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Medical Health

Location:
Phoenix, AZ, 85012
Salary:
$40,000-$43,000
Posted:
August 19, 2012

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Resume:

Danielle Zarkower

** *. ******* ***** *******, AZ 85012

419-***-**** yix5pu@r.postjobfree.com

Professional Skills and Knowledge

Computer skills include: Microsoft Word, Excel, Outlook, Morrisey, Meditech, Cactus, Access, Midas, Vision Pro, and internet search tools

Professional Experience

Sr. Medical Staff Coordinator

Banner Thunderbird Medical Center, Glendale, AZ 7/2010-present

Develop privilege criteria for clinical checklists of privileges

Coordinate Department and various Committee meetings with Staff, Administration, and physician offices

Prepare agendas and transcribe meeting minutes

Responsible for the preparation of the Emergency Roster Call schedules and for publishing and distributing the schedules

Schedule meetings and appointments

Act as a resource contact for Medical Staff Rules and Regulations and Medical Staff Bylaws

Process temporary privileges, leaves of absence, resignations, and additional privileges

Complete the initial and reappointment credentialing files of Medical and Allied Health Staff providers

Act as a liaison for Administration, provider offices, and different departments in the facility

Ensure compliance with various accrediting bodies, including the Joint Commission

Prepare correspondence for the Chief Medical Officer, the Medical Staff Services Director, and the Department and Committee Chairs, including the Professional Review Committee Chair

Protect highly privileged and confidential materials

Collaborate with Quality Management and the Chief Medical Officer (CMO) to implement the new centralized peer review process

Licensing Specialist 4/2008 to 7/2010 Banner Health, Mesa, AZ

Processed initial and renewal state applications for facility licensure (e.g. hospitals, outpatient treatment, and surgery centers)

Completed Medicare and Medicaid applications for the Arizona and Western Region

Create W-9s

Initiated, tracked, and completed applications for various licenses with government agencies: CLIAs, Pharmaceutical licenses, DEAs, business permits (e.g. eating and drinking)

Maintained Excel Spreadsheets as resource tools

Updated Access database

Performed various administrative tasks

Interpreted State regulations

Reactivated, re-enrolled, revalidated PTANs for Durable Medical Equipment and Home Health Agencies with Medicare

Resource Credentialing Specialist

Banner Health, Phoenix, AZ 6/2007 to 3/2008

Responsible for payer notification

Generated pre-populated applications and board letters

Initiated and tracked initial and re-credentialing packets

Requested site audits and medical record reviews

Followed-up from the delegated health plans for provider effective dates

Ordered supplies

Scheduled the monthly PrimeCare Credentialing Committee meetings

Performed general credentialing duties for two networks, PrimeCare and the Banner Employed Network

Abided by NCQA standards

Acted as the liaison between provider offices and the different delegated health plans

Prepared and scanned provider profiles

Acted as the Lead for Miscellaneous projects

System Credentialing Specialist (Reappointments)

Carondelet Health Network, Tucson, AZ 9/2005 to 6/2007

Responsible for the overall performance of the reappointment system for the network

Liaison to medical offices and health care providers for the reappointment process

Performed primary source verification

Performed additional privileging, including leaves of absence and resignations

Created the quarterly quality report and generated board letters

Entered data using Meditech and Midas health care applications

Executive Secretary (Temporary position through Remedy Intelligence Staffing)

Tucson International Airport, Tucson, AZ 07/2005 to 09/2005

Executive Secretary to the CEO/President of the Tucson International Airport

Supported administrator in charge of board meeting packets, transcribing meeting minutes, preparing memos and assembling informational binders

Credentialing Assistant (Temporary position through Remedy Intelligence Staffing)

University Physicians Healthcare, Tucson, AZ 01/2005 to 07/2005

Managed the application process for health care providers

Entered group practice details and contact information into the database

Reconciled conflicting application data while following HIPPA regulations

Communicated with certification verification organizations to gather factual information

In close contact with the Contracts and Privileging departments

In charge of initiating and tracking site reviews

Built clinics in Cactus

Health Watch Coordinator and “Shu the Flu Administrator”

Visiting Nurse and Hospice, Maumee, OH 05/2002 to 05/2003

Visited hospice locations to install and maintain the appropriate emergency response equipment

Consulted with current and potential clients

Administered the “Shu the Flu” program, organized volunteers and managed the billing paperwork

Professional Education

Bachelor of Arts degree from the Department of Creative Writing, University of Arizona, Tucson, AZ

Attended Boston University for two years, Boston, MA

Currently preparing for the Certified Provider Credentialing Specialist (CPCS) examination



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