Credentials Specialist with Security Clearance, PR-ready relocation
Resume:
Ana C. Millet
Fort Walton Beach, FL 32548
*******@*****.***
Security Clearance:
HIGH CONFIDENTIAL – TIER 1 CLEARANCE
Education:
Eton Technical Institute – Federal Way, WA
Certificate: Office/Medical Administration December 1996 Current Position:
Credentials Specialist (40 hours per week) Oct 2023 – Present Contractor, 1 Special Operations Wing Preservation of the Force and Family Hurlburt Field, FL
Obtains and primary source verifies all potential provider credentials; reviews upon credentialling. Primary Source Verifications of education diplomas, affiliations, employment, professional licenses, board certifications, and national registrations/certifications in preparation for upload into CCQAS. Provides continuous oversite to the credentialling program via the Credentials Function. Contacts providers and their medical supervisors with pending credentials requirements – OPPE (twice per year), licenses, certifications, contingency trainings, and any other credentials needed for privileges/employment. Maintain provider employee files (PCF) with current credentials when updated as well as request forms be filled out by supervision and peers when reviews are due (AF Form 22). Obtain reports from Discern Reporting Portal to assist with the AF Form 22, DHA Form 367, and FPPE/OPPE forms for the clinical Supervisors. Correspond via email and phone with providers and medical supervisors to assist with completion of electronic CCQAS applications. Utilize CCQAS generated reports to ensure provider’s credentials and privileges are renewed prior to expiration. Report to CMO and Credentials Function with any issues or concerns related to provider credentials profiles. Maintain and solely responsible for provider, technician, nurse, and IDMT peer review using Clinical Quality Assessment Tool to track and trend peer reviews compliance. Completed approximately 40 hours of over the shoulder CCQAS training; CCQAS ready provider file is completed electronically for team member upload.
Previous Related Job Experience:
MHS Genesis Trainer (40 hours per week) Mar 2023 – Oct 2023 Contractor, Level Touch LLC
Hurlburt Field, FL
Train Medical Group (MDG) and associated staff with one on one MHS Genesis electronic medical record system training as needed during EMR transition. Initial MDG point of contact for questions and clarifications regarding workflow, accurate documentation, and other concerns. Provide virtual MHS Genesis Training for Florida Panhandle Region’s various other military bases to assist with timely training and improve overall efficiency. Thoroughly document day- to-day interactions with clinics and imbedded offices. Referral Management Clerk (40 hours per week) Feb 2020 – Mar 2023 Contractor, Reef Systems LLC/BG Consulting
Hurlburt Field, FL
Review and process medical referrals for military beneficiaries requiring care to network or non- network facilities. Responsible for maintaining appropriate timeliness metrics with review of non-urgent referrals within 72 business hours and within 24 hours for urgent referrals. Maintain customer service forward rapport with beneficiaries by responding to referral questions, answer calls and emails concerning referrals in a timely manner. Lastly, responsible for uploading network records (received via e-fax) into beneficiaries’ electronic medical record. Central Appointment Clerk (40 hours per week) Jun 2015 – Jul 2019 Contractor
Eglin Air Force Base, FL
Schedule, reschedule, and/or cancel appointments for all patients authorized to be seen in the military treatment facility. Update patient’s demographics in electronic medical record as needed translate for. When requested, translate for Spanish-speaking patients in the clinics or Emergency Room.
Receptionist
White Wilson Medical Center
Fort Walton Beach, FL
Full Time, Immediate Care – Feb 2016 – Jul 2019
Part Time, Floater Pool – Sep 2014 – Jun 2015
General front desk administrative duties to include checking patients in and out, collecting co- payments and overdue balances, scheduling appointments, and translating for Spanish-speaking patients.
Ophthalmology Administrative Technician (Full Time) Feb 2005 – Aug 2009 Contractor
Eglin Air Force Base, FL
Front Desk administrative duties to include answering calls, preparing paper charts for upcoming appointments, update patient’s demographics and information as needed, and schedule appointments as requested.
Foreign Language:
Fluent: Spanish (speak, read, and write)
References: Available upon request.
Contact this candidate