Admin Coordinator Medical Staff, Licensing Specialist, Credentialing
Resume:
SUMMARY OF QUALIFICATIONS
Dedicated and highly skilled medical staff credentialing and licensing specialist with 17 years of experience.
PROFESSIONAL EXPERIENCE
Medallion
San Franciso, CA 03/2022-02/2024
Primary Source Verification Department
PSV Specialist for Licensed Practical Nurses, Nurses, and Nurse Practitioners for 1000s of providers in 50 states.
PSV Services include but are not limited to:
Quality Control of provider’s applications
Quality Control of provider’s files
Request Nursys, APRN License verifications, all school verifications, board verifications, employment verification, and reference documents requested by all 50 state boards.
Communicating with the state boards via emails and phone for each license application file.
Communicating with the provider to help complete documents needed by the board.
Completing the Prescriptive Authority application and Autonomous Registration application for APRN provider’s
Training Off-Shore employees to complete PSVs and Board of Nursing applications
Completing applications
Knowledge in providing NPDB reports
Greeley Interim Staffing-Beth Israel Lahey Health 05/2021-03/2022
Beth Israel Lahey Health facilities-Burlington, MA
Central Verification Office
Credentialing Specialist for 2000 plus doctors for multiple specialties. Credentialing for APH, NP, PA, and LSW.
Credentialing Services include but are not limited to:
Intake of initial application.
Input of applicants information.
Verifying license, medical school, post-grad training, malpractice verification, verifying boards and meeting MOC requirements, verifying state license, DEA, and state controlled substance license.
Running NPDB, OIG, SAM, Nursys, ANA, ANCC, Background check.
Obtaining peer references.
Obtaining all gap history.
Obtaining all documents require.
Getting files ready for MCC, MEC, and Boards
Spartanburg Regional Healthcare System 06/2019 – 04/09/2021
Practice Description:
Acute Care Hospital
Credentialing Specialists:
Credentialing Specialists for 600 plus doctors for multiple specialties. Credentialing for APH, NP, and RN.
Credentialing Services include but are not limited to:
Intake of initial application.
Input of applicants information.
Verifying license, medical school, post-grad training, malpractice verification, verifying boards and meeting MOC requirements, verifying state license, DEA, and state controlled substance license.
Running NPDB, OIG, SAM, Nursys, ANA, ANCC, Background check.
Obtaining peer references.
Obtaining all gap history.
Obtaining all documents require.
Getting files ready for MCC, MEC, and Boards.
TeleSpecialists, LLC, Fort Myers Florida 06/2017 – 3/2019
Practice Description:
Multi-state subspecialty teleneurology practice covering 100+ hospitals throughout the United States.
Licensing Lead
Licensing Lead services for TeleSpecialists for 40-plus doctors in over 20 states.
Licensing and Credentialing services included, but were not limited to:
Auditing files of new physicians for compliance for files to be released to licensing and credentialing
Helped re-write new physician application for TeleSpecialists
Updating MDStaff records for accuracy for licensing and credentialing
License applications for new doctors and renewals.
DEA License for new doctors and renewals.
CME Maintenance
Interviewing individuals for jobs within TeleSpecialists
Help company to reach a status doctor license, training, MD school, Certifications verified, Running background checks
Completing doctor's FCVS accounts
Training new employees in licensing.
Interviewing candidates for employment within the credentialing and licensing teams.
Help create teaching modules for the licensing team.
Preparing license reports.
Helped TeleSpecialists ISO accredited.
Updated MDStaff doctor's files could be released to the license specialists.
Vision Radiology, Austin Texas 9/2006 – 2/2017
Practice Description:
Multi-state subspecialty teleradiology practice covering 100+ hospitals throughout the United States.
Head Administrative Credentialing Coordinator - Specialist
Administered credentialing services for Vision Radiology’s entire operation, including 35+ physicians and 100+ hospitals. Administrative support provided to executive-level staff, medical staff leaders, and contracted physicians.
Credentialing services included, but were not limited to:
Physician credentialing services – processed 30,000+ applications and re-appointment applications over a ten-year tenure
Expertise in Joint Commission standards for ambulatory care and preparation of near perfect score on JCAHO accreditation surveys
Managing all aspects of state medical license applications and subsequent license renewals for Vision Radiology physicians, which included over 1000 applications
Managing complex multistate CME maintenance requirements for all Vision Radiology physicians
Developed and administered electronic credentialing systems to ensure compliance and accuracy of thousands of files, including prompt 1-2 day turnaround times
Homemaker 3/1991 – 8/2006
Spartanburg County Treasurer’s Office 9/1989 – 2/1991
Cashier
Processing property tax payments (home and vehicle) for city and county residents
Spartanburg County Magistrate’s Office 9/1989 – 2/1991
Processor
Processing eviction notices and landlord payments
Spartanburg County School System 1/1987 – 6/1989
Long Term Substitute Teacher
Elementary school teacher for grades 1 – 6 in schools throughout the county
EDUCATION
University of South Carolina – Upstate, Spartanburg, South Carolina 8/1981-12/1986
BA Degree in Early Childhood Development
South Carolina Notary
Software Systems
credentialing systems
MDStaff
Med Kinetics Credentialing System
ShareFile – Cloud version
Echo
MSOW (MORRISEY)
Vistar
Cactus
Health Line Systems
AVREO
OTHER SOFTWARE SYSTEMS
Microsoft Office and Office 365
Adobe Acrobat Professional
Outlook
PROFESSIONAL REFERENCES
Jodi J. Smith, CPMSM
Jodi Smith Consulting
ad3knw@r.postjobfree.com
Simira Huggins
Operations Manager Medallion
ad3knw@r.postjobfree.com
Roxanna Milo
PSV Lead Medallion
ad3knw@r.postjobfree.com
Jessica Piel
Senior PSV Specialist Medallion
ad3knw@r.postjobfree.com
Maggie Smith-Weller
Senior Licensing Specialist Medallion
ad3knw@r.postjobfree.com
Jodi Watson
QC Application Team Specialist
ad3knw@r.postjobfree.com
Kristine Castelli
Senior Licensing Specialist
ad3knw@r.postjobfree.com
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