Medical Staff Services
Resume:
Carolyne A. Rice – Dirkson
Cordova, TN 38016
Cell: 865-***-****
email: *************@*****.***
Education
University of Memphis, Elementary Education
Attended numerous educational programs and conferences that address credentialing updates, and standards provided by the National Association of Medical Staff Services, Tennessee Association of Medical Staff Services and Knoxville Association of Medical Staff Services. Horty Springer, Greely Institute, Joint Commission.
Strengths
I possess 18 years of credentialing experience along with 7 years of management experience with emphasis on communication and planning, with attention to details. I have a working knowledge of several credentialing and scheduling databases to include Cactus, McKesson, along with window applications Word, Excel, Powerpoint.
Employment History
April 2021- Present - J Jill, Sales Associate Knoxville, Tn - Saddle Creek Germantown Tn
Responsible for achieving individual and team sales goals and productivity performance goals. Greet customer promptly and genuinely, and re-engage appropriately. Build customer loyalty by creating genuine connections with customers. Conduct company sponsored outreach to acquire new customers and increase shopping visits, duties also consisted of displaying merchandise, maintaining the visual appearance of showroom, maintain and monitor inventory, place catalog orders an in-house sales through internet system, process credit applications and credit card payments.
August 2018 -September 2020 Patient Service Coordinator, Select Physical Therapy
Duties consist of greeting patients and obtaining patient information for registration and insurance verification, determine patient’s needs, answering phones and directing call appropriately, answering basic questions for patients and family members, posting payments, scheduling appointments and perform routine clerical duties such as filing data entry and record management.
May 2014 to April 2017 - Parkwest Medical Center, Credentialing Specialist
The primary task as credentialing specialist at Parkwest Medical Center was to ensure that healthcare professionals MD’s DO’s, DPM’s, Advance Practice Providers meet all established federal, and state standards as well as Joint Commission and NCQA, have a working knowledge of hospital bylaws, rules and regulations and hospital committee requirements, process and accuracy, maintain provider database for practitioners and hospital to include education, past hospital affiliations CME’s licensure as well as communication with physician’s offices and hospital professionals to ensure all records are current. In addition to credentialing specialist duties consisted of, preparing monthly reports for corporate and hospital administration and outside agencies. Responsible for coordination of all physician related events to include department meetings, agendas, meeting notices and follow-up, monthly meeting calendar, assist physician department chairs with researching criteria for new hospital privileges, audit credentials files for committee review and approval, respond to outside and in-house inquiries regarding physician’s and advance practice providers staff status and privileges, maintain credentials files for Joint Commission and State surveys and other duties assigned.
June 2013 - May, 2014 University Orthopedic Clinic – Receptionist /Patient Scheduler
Duties consist of greeting patients and obtaining patient information for registration and insurance verification, determine patient’s needs, answering phones and directing call appropriately, answering basic questions for patients and family members, posting payments, scheduling appointments and perform routine clerical duties such as filing data entry and record management.
September 2009 – February 2012 Covenant Health – Corporate Credentialing Specialist
The primary task as credentialing specialist for Covenant Health was to ensure that healthcare professionals Physicians, Advance Practice Providers meet all established federal and state standards as well as JCAHO (Joint Commission Accreditation Healthcare Organization) and NCQA (National Committee of Quality Assurance) Process healthcare professionals hospital applications and reappointments, checking for completeness and accuracy, maintain provider database for practitioner and hospital facility which includes education, training experience, licensure, as well as communication with physicians offices and hospital professionals to ensure that all records are current and consistent for 6 Covenant Facilities.
November 2004 – July 2009 - Fort Sanders Regional Hospital – Gift Shop Coordinator
Supervised the daily operations of the Fort Sanders Regional Medical Center Gift Shop. I assisted hospital employees and public in selecting gifts and other merchandise, supervised 6 staff associates. Organized plans for the display and presentation of merchandise, changed displays seasonally with consideration to the buying audience. Implemented a sales program to increase sales volume, providing quality gifts for hospital employees and the general public. Maintained sales database for merchandise trends and monthly reports, supervised yearly inventory, additionally served as merchandise buyer meeting with vendors and product representatives to select marketable goods and gifts appropriate to the potential buying audience, which resulted in profits of $300,000 in a four (4) year period funds were used to purchase additional equipment for hospital.
