Credentialing Coordinator Event Planner

Goldie Jolt Levey, MS

*********@*****.*** 201-***-****

Edgewater, NJ 07020

PROFILE

Highly resourceful, tenacious, dedicated, and flexible Physician Liaison. Expertise in relationship cultivating and maintaining comprehensive relationships with physicians’ and other credentialed professionals. Excellent communication, interpersonal, and negotiation skills. Customer focused professional with exceptional organization skills. Incredibly detailed oriented. Rapport and trust builder with great follow-up prowess. Network developer.

PROFESSIONAL EXPERIENCE

Physician Liaison Centers Plan for Healthy Living, Staten Island, NY 07/2021- Present

• Responsible for forming, growing, and maintaining long-term partnerships with physicians and IPA groups to increase referrals and gain market share.

• Direct link and bridge to Medicare Sales- includes events, credentialing, provider relations, claims, contracting, and providing dedicated sales representatives to market and increase patient panel for physician.

• Promoting positive public relations.

Hostess/ Greeter CZEN Restaurant, Englewood, NJ

01/2023- Present

• Part-time position-weekends only.

• Assists servers where needed.

Club House Receptionist/ Hostess/ Event Planner Assistant/ Greeter Alpine Country Club, Demarest, NJ

04/2021- 12/2022 (Seasonal)

• Part-time position- weekends only.

• Main receptionist in the Club House

• Taking reservations from members

• Organizing large celebrations for members in the main dining area.

• Hostess for holiday dinners or when needed

• Assisted the event planner during large parties and weddings. Goldie Jolt Levey, MS

*********@*****.*** 201-***-****

Edgewater, NJ 07020

Credentialing Specialist CenterLight Healthcare, Bronx, NY 12/2020 – 07/2021

• Ensure database is kept accurate and updated.

• Maintain necessary logs, lists, records, and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.

Credentialing Coordinator II/ Physician Liaison Envision Healthcare/NY Radiology Alliance, Bedford Hills, NY

10/2018 – 08/2020 (Lay off)

• Credentialing for Radiologists within the New York group applying to hospitals within the contracted network and completing process from start to finish. Communicating with physicians, managing their files and collected pertinent information spanning up to 40 years.

• In constant contact with the Medical Staff Office of each facility, to obtain status of the applications., and find out when they might be ready to appear in front of the Medical Board, who will ultimately grant them privileges to the hospital.

• Compile reports on a weekly basis to check on the status of the doctor's licenses, DEA Certificates, ALS/BLS Certificates, Infection Control, Moderate Sedation and any other Certificate that might be crucial to their specialty.

• Compile reports on a weekly basis to check on the status of their Health expireables Such as Annual Health Assessment, Flu Vaccine, and PPD.

• Communicate with doctor's concerning their Continuing Medical Education credits, and how to obtain the amount needed per year.

Medical Staff Site Auditor Montefiore CMO/Montefiore New Rochelle Hospital, New Rochelle, NY 12/2013 - 07/2016

• Vetted physicians applying for hospital privileges, including verifying, postgraduate training, hospital appointments, clinical academic appointments, practice locations. Goldie Jolt Levey, MS

*********@*****.*** 201-***-****

Edgewater, NJ 07020

• Determining risk alongside Montefiore Executive Leadership to detect physicians with high malpractice cases.

• Established and maintained rapport with the Directors of medical departments within the facility to obtain needed paperwork and signatures in a timely manner

• Consistently conferenced with the Medical Director of New Rochelle Hospital to discuss physicians on a case-by-case basis.

• Discussed contracts with the Legal Department (as needed, based on the physician’s contract).

• Managed and prepared files for monthly committee meeting.

• Main liaison for CMO-Contract Management Organization, and physicians applying to New Rochelle hospital privileges.

• Trained and educated department heads and physicians to obtain an understanding of the credentialing process.

• Consulted with physicians’ and solicited physicians for enrollment into the Montefiore IPA

(Independent Physician Association).

• Maintained solid relationships with the Medical Director and Directors of the Department at Montefiore New Rochelle Hospital throughout my tenure.

• Proficient in ECHO credentialing system.

Office Manager HR Impact, Oradell, NJ

10/2008 - 09/2010

• Tracking new client projects.

• Monitor and maintained Principal's calendars and appointments.

• Organizing and managing client files.

Head Counselor Kaplan Jewish Community Center on the Palisades, Tenafly, NJ 06/2005 - 08/2008

• Oversaw the well- being and safety of nineteen three-year old children, a Jr. Counselor, and a Sr. Counselor.

• Interfaced with parents daily, as well as camp directors and staff.

• If found necessary, would engage with the professional staff to discuss with the parents if additional assistance would be deemed necessary to enhance their summer program. Goldie Jolt Levey, MS

*********@*****.*** 201-***-****

Edgewater, NJ 07020

Provider Relations Representative CIGNA Healthcare of New York, New York, NY 07/1994 - 06/1998

• CIGNA liaison between the health plan, physician offices, and hospital affiliations.

• Conducted education and training sessions for all the physicians and their staff on policies and procedures of the health plan.

• Major involvement with credentialing new physicians CIGNA Healthcare for the Manhattan, Bronx, and Lower Westchester territories.

• Built trust and confidence with the physicians and their offices knowing they had a "GO TO" person involved.

• Professional and polished attitude and presentation skills were the key elements to success.

• Managed recruiting and closing gaps for the CIGNA network by specialty. Healthcare Program Planner Analyst North Central Bronx Hospital, Bronx, NY 01/1989 - 07/1994

• Educated and trained department heads to monitor hospital wide budgets.

• Managed meetings with the Materials Management and Purchasing Departments. EDUCATION

Paralegal Certification

Fairleigh Dickinson University

Master of Science

Healthcare Management

Long Island University Honors

Dean's List

Bachelor of Arts

Adelphi University

Speech Arts

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