Amy Magnus, Mha, Cpmsm, Cpcs Email & Phone Number

Houston, Texas, US

• Lead a team of 100 employees responsible for delivering primary source verification services to customers, including, but not limited to, hospitals, surgery centers, payers, health plans, and managed care organizations
• Provide leadership, direction, and strategic planning to assure CVO services are meeting the needs of the customer
• Standardize, direct, and track efficiency of primary source verification services, processes and policies that demonstrate compliance with applicable laws, regulations, and accreditation bodies while achieving key.
• Manage compliance with accreditation and regulatory standards as well as symplr CVO credentialing policies and procedures
• Provide expertise in the areas of primary source verification processes, credentialing, and re-credentialing practitioners in alignment with NCQA, TJC, AAHC, DNV, URAC, CMS and any other applicable state and federal.
• Foster a culture of continuous improvement by regularly reviewing and evaluating processes. Identify areas for further alignment, process improvement, and address any gaps or deficiencies that arise

Houston, Texas, US

• Managed the CVO credentialing process for all assigned CVO customers, in accordance with accreditation standards, Federal and State laws, and symplr CVO credentialing policies and procedures
• Coordinated the management of the credentialing database and associated modules, ensuring data accuracy and reporting to downstream systems
• Analyzed critical data for evaluation and report generation
• Monitored and reported turnaround times for processing of credentials applications, with a continued focus on the delivery of a high-quality product
• Participated in the development and review of CVO policies and procedures
• Analyzed accreditation standards and developed criteria to ensure compliance

Houston, Texas, US

• Performed primary source verification in accordance with customer needs and applicable industry standards for practitioners with health care plans, hospitals, surgery centers and/or other health care institutions.
• Processed, reviewed and maintained all practitioner credentialing and re-credentialing files
• Entered and updated practitioner data in the credentialing database while adhering to input standards
• Managed complete initial and recredentialing applications within the expected timeframes
• Assured the confidentiality and integrity of all aspects of the credentialing program and process
• Executed a variety of essential administrative functions for all aspects of the credentialing, and follow up processes

• Performed all aspects of credentialing, including initial appointment, reappointment, and privileging for approximately 300 physicians and Advanced Practice Professionals
• Monitored and maintained current licensure, registration, board statues and certifications
• Responsible for the management and minute preparation of the Medical Staff, Department of Medicine, Department of Surgery, and Credentials Committees
• Acted as liaison and provided support to the members of the Medical Staff, Advanced Practice Professionals, hospital administration, and clinical departments/services regarding credentialing issues and any other.
• Served as the facility’s subject matter expert regarding accreditation and regulatory requirements
• Oversaw the maintenance, integrity, and ongoing compliance with the Medical Staff bylaws, and medical staff policies and procedures

Gunnison, Colorado, US

• Directed the initial credentialing and re-credentialing process for Gunnison Valley Health
• Confirmed all provider information is verified and accurately recorded and maintained
• Ensured compliance with The Joint Commission standards and state regulations in regard to Medical Staff
• Coordinated and supported Medical Executive, Medical Staff, and Environment of Care Committees
• Initiated and managed provider peer review process and monitor provider performance
• Collected and oversaw the focused and ongoing provider performance evaluation data

• Performed the clerical and administrative duties necessary to the functionality of a chiropractor's office
• Guided patients, manage scheduling and educate patients with certain procedures
• Recorded case history details of practice members while maintaining confidentiality, carry out progress assessment examinations and take X-rays
• Arranged social and promotional events including dinners and luncheons. Negotiated vendor, caterer and service provider contracts, perform site selection and coordinate scheduling.
• Managed and maintained Doctor Sims’ personal calendar
• Screened emails, requests and inquiries and pass on accordingly. Managed the task of corresponding on behalf of Doctor Sims.

Master'S Degree, Health/Health Care Administration/Management

Bachelor Of Science (B.S.), Fashion Merchandising