Geri Stevens Email & Phone Number

Cape Canaveral, Florida

Responsible for maintaining an accurate, national and international provider network with over 20,000 facilities, acting as the primary credentialing liaison for the company. Responsible for monitoring all practitioners through Cactus to comply with company quality standards, industry standards and contract requirements. Daily contact with facilities to process new and reappointment applications. Responsible for obtaining , reviewing and maintaining all file documentation provided by the… Show more Responsible for maintaining an accurate, national and international provider network with over 20,000 facilities, acting as the primary credentialing liaison for the company. Responsible for monitoring all practitioners through Cactus to comply with company quality standards, industry standards and contract requirements. Daily contact with facilities to process new and reappointment applications. Responsible for obtaining , reviewing and maintaining all file documentation provided by the facility, the practitioner and/or CAQH. Responsible for the maintenance of provider specific information in the PINS and Cactus databases. Accountable and responsible for performing pre-delegation audits and approving the delegation agreement with other organizations as applicable and performed follow up audits of approved delegated organizations as defined by the company credentialing policy and contract requirements. Show less

Titusville, Florida

Accountable for the insurance/payer credentialing processes for the employed licensed medical providers. Responsible for reviewing, preparing and presenting practitioner's credentials files for the JCAHO survey at Parrish Medical Center in February 2012. Responsible for the credentialing and clinical privileging processes for all new and reappointment applications to the Medical Staff and Allied Health Staff. Maintained all practitioners files; assuring that all mandatory documents are… Show more Accountable for the insurance/payer credentialing processes for the employed licensed medical providers. Responsible for reviewing, preparing and presenting practitioner's credentials files for the JCAHO survey at Parrish Medical Center in February 2012. Responsible for the credentialing and clinical privileging processes for all new and reappointment applications to the Medical Staff and Allied Health Staff. Maintained all practitioners files; assuring that all mandatory documents are current and on file Maintained all changes to the Medical Staff Bylaws, Rules and Regulations. Show less

Greater Omaha Area

Provided leadership, oversight and development of the delegated credentialing functions in direct support of the managed care organization. Responsible for maintaining, updating and accuracy of information in the credential files of 1450 physicians and mid-levels in UniNet. Ensured and responsible for compliance and adherence to NCQA and URAC standards for all functions related to credentialing for UniNet. Developed, updated and coordinated the implementation of Credentialing policies and… Show more Provided leadership, oversight and development of the delegated credentialing functions in direct support of the managed care organization. Responsible for maintaining, updating and accuracy of information in the credential files of 1450 physicians and mid-levels in UniNet. Ensured and responsible for compliance and adherence to NCQA and URAC standards for all functions related to credentialing for UniNet. Developed, updated and coordinated the implementation of Credentialing policies and procedures. Solely managed the delegated credentialing and recredentiaing processes for UniNet in cooperation with Nebraska Credentials Verification Organization. Performed any or all primary source verifications to expedite files as appropriate. Coordinated and prepared for annual audits from networks that were delegated with UniNet. (12-15 payers). Coordinated and prepared for pre-delegation audits as necessary to acquire new lines of business. Performed delegation audits with NCVO on an annual basis to apply policy and criteria. Responsible for sending undated information to payers on a weekly basis. Coordinated the Credentialing Committee meetings to include the development of agenda, notification of meetings, taking minutes and monthly follow-up activity. Show less

Greater Omaha Area

Responsible for the administrative functions required for the credentialing of initial and reappointment applications for medical staff practitioners for multiple Alegent Health hospitals and Critical Access sites in cooperation with Nebraska Credentials Verification Organization. Alerted Medical Staff Services and or the Operations Leader of potential risk or conflict issues, in compliance with JCAHO guidelines. Performed all primary source verifications as necessary to expedite files as… Show more Responsible for the administrative functions required for the credentialing of initial and reappointment applications for medical staff practitioners for multiple Alegent Health hospitals and Critical Access sites in cooperation with Nebraska Credentials Verification Organization. Alerted Medical Staff Services and or the Operations Leader of potential risk or conflict issues, in compliance with JCAHO guidelines. Performed all primary source verifications as necessary to expedite files as appropriate. Coordinated the flow of information between the Medical Staff departments and the Medical Executive Committee. Acted as liaison between the Chief of Staff/President, Department Chairmen, Service Line Chairmen, Medical Staff members and hospital personnel. Show less