Medical Manager
Resume:
Fatmatta M. Kanu
Ellenwood, GA 30294
Phone: 770-***-****
Email: *********@*****.***
Professional Summary
Innovative and customer-oriented with a strong background in credentialing; seeking a role within the Healthcare system.
Over twenty years in the medical/administrative environment. Great organizational skills, professional demeanor and positive attitude
REFERENCES AVAILABLE UPON REQUEST
Education and Training
November 2002 National Association of Medical Staff Services
Certified Provider Credential Specialist (CPCS)
1985 Fourah Bay College - Sierra Leone
French & Linguistics
Bachelor of Arts
1997 At Home Professions
Medical Transcription
Skill Highlights
Time Management Staff Coaching
Staff training and development Strategic Planning
Personal and Professional Integrity
Professional Experience
May 2010 to Windsor/Sterling Health Plans
August 2012 Credentialing Team Lead
• Served as a team lead in the Credentialing Department for all Sr. Credentialing Analysts and Credentialing Coordinators,
• Worked with all other Team Leads to manage major projects.
• Established work priorities for the Credentialing team by pulling reports and distributing assignments to team members on a weekly basis.
• Provided administrative leadership and direction to all team members.
• Actively served on the Policies and Procedures Committee by reviewing, revising and providing input to the development of policies, procedures, and processes to ensure timely and efficient credentialing and re-credentialing process.
• Attended credentialing and other committee meetings.
• Responded to inquiries from Provider Relations and Network Development regarding the status of provider applications.
• Was in charge of internal audits which include the audit of all provider files until accuracy is reached; and the retraining of any noted trends identified through the internal audit process for all credentialing coordinators.
• Tracked and analyzed pending credentialing information for assigned regions.
• Assisted the Credentialing Manager on assignments; identified problems and/or opportunities.
• Actively maintained up-to-date knowledge of CMS and NCQA Standards.
• Regularly evaluated employee performance, provided feedback, assisted, coached and disciplined staff as needed.
• Observed strict confidentiality and safeguarded all provider-related information.
• Jumped in to process applications when necessary to meet deadlines.
September 2001 to Emory University Hospital
May 2010 Atlanta, Georgia
Medical Staff Liaison
• Coordinated the credentialing and enrollment process for all initial faculty appointments for Medical and Allied Health Professionals.
• Updated weekly faculty enrollment status report and met with Director, Manager and Liaisons to make sure that other department needs are met.
• Entered and maintained accurate data on all initial faculty health professionals in the credentialing database.
• Liaised and maintained a positive and good working rapport with department administrators to ensure that credentialing process is done in a timely manner.
• Attended meetings with department administrators to educate on credentialing process, discussed progress and developed courses of action.
• Participated in weekly teleconferences for updates on individual provider credentialing status.
• Was responsible for all of Emory Healthcare delegated audits to ensure that regulatory requirements are met; these included desktop and onsite audits for Managed Care and State audits averaging a total of 22 per year with no deficiencies.
• Jumped in to process applications when necessary to meet deadlines.
• Attended and participated in professional activities and organizations to maintain an on-going knowledge of URAC, JCAHO and NCQA standards as well as State Regulations and Bylaws.
• Observed strict confidentiality and safeguarded all provided-related information.
• Maintained good communication between department heads, medical staff and department administrators.
October 1999 to American Heart Association
September 2001
Executive Assistant
• Provide administrative support to the Sr. Vice President and Director of Health Initiatives.
• Coordinated and managed meetings and conference logistics.
• Set up and maintain a database for field staff program activity.
• Generated a monthly report based on field staff activity.
• Coordinated travel and hotel arrangements for the Sr. VP as well as the Director.
• Maintained and prioritized daily tasks and projects including call logs, appointments and expense reports.
• Standardized department filing system so secretarial staff could easily locate information in any filing center .Set up teleconferences.
• Prepared meeting minutes and organized and filed all written information.
• Maintained detailed administrative and procedural processes that reduced redundancy and improved accuracy.
March 1996 to Georgia Medical Care Foundation
October 1999
Credentialing Specialist
• Was responsible for the credentialing of physician consultants including verification of medical licenses and board certifications.
• Acted as a liaison between the Department of Medical Assistance and Pre-certification Department.
• Processed all Administrative Law Judge Hearing requests.
• Provided administrative support to the Medical Director and Senior Physician Consultant.
• Filed all correspondence for the Medical Director as well as the Senior Physician Consultant.
• Handled calls for the Medical Director and the Senior Physician Consultant.
November 1994 to Beers Construction Company
Atlanta, Georgia
March 1996 Administrative Assistant
• Typed form letters, subcontract change orders and other typing assignments.
• Was responsible for the ordering and maintaining of all office equipment.
• Maintained detailed administrative and procedural processes that reduced redundancy and improved accuracy and efficiency to achieve organizational objectives.
• Set up and maintain a filing system for Owner and Subcontract files.
• Assisted and directed subcontractors and visitors; prepared incoming/outgoing deliveries by UPS, Fedex and Courier Services and promptly responded to general inquiries from customers and staff.
• Directed calls to appropriate individuals and departments.
• Supported Office Manager through calendar organization and preparation for meetings.
• Systematically increased office organization by developing more efficient filing/documenting system and customer database protocols.
• General Office duties,
January 1990 to Department of Professional Regulation -Board of Medicine
July 1994 Tallahassee, Florida
Professional Regulation Specialist
• Processed applications for doctors who wished to be licensed in the state of Florida.
• Was responsible for the investigative inquiry on doctors' medical schools, hospital privileges and training evaluations.
• Prepared agenda for the Board meetings and Credentials Committee Meetings.
• Answered general questions about the process of licensing and renewal of licenses in the state of Florida.
August 1989 to Leon County Schools
January 1990 Tallahassee, Florida
Substitute Teacher
• Taught a variety of courses to all grades
Professional Affiliations
Georgia Association Medical Staff Services (GAMSS) 2002- present
Professional Affiliation Certifications
Certified Provider Credentialing Specialist (CPCS) 11/02 - present
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