to 01/2012
Beaumont, Texas 77701
Job Duties
Scan medical records into electronic medical record software
Pick up all discharged medical records from previous day and deliver them to the coders
File all medical records into their permanent files
Locate lost or missing files
Help doctors with any situation they may have or change their computer access password Purge all medical records older than 2 years using specific computer easily tracking.
Use specific medical computer software to locate specific information on a patient and
Their stay at our facility
Break down patient charts and organize them for scanning and analysis.
Make sure that everything that is disclosed being aware of HIPAA rules and regulations.
Reasons for Leaving:
Was offered my position back at LifeShare Blood Centers with a higher rate of pay, before the consolidation took place.
ScanStat Technologies
Supervisor- Karen Davis 409-***-****
Title: Data Entry Clerk
Rate of pay: $9.00 11/2010 to 06/2011
Job Duties:
Part time job entering in all requests for medical records into computer software for tractability as well as being able to easily provide any customer with the information of who has requested their records. Make sure that everything that is disclosed being aware of HIPAA rules and regulations.
Reason for leaving:
Was a temporary position (contract work)
LifeShare Blood Centers
Supervisor: Laura Young 409-***-****
Title: Product Management Tech III
07/05/2000 to 10/26/2006
Job Duties:
Making blood and blood components
Send tubes up for testing to assure that products were acceptable for patient use
Discard products not acceptable
Completed/or verified all paperwork before products were labeled
Blood filtration
Irradiate products for patient use
Quality control checks of equipment every morning
Keep inventory of products available
Keep inventory of products in hospitals
Deliver products to hospitals
Other jobs as assigned
Reason for leaving:
Was suggested by my son's doctor that I stay home to help him with his developmental process and be available to him for all doctors and counseling appointments.
Vidor Independent School District
Substitute Teacher
Rate of pay: $50.00/day
01/03/2007 to 06/15/2008
Vidor, Texas 77662 Job Duties:
Fill in for any teacher that is going to be out whether it is for one day or a week Reason for Leaving:
Needed a full time position with guaranteed 40+ hours a week and also offers health benefits.
Education:
Stephen F. Austin High School, Port Arthur, Texas
Graduated- May 1986
Western International University
Graduated- June 30, 2008 Associates of Arts in Business
Interests:
Computer knowledge
Organization
Reading
Learning
Family (my Grandchildren)
References:
Ashley Wyatt
Patrick Broussard
Keith Broussard
Karen Tapley
Alysia West
Programs I have used: Shiftwise, Fieldglass, CITRIX (AMIE), AVID, Teams, SAP, GRT, Microsoft database, Allscripts, PrognoCIS, Centricity, eClinical, NextGen,Genesis, Practice Fusion, Horizon Patient Folder. There is more Medical records software I've used as I traveled to different facilities daily (unless it was a large volume site) so I had to be flexible and adapt to their system in order to do my job
effectively and efficiently.
To whom it may concern,
I have been the direct ExxonMobil supervisor over Renea Broussard for over 2 years. I am the
Warehouse Lead in charge of managing our facility and managing our warehouse contractor workforce. I have seen many workers come through my facility over the past few years, but none have measured close to Renea.
During our time together, Renea has exhibited a strong and consistent work ethic. She has always been willing to take on an increased workload when needed to support the operation. In addition to extra responsibility, she still frequently finds the time to go beyond her base job expectations to support the operation. She has also been able to come in on last minute overtime on multiple occasions when the need arouse. She exhibits strong communication skills critical for success. She has shown exemplary skill with SAP and general computer skills.
Outside of her strong technical skills, Renea has established strong relationships with the wide variety of employees and contractors she works with. She works with multiple supervisor who all speak highly of her abilities, she works with operators who all appreciate the thought she puts into her work, and she deals with a variety of contractors who she all has strong relationships with.
If you need more information or specific examples, please do not hesitate to contact me at 409-***-****. This recommendation letter is only able to provide a base overview of her work ethic, I would be happy to further elaborate on my time working with her.
Sincerely,
Trevor Maycan
Warehouse Lead
ExxonMobil Beaumont Lubrications Facility
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