Credentialing Account Manager
Current- Use advanced industry knowledge and individual judgment to determineaccuracy / compliance with laws, regulations, and standards (JC, NCQA, CMS,State) for med. staff / facility applications & audits.
- Act as main PoC for client relations - liaising with all levels from Medical Staff,Office Managers & Directors, Auditors & Surveyors, Dept Chairs and Chiefs.
- Responsible for all daily communications – in system, phone, email, reports,statuses, & escalations.
- Leader for day-to-day provider maintenance making certain that applications(initial, reappointment, change in privilege, etc.) are prioritized and delegatedappropriately.
- Implement electronic processing, retrieval, and verification of provider data incollaboration with other teams to manage expiring, audited, and in progressrecords.
- Utilize statistical methods to explore, transform, and interpret large datasetsefficiently, while thriving in a high data load & faced paced environment..
Dec 2021 - Present