September 2002 – November 2004 Business Dynamics – Owner
Duties consisted of scheduling all weekly required construction meeting with employees, subcontractors, and architects. Assisted the Project Manager in preparing all necessary equipment and materials relating to project change requests. Took meeting minutes and distributed to the appropriate personnel in a timely manner, prepared request for surety bonds and insurance certificates. During construction phase, proactively managed project to achieve targeted completion date, job safety and budget requirements managed staffing needs, evaluated employee job performances, addressed employee relations issues and prepared weekly payroll and tax reports.
September 2000 - September 2002 Team Health – Credentialing Specialist
Maintained Emergency Department and Internal Medicine Physician’s database for 16 hospitals, also processed hospital and managed care applications and reappointments, checking for completeness and accuracy, which included required continuing education current licensure as well as communication with hospital professionals to ensure that all records are up to date and consistent.
January 1999 - September 2000 Methodist Medical Center of Oak Ridge - Medical Staff Coordinator
Duties consisted of managing the day to day activities of the Medical Staff Office along with supervising every aspect of the credentialing process to include department meeting and minutes Bylaw revisions, preparation of credentials files for Committee review and approval.
September 1995 – January 1999 Parkwest Medical Center – Credentialing Specialist
The primary task as credentialing specialist at Parkwest Medical Center was to ensure that healthcare professionals Physicians, Allied Health Providers meet all established federal and state standards as well as JCAHO (Joint Commission Accreditation Healthcare Organization) and NCQA (National Committee of Quality Assurance) Process healthcare professionals hospital applications and reappointments, checking for completeness and accuracy, maintain provider database for practitioner and hospital facility which includes education, training, experience, licensure, as well as communication with physicians offices and hospital professionals to ensure that all records are current.
Past Professional Memberships
President of Knoxville Gift Shop Association 2006 – 2008
Tennessee Association of Medical Staff Services
President, Knoxville Association of Medical Staff Services 2000
References Upon Request
Carolyne A. Rice – Dirkson
2617 Wood Sage Cove
Cordova, TN 38016
Cell: 865-***-****
email: *************@*****.***
Education
University of Memphis, Elementary Education
Attended numerous educational programs and conferences that address credentialing updates, and standards provided by the National Association of Medical Staff Services, Tennessee Association of Medical Staff Services and Knoxville Association of Medical Staff Services. Horty Springer, Greely Institute, Joint Commission.
Strengths
I possess 18 years of credentialing experience along with 7 years of management experience with emphasis on communication and planning, with attention to details. I have a working knowledge of several credentialing and scheduling databases to include Cactus, McKesson, along with window applications Word, Excel, Powerpoint.
Employment History
April 2021- Present - J Jill, Sales Associate Knoxville, Tn - Saddle Creek Germantown Tn
Responsible for achieving individual and team sales goals and productivity performance goals. Greet customer promptly and genuinely, and re-engage appropriately. Build customer loyalty by creating genuine connections with customers. Conduct company sponsored outreach to acquire new customers and increase shopping visits, duties also consisted of displaying merchandise, maintaining the visual appearance of showroom, maintain and monitor inventory, place catalog orders an in-house sales through internet system, process credit applications and credit card payments.
August 2018 -September 2020 Patient Service Coordinator, Select Physical Therapy
Duties consist of greeting patients and obtaining patient information for registration and insurance verification, determine patient’s needs, answering phones and directing call appropriately, answering basic questions for patients and family members, posting payments, scheduling appointments and perform routine clerical duties such as filing data entry and record management.
