Cinamon Lee Nelson

586-***-**** ad3han@r.postjobfree.com

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Professional Experience

Florida Cancer Specialists & Research Institute LLC Credentialing Coordinator, September 2020 – February 2024

Responsible for credentialing all the Physicians and Allied Health Professsionals. As well, update and maintain physician and allied health professionals’ master files.

Processes credentialing and re-credentialing applications of health care providers.

Obtains required paperwork, reviews applications, prepares certification letters and utilizes the credential software program.

Contact medical office staff, licensing and government agencies as well as insurance carriers to complete credentialing and re-credentialing applications.

Update and distribute the managed care Matrix by county on a monthly basis.

Utilize IntelliCred credential software program and CAQH, keeping both updated and maintained. Michigan Surgical Hospital

Administrative Assistant, Credentialing Specialist, June 2018 – September 2020

Process applications and Reappointment applications for Practitioners and CRNA’S, maintaining a record of each including current state licenses, malpractice insurance, health screening and hospital privileges.

Preformed intense background checks on potential medical staff applicants as required by joint commission.

Acted as a liaison and upheld open lines of communication amongst staff, senior executives, board members and administration staff.

Created and prepared Medical Staff Peer Reviews, created and maintained FPPE.

Assisted with employment interviews.

Provided superior administrative support to CEO, including correspondence, events/logistic coordination communications and policy compliance, calendar management and problem resolution.

Coordinated medical and holiday events.

Providing assistance to Residency Coordinator when required. Assisted in recruiting new physicians.

Lakes Surgery Center

Credentialing Specialist, Accounts Receivable, Collections, May 2013 – August 2018

• Process applications and Reappointment applications for Practitioners, Residents and CRNA’S and maintaining a record of each including current state license, malpractice insurance, and health screening and hospital privileges.

• Preformed intense background checks on potential medical staff and allied staff applicants as required by joint commission.

• Created and prepared Medical Staff Peer Reviews, created and maintained FPPE.

• Collection of mail, posting of payments, from patients and insurance companies, collecting money daily from receptionist, preparing bank deposits, balancing each days cash, checks and credit cards. Cinamon Lee Nelson

586-***-**** ad3han@r.postjobfree.com

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• Monthly statements prepared and sent, bi- monthly collection calls, placing overdue accounts with collection company.

• Insurance verification for medical procedures within encircle and change healthcare, advising patient of financial responsibility, creating lines when required. Education and Training

• HIPAA Privacy- 2023

• Safety in the Physical Environment- 2023

• Infections Control and Prevention- 2023

• Occupational Health and Safety- 2023

• Unconscious Bias Emotional Intelligence Level 1 & 2- December 2023

• Growth Mindset Level 1 & 2- December 2023

• Social Engineering Red Flags- March 2022

• FCS NH Virtual Program Section 1- Mission, Vision, Cultural Diversity, Customer Service- May 2021

• St. Clair College- Dental Receptionist Diploma

• Ontario School of Business-Pharmacy Technician

Additional Skills

• Promoted special projects and events to enhance operations.

• Build and manage relationships with hospital clients, recruiting and physician leadership.

• Increased productivity and improved efficiency by systematizing and creating a performance improvement plan for the re-credentialing process.

• Proficient, Advantx, Critix, Symplr and Microsoft.

• Trained in MD Staff and OneNote,

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