Chrissy Bailey Email & Phone Number

55 Lake Ave, North Worcester, Ma 01655

Responsible for the administration of the operational and general business functions of the Critical Care Affiliate Practitioner (AP) Group. Performs a variety of duties to obtain, compile, gather, check, arrange, verify and assemble all information and documentation/credentials required for determining the qualifications and clinical competence of medical staff. Prepares applications for practitioners who are applying for privileges at UMass Memorial Medical Center and at any member or affiliate hospitals. Acts as primary contact and liaison for the AP's and outside departments Works with the program schedulers to ensure adequate staff coverage. Supports staff recruitment, documentation of training and assists program members with credentialing.Performs weekly payroll and documentation verification for the compensation plan. Coordinates interviews and works with all new hires through the beginning employment process. Coordinates and supports the On-going Professional Performance Evaluations (OPPE). Monitors the CME program. Ensures proper documentation is maintained for competency assessment, credentialing and compliance purposes. Evaluates methods and procedures or develops alternative techniques for processing work or improving the operating efficiency/effectiveness.Monitors that personnel receive proper training in timely fashion to satisfy compliance regulations. Monitors the employee environment utilizing employee feedback and helps improve the environment when possible.Collaborates with the Critical Care business manager and Affiliate Practitioner (NP/PA) Program Director to develop budgets and manages activities to assure financial goals are met.Working with the Affiliate Practitioner (NP/PA) Program Chief Critical Care, unit directors, supervising physicians, and adult ICU attending physicians, provides support and guidance to the ICU Affiliate Practitioners in order to promote teamwork and motivation.

Medical Staff Services - 281 Lincoln St, Worcester, Ma 01605

Responsible for the efficient management of UMMHC provider enrollment process with third-party insurance plans that are under contract with UMMHC. Interacts extensively with physicians, and other licensed independent practitioners, insurance plans and clinical divisions and departments to facilitate enrollment and to maximize reimbursement for services rendered.Negotiates and resolves issues on a day-to-day basis between UMMHC and third party insurance plans in securing provider enrollment status for UMMMG employed providers, as well as resolving issues with claims payment and insurance plan credentialing.Resolves any coverage or billing issues between Central Business Office and third party insurance plans as well as between the Managed Care Network Office and third party insurance plans that cannot be resolved by the Provider Enrollment Specialists. Serves as liaison to providers, Central Business Office, UMMHC and UMass Memorial Medical Group staff, Managed Care Network staff, and managers of various clinical departments and divisions on all provider enrollment-related issues. Prepares and generates a variety of reports from various databases regarding billing, panel and enrollment status of applicants, due diligence reports, change reports, provider directories, etc. for UMMHC administration and UMass Memorial Medical Group.Maintains a proficient working knowledge of the requirements for enrollment and contracting with all insurance plans currently under contract with the Medical Group.Responsible for training staff in the use of various databases which support and maintain provider billing information (Databases include: Echo provider enrollment section, IDX Provider, Referring, Meditech Crossmap, and Radiology Crossmap).Serves as back-up to the Director Medical Staff Services/Provider Enrollment, on provider enrollment issues, during absences.

Medical Staff Services - 281 Lincoln St, Worcester, Ma 01605

Prepares and distributes applications for appointment and reappointment, using electronic applications whenever feasible. Ensures appropriate authorizations for release of application have been received. Enters, scans and logs all data in Echo.Reviews incoming applications for appointment and reappointment to ensure completeness, check for adverse or questionable information, discrepancies, and that appropriate supporting documentation has been received.Processes queries (electronic or written) for verification of education, training, practice history, malpractice history, licensure, specialty boards, criminal history, sanction and discipline history.Processes queries to National Practitioner Data Bank, American Medical Association Physician Master file, Federation of State Medical Boards, Educational Commission for Foreign Medical Graduates, and American Board of Medical Specialties or equivalent, Office of the Inspector General, Excluded Parties Listing Service, and Criminal Background check. Reviews results for any sanctions, claims, questionable references or information, discipline, criminal history, gaps in education or training, and discrepancies with information provided by applicant.Prepares findings for review and recommendation by chief/chair, Credentials Committee, Medical Staff Executive Committee, and Patient Care Assessment Committee.Prepares applications for UMass Memorial Medical Center practitioners who are seeking appointment/reappointment at member/affiliate hospitals. Works with clinical department administrators, chief and chairs, and clinical practitioners on issues related to credentialing.

55 Lake Ave, North Worcester, Ma 01655

Administrative Assistant to the Critical Care Operations Business Manager, Affiliate Practitioner Manager, Critical Care Affiliate Practitioner Program, and the Critical Care Physician Assistant Residency ProgramProvided administrative support including scheduling of high level meetings, recording confidential peer review meeting minutes, scheduling of interviews, maintaining credentialing documents of the Affiliate Practitioners, and other various duties as required.

55 Lake Ave, North Worcester, Ma 01655

Executive Administrative Assistant to the Chair of Critical Care as well as Administrative Assistant to the Physician Assistant in Critical Care Residency Program and the Critical Care Affiliate Practitioner Program.Provided administrative support including scheduling of high level meetings, recording confidential peer review meeting minutes, scheduling of interviews, maintaining credentialing documents of the Affiliate Practitioners, and other various duties as required.

55 Lake Ave, North Worcester, Ma 01655

Pulmonary and Critical Care Fellowship CoordinatorProvided administrative support to the Program Director; including collecting andorganizing incoming applications, coordinating/scheduling interviews, preparing essential employment documents, and other various duties as required.

Pulmonary, Allergy, And Critical Care Medicine

Provided administrative and clinical secretarial support for four physicians. Triaged patient phone calls, transcription, maintained physician calendars and patient files. Provided other administrative and clinical duties as needed.

Memorial Campus - 119 Belmont St, Worcester, Ma 01605

Completed and maintained newborn birth records, collected parent confidential information, data entry in both hospital and state computers. Notarized legal documents before being processed to state.

Memorial Campus - 119 Belmont St, Worcester, Ma 01605

Film retrieval for physicians, prepared films for surgery and various clinics, data entry, triaged patient phone calls, filing, and other duties as required.