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Medical Credentialist

Location:
Virginia Beach, VA
Posted:
December 05, 2019

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Resume:

Korrine Kuckel-Orton

**** **** ***** #**** ******** Beach, Virginia 23453

1-760-***-****

adaz7n@r.postjobfree.com

Professional Summary

Initially am very reliable, professional, highly-motivated, dedicated and work well with diverse personalities. A team player with exceptional listening and critical thinking skills. Work extraordinarily well in fast-paced environments. Highly efficient with supreme organizational skills in both front and back office administration/administrative duties. Exceptional customer care professional am known to always address inquiries and resolve problems as they arise. Come with many fulfilling years in the medical field. Extensive Medical Credentialing experience. Extensive customer/client/patient satisfaction. Extremely proficient in database management to include filing, recording, maintenance, data entry or production of. Encompass extensive experience in taking meeting minutes as well as transcription which includes dictation via phone, in person also by use of dictaphone and have pristine medical terminology knowledge. Take great pride in being very accurate and detail oriented not only in the transcription but of any and all document handling, production, proofreading and or filing, this is true in all assignments or tasks entrusted to me. Ambitious and really enjoy learning new things and never shy away from taking on any new task or role assigned and can assure will be an asset to any office or company.

Skills

Medical Credentialing and all duties pertaining to a Medical Staff Coordinator. Although am extremely skilled in those duties I have the ability to perform countless other office tasks. Filing, answering phones, transcription (medical included), computer proficiency as well as other basic and advanced office duties. In my experience have discovered and believe the most important skills I possess are my reliability, flexibility, "can do" attitude, willingness to learn new things and most importantly an appreciation for the opportunity to utilize all these skills and work ethics. Am extremely advanced in word processing and type approximately 52-65 WPM.

Experience/Work History

Head Bartender-Asst. Bar Manager, 4/2018 to 2/2019 Cali s Sports Bar & Grill– Princess Anne Blvd. Virginia Beach, Virginia 23462 Duties/Responsibilities:

Positive energy, dependability, monitoring alcohol consumption, accuracy, expert knowledge of mixology, multitasking, cleaning and maintaining my work station, flexibility, garnish preparation, performing all side work behind bar and in front restaurant with composure, a can-do attitude and the ability to accommodate diverse clientele. Provided attentive service including knowledge of the beer, wine, liquor, non-alcoholic beverage selection, food menu items and specials. Set up bar and restaurant main floor for operation, obtained cash bank and stocked service bar. Along with those responsibilities were mathematical induction to ensure accurately recorded sales/tabs/bills and in management as well as collecting payments, making correct change, till maintenance and deposit and next shift preparation. Received and stocked incoming inventory. Immediately informed my direct supervisor of any problems or unusual situations and took appropriate action. Patient Services Coordinator/Dept. Administrative Asst.-11/2017 to 04/2018 Optima Health

– Constitution Way Virginia Beach, Virginia 23451

Duties/Responsibilities:

Worked in a collaborative role with all members of the professional health care team Korrine Kuckel-Orton Resume’ November 2019

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and with community service agencies to coordinate care for members to improve health outcomes. Assisted with gathering information for the health care team regarding barriers or other health information. This included functions associated with the screening for changes in health status, coaching for improved self-management, reminders of necessary testing as determined by clinical guidelines. Facilitated Department meetings as requested, which included committee notification, drafting agendas, taking and drafting minutes; any follow up as required.

Lead Bartender / Server-12/2008 to 01/2013

Boneshakers Saloon and Grill

1297 General Booth Boulevard Virginia Beach, Virginia 23451 Duties/Responsibilities:

(Similar duties as listed above Cali s Sports Bar & Grill) Head Bartender -08/2004 to 10/2008

Rena J’s Lounge

2304 Wilmington Hwy Jacksonville, NC 28540

Duties/Responsibilities:

(Similar duties as listed for Cali’s Sports Bar & Grill) Asst. Medical Staff Coordinator/Credentialing Specialist,-10/2004-9/2007 Onslow Memorial Hospital

317 Western Blvd. Jacksonville, NC 28546

Duties/Responsibilities:

Coordinate the credentialing and privileging process for medical staff (physicians, podiatrists, dentists and allied health staff members) including (but not limited to) appointments, reappointments and changes in privileges. This includes: Verifying competence, medical and/or professional education, residency, internships, fellowships, additional formal training, relevant board certifications, health care affiliations, work history, military experiences, professional references, licensure and certifications, DEA certificates, malpractice coverage and privileges the applicant is requesting.Querying the National Practitioner Data Bank as appropriate. Managing expirables as appropriate. Maintained the credentialing database ensuring accuracy and completeness. Acted as a liaison between the medical staff and other departments of the hospital and provide assistance in the coordination of the duties of the medical staff. Organized and maintained credentials files in the medical staff office. Presented completed files to the Credentials Committee for recommendation of approval of appointments and privileges. Maintained a working knowledge of the Medical Staff Bylaws and applicable Hospital policies to ensure the medical staff's compliance with stated parameters. Being familiar with the current Joint Commission standards, State and Federal Law pertaining to the Medical Staff and apply them to the credentialing process as needed. Facilitating medical staff committee meetings as requested, which includes committee notification, drafting agendas, taking and drafting minutes; any follow up as required. Also any other related responsibilities as required by the medical staff department. Asst. Medical Staff Coordinator/Credentialing Specialist-6/2001 to 6/2004 Harrison Hospital