May 2014 to April 2017 - Parkwest Medical Center, Credentialing Specialist
The primary task as credentialing specialist at Parkwest Medical Center was to ensure that healthcare professionals MD’s DO’s, DPM’s, Advance Practice Providers meet all established federal, and state standards as well as Joint Commission and NCQA, have a working knowledge of hospital bylaws, rules and regulations and hospital committee requirements, process and accuracy, maintain provider database for practitioners and hospital to include education, past hospital affiliations CME’s licensure as well as communication with physician’s offices and hospital professionals to ensure all records are current. In addition to credentialing specialist duties consisted of, preparing monthly reports for corporate and hospital administration and outside agencies. Responsible for coordination of all physician related events to include department meetings, agendas, meeting notices and follow-up, monthly meeting calendar, assist physician department chairs with researching criteria for new hospital privileges, audit credentials files for committee review and approval, respond to outside and in-house inquiries regarding physician’s and advance practice providers staff status and privileges, maintain credentials files for Joint Commission and State surveys and other duties assigned.
June 2013 - May, 2014 University Orthopedic Clinic – Receptionist /Patient Scheduler
Duties consist of greeting patients and obtaining patient information for registration and insurance verification, determine patient’s needs, answering phones and directing call appropriately, answering basic questions for patients and family members, posting payments, scheduling appointments and perform routine clerical duties such as filing data entry and record management.
September 2009 – February 2012 Covenant Health – Corporate Credentialing Specialist
The primary task as credentialing specialist for Covenant Health was to ensure that healthcare professionals Physicians, Advance Practice Providers meet all established federal and state standards as well as JCAHO (Joint Commission Accreditation Healthcare Organization) and NCQA (National Committee of Quality Assurance) Process healthcare professionals hospital applications and reappointments, checking for completeness and accuracy, maintain provider database for practitioner and hospital facility which includes education, training experience, licensure, as well as communication with physicians offices and hospital professionals to ensure that all records are current and consistent for 6 Covenant Facilities.
November 2004 – July 2009 - Fort Sanders Regional Hospital – Gift Shop Coordinator
Supervised the daily operations of the Fort Sanders Regional Medical Center Gift Shop. I assisted hospital employees and public in selecting gifts and other merchandise, supervised 6 staff associates. Organized plans for the display and presentation of merchandise, changed displays seasonally with consideration to the buying audience. Implemented a sales program to increase sales volume, providing quality gifts for hospital employees and the general public. Maintained sales database for merchandise trends and monthly reports, supervised yearly inventory, additionally served as merchandise buyer meeting with vendors and product representatives to select marketable goods and gifts appropriate to the potential buying audience, which resulted in profits of $300,000 in a four (4) year period funds were used to purchase additional equipment for hospital.
September 2002 – November 2004 Business Dynamics – Owner
Duties consisted of scheduling all weekly required construction meeting with employees, subcontractors, and architects. Assisted the Project Manager in preparing all necessary equipment and materials relating to project change requests. Took meeting minutes and distributed to the appropriate personnel in a timely manner, prepared request for surety bonds and insurance certificates. During construction phase, proactively managed project to achieve targeted completion date, job safety and budget requirements managed staffing needs, evaluated employee job performances, addressed employee relations issues and prepared weekly payroll and tax reports.
September 2000 - September 2002 Team Health – Credentialing Specialist
Maintained Emergency Department and Internal Medicine Physician’s database for 16 hospitals, also processed hospital and managed care applications and reappointments, checking for completeness and accuracy, which included required continuing education current licensure as well as communication with hospital professionals to ensure that all records are up to date and consistent.
January 1999 - September 2000 Methodist Medical Center of Oak Ridge - Medical Staff Coordinator
Duties consisted of managing the day to day activities of the Medical Staff Office along with supervising every aspect of the credentialing process to include department meeting and minutes Bylaw revisions, preparation of credentials files for Committee review and approval.
September 1995 – January 1999 Parkwest Medical Center – Credentialing Specialist
The primary task as credentialing specialist at Parkwest Medical Center was to ensure that healthcare professionals Physicians, Allied Health Providers meet all established federal and state standards as well as JCAHO (Joint Commission Accreditation Healthcare Organization) and NCQA (National Committee of Quality Assurance) Process healthcare professionals hospital applications and reappointments, checking for completeness and accuracy, maintain provider database for practitioner and hospital facility which includes education, training, experience, licensure, as well as communication with physicians offices and hospital professionals to ensure that all records are current.
Past Professional Memberships
President of Knoxville Gift Shop Association 2006 – 2008
Tennessee Association of Medical Staff Services
President, Knoxville Association of Medical Staff Services 2000
References Upon Request
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