Enrollment Specialist Medical Staff

Tametra Austin

Healthcare Professional

Contact

(469) 236–6365

adzx9l@r.postjobfree.com

www.linkedin.com/in/

tametra-austin

Profile

I'm a dedicated and detail-oriented healthcare

professional with more than a decade of experience in medical staff credentialing, enrollment, practice

implementation, and accreditation. I’m seeking an opportunity that will allow me to utilize my talent and experience in an organization that values its team and its providers. Key Skills

Task-oriented

Professional Communication

Leadership & Mentoring

Time management

Organization & Attention to Detail

Team-centered

Strong relationships

Activities and

Interests

Experience

June 2021- Present

Credentialing/Privileging Coordinator

Access TeleCare • Dallas, Texas

• Responsible for ensuring all physician privileges are granted and re-appointments are completed every 2 years.

• Works closely with the Credentialing and Licensing teams to support their process and to ensure clean and current provider credentialing files.

• Participate in credentialing, re-credentialing, licensing, and privileging activities.

• Update credentialing database and provider’s file with current and accurate information

• Process Primary Source Verification as part of the credentialing process

• Ensure work and product standards are of the highest quality.

• Maintain professional communication with all external customers, coworkers, and management.

• Maintain compliance with Joint Commission Credentialing Standards

• Maintain strict confidentiality of all provider files.

• Work with internal teams to ensure files are prepared for privileging process at all client facilities.

• Build and maintain strong working relationships both internally and externally.

• Participate in new client Kick Off Calls

• Report status of all new implementation privileges weekly

• Review applications/re-appointments to ensure accuracy and completion.

• Use credentialing system to process all facility privilege - ECHO / Salesforce

• Follow up with facilities and answer any requests they must complete privileging files for approval.

October 2016-June 2021

Credentialing & Enrollment Specialist

U.S. Dermatology Partners • Dallas, Texas

• Facilitates the onboarding process for providers.

• Maintains credentialing files for providers.

• Maintains medical malpractice policies – provider and entity.

• Facilitates the credentialing and re-credentialing provider applications.

• Facilitates the enrollment and contracting process for providers.

• Maintains the CAQH (Council for Affordable Quality Healthcare) repository for providers.

• Maintains provider data in multiple credentialing databases.

• Provides consultation on enrollment and credentialing processes in every state.

• Provides consultation for the delegated credentialing process.

• Provides credentialing and enrollment consultation for stock and asset purchases.

• Facilitates and manages entity enrollment.

• Performs other duties that may be necessary or in the best interest of the organization. July 2015—August 2016 Credentialing

& Enrollment Specialist

Intermedix • Texas

• Manage the credentialing process between the practitioner and the hospital Medical Staff Office.

• Analyze the completed hospital application to ensure that the candidate meets the qualifications per hospital bylaws.

• Verify on-line status of all State Medical Licenses, State Narcotics Certificates, Federal DEA Certificates, Board Certifications, OIG and SAM sanction reports to confirm and analyze if candidate has no adverse actions to prevent obtaining hospital privileges and delay in hospital privileging process.

• Work closely with the Medical Staff Office of each hospital in obtaining primary source verifications to ensure file is presented to the Credentialing Committee, Medical Executive Committee and Board of Trustees in a timely manner.

• Obtain case logs/charts on candidate as required for hospital privileges from prior hospital facilities to determine candidate’s experience. November 2011—July 2015

Provider Enrollment Associate

Pediatrix Medical Group • Texas

• Request and complete all necessary and appropriate forms for submission to the proper health plan entities

• Communicate with health plans to understand process and use this information to establish and maintain estimated effective dates for providers.

• Prepare check requests for required application fees

• Maintain and update database with both enrollment status and necessary data elements.

• Document all tasks, phone calls, emails and other forms of communication during the enrollment process in the database

• Conduct written and oral follow up to determine application status.

• Escalate all issues to the appropriate members of the management staff, region, and/or co-workers as necessary

• Respond promptly to all questions, received via phone or email, regarding any health plan and/or group/pin

• Complete and update CAQH database when appropriate January 2009—October 2011

Credentialing & Enrollment Specialist

Emcare-Pinnacle Anesthesia • Texas

• Managed credentialing and provider enrollment tasks and responsibilities for national contracttedmulti-specialty provider group with multiple service lines.

• Regional and Divisional support with facilitation provider enrollment with various government healthcare payers, managed care plans and third-party billing entities.

• Maintained and monitored to licensure and certifications to ensure compliance hospital client specific criteria.

• Conducted quality audit reviews of practitioner files, performed verification and information request from appropriate organizations and data banks.

• Served as provider relations interface & contracted client hospital liaison. Education

Graduated 2012

Bachelor of Science

University of North Texas

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