2520 Cherry Avenue Bremerton, WA 98310

Duties/Responsibilities:

(Similar duties as listed for Onslow Memorial Hospital) Program Manager/Administrative Assistant, 07/1996 to 02/2001 Dr. Jamshid Nazarian, MD, FACS – 8920 Wilshire Boulevard Beverly Hills, CA 90211 Duties/Responsibilities:

Tasks included: checking-in patients, answering multi-line phone, making appointments,confirming appointments, treatment planning, filing medical reports Korrine Kuckel-Orton Resume’ November 2019

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in patient charts, utilization of strong of medical terminology knowledge, efficiently and effectively using my vigorous communication skills. Other general medical office duties included: copying, data entry, organizing referrals and any additional general support duties the physician required. Interviewed patients to obtain medical information, weight and height measurements. Assessed patients and documented their medical histories previous to seeing physician. Documented all patient information obtained from interviews including additional physician notes made after exam or from physician to patient phone assessment. Evaluated patient care needs, prioritized treatment, and maintained patient flow. Put to use my cognition of various medical conditions. Managed bariatric program for physician. Wrote and followed up on letters of medical necessity. Properly handled accounts and scheduled appointments for patients. Organized physician and patient surgery scheduling reporting directly to physician. Booked and lead patient information classes as well as patient support group meetings was also featured in program information video and pamphlet. Accompanied physician to several bariatric events and conferences. Was also physicians patient liaison providing each patient with respectful, kind, timely, and safe counseling before, during surgery and hospital stay as well as after care. Credentialed any temporary physician for privileges at hospital where procedure was to take place.

Medical Insurance Claims Processor, 3/1999 to 01/2001 New Century Health – 675 Placentia Avenue Brea, California 92821 Duties/Responsibilities:

Earned management trust by serving as key holder, responsibly opening and closing office. Processed medical insurance claims and subjected to productivity and accuracy standards. I was responsible for monitoring claims processing turnaround time to meet client numbers and performance guarantees. Greeted numerous visitors, including VIP's entering our office to ascertain what each visitor was there for or needed. Politely assisted clients in person and via telephone. Handled heavy flow of paperwork and cooperated with the other support staff team members in addition to my supervisors as well as our management team efficiently and effectively. Provided an elevated over all experience to generate a loyal clientèle. Successfully processed more than the minimum required number of claims each week. Answered all incoming calls addressing client inquiries, redirecting problems I could not speak of to the appropriate team member. Maintained a clean reception area, including lounge and associated areas. Received plus distributed employee and office mail. Entered numerical data into databases in a timely and accurate manner. Medical Insurance Claims Processor, 03/1994 to 05/1996 Aetna Insurance Company – 151 Farmington Avenue Hartford, Connecticut 06105 Duties/Responsibilities:

(Similar duties as listed for New Century Health)

EDUCATION

Centura College- Certified Medical Assistant

October 2016 - December 2018

Manchester Community College-General Studies & Healthcare Administration September 1989 - June 1993

CERTIFICATES

Korrine Kuckel-Orton Resume’ November 2019

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Certified Life and Health Insurance Agent- License obtained September 2017 Centura College-2016-Medical Terminology -932 Ventures Way Chesapeake, Virginia 23320 - 932 Ventures Way Chesapeake, Virgina 23320 Centura College-2016- Behavior In The Workplace & Resume' Building -932 Ventures Way Chesapeake, Virginia 23320

Onslow Memorial Hospital-2005-Medical Terminology - 317 Western Boulevard Jacksonville, North Carolina 28546

Onslow Memorial Hospital- 2005 - Medical Terminology-317 Western Boulevard Jacksonville, North Carolina 28546

Harrison Hospital-2002- CPR and Basic First Aide - 2520 Cherry Avenue Bremerton, Washington 98310

Harrison Hospital 2004- Medical Terminology-2520 Cherry Avenue Bremerton, Washington 98310

Personal and Professional References

Name Relationship Contact Informaton

Summar Midgett Former Supervisor/Friend 1-252-***-**** Mickey Sanders Former Supervisor/Friend 1-(36o)744-6524 adaz7n@r.postjobfree.com

Jamshid Nazarian, MD, FACS Former Boss/Friend 1-310-***-**** Connie Daniel Friend 1-423-***-**** shirley_

adaz7n@r.postjobfree.com

Paige Fretwell Former Supervisor/Friend 1-888-***-**** www,newcenturyhealth.com

Kelly Johnston Friend 1-708-***-****

Korrine Kuckel-Orton Resume’ November 2019

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Korrine Kuckel-Orton Resume’ November 2019

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