Kate W. Email and Phone Number
Kate W.'s Location
Denton, Texas, United States, United States
About Kate W.
Empathy and Compassion: My valuesServant leadership: How I operateHi there! I'm Kate and I'm all about helping others. I think it was what I was born for actually. I have spent most of my life naturally helping others and professionally, which has helped me grow to be a strong leader and mentor to others. If you ask pretty much anyone I know, they will likely tell you I am a VERY giving and helping person. They would also likely describe me as funny, caring, and always wanting to do the right thing.I've always had the drive to do better and better than the day before. I'm extremely determined to provide the best quality in all I do. I operate with a high level of awareness of details due to my excellent organizational skills and I've been able to manage high-stress situations and tight deadlines with a sense of urgency and importance. I like juggling multiple things and enjoy the challenges associated with increased responsibilities in which many depend on my efforts. I set expectations high for myself and am always seeking to learn more to be a valuable asset.My leadership and management approach is one of inclusiveness and understanding of all people I work with. I've been a person people can come to with problems and am able to help provide solutions promoting harmony and balance. I don't shy away from helping a struggling teammate and my goal is to ensure others can be their best with the resources given and an open ear. My adaptable communication style allows me to have the best working relationships with others, even in difficult settings promoting harmony and connection. I've been able to use my diplomatic nature to build strong professional rapport with others and influence positivity in the work environment. My primary motivation and mission is to make a lasting positive impact on others in all that I do.I have demonstrated management experience by providing support and guidance and driving process improvements by overseeing and leading teams effectively. I've been able to enhance the skills of others as well as my own skills by connecting with others and leading side-by-side while teaching and learning from my team. I have a proven track record in credentialing, compliance management, and payer enrollment and I enjoy the intricacies of credentialing. I am determined to become NAMSS certified to further showcase my value and expertise in the credentialing field.I'm always open to connecting with fellow professionals in the credentialing field. Feel free to reach out if you'd like to chat.
Kate W.'s Current Company Details
Kate W. Work Experience Details
-
Patient Care CoordinatorR3 Wound Care And Hyperbarics May 2024 - PresentFort Worth, Texas, Us♦ Efficiently manage patient intake, including data entry, insurance verification, and gathering patient histories to ensure accurate records.♦ Schedule and coordinate appointments, follow-ups, and specialist referrals, maintaining an organized schedule to maximize provider availability.♦ Verify insurance coverage, obtain necessary authorizations, and communicate with insurance companies to ensure smooth billing processes.♦ Act as a primary point of contact for patients, addressing inquiries about procedures, insurance, and treatment plans to enhance patient understanding and satisfaction.
-
Credentialing ManagerPhysical Rehabilitation Network (Prn) Oct 2023 - Mar 2024Carlsbad, Ca, Us♦ Manage the credentialing process for all physical therapy staff, ensuring compliance with state, federal, and organizational requirements with MD-Staff.♦ Manage a team of three ensuring team development, increased engagement and quality performance.♦ Maintain accurate and up-to-date credentialing files for each physical therapy team member, including licensure, certifications, and sanction checks.♦ Conduct thorough PSV documentation including sanction checks, NPDB and National Student Clearinghouse, state license, board certification.♦ Serve as the primary point of contact for inquiries related to credentialing from internal and external stakeholders.♦ Monitor expiration dates for licenses, certifications, and other credentials, and facilitate the renewal notification process as needed.♦ Conduct regular audits of credentialing files for delegation to ensure accuracy and compliance with organizational standards.♦ Prepare, organize and help facilitate monthly committee meetings. -
Credentialing SpecialistBreakthrough Behavior Is Now Acorn Health Jul 2023 - Sep 2023Maitland, Fl, Us• Assure the confidentiality and integrity of all aspects of the credentialing program and process including communication of information regarding participating providers to other internal departments.• Build file documentation and prepare file for credentialing review.• Conduct thorough research, establish contacts, and gather pertinent application documents for payor submission.• Ensure timely OIG verification/re-verification to prevent any negative impact related to compliance or regulatory requirements.• Enter Acorn Health practice information and liability coverage into provider’s CAQH Proview’s file and maintain routine attestations.• Conduct National Practitioner Data Bank and National Student Clearinghouse prime source verification for applicable providers.• Maintain credentialing Smartsheet and Central Reach profiles for providers as assigned. • Maintain timely communication with external providers regarding eligibility, supporting documentation, and credentialing and/or related provider issues.• Maintain credentialing onboarding, advise the clinical team of approval, and update provider internal profile. -
Credentialing CoordinatorInvo Behavior & Therapy Services Oct 2022 - Aug 2023Tampa, Florida, Us• Responsible for all credentialing verification, including initial onboarding, recredentialing, and offboarding to ensure the utmost compliance and prompt submission of payor enrollment applications reducing RCM billing issues.• Enhanced credentialing department by accepting ownership for accomplishing new and different tasks and exploring opportunities to add value to job accomplishments by providing input and feedback to management.• Completed managed care auditing processes of documentation, and perform internal file audits ensuring compliance according to governing standards.• Enroll providers and Medicaid, Tricare, and private insurance plans and credential providers (e.g. ABA, Mental Health & OT/PT/SLP) with insurance payers while meeting payer criteria as well as completing the processes to re-credential existing providers.• Ensure timely follow-up on payer portals or through phone or email communication to ensure the credentialing process has been completed in full with thorough documentation standards implemented.• Routine review of payer rosters, CAQH profiles, and payer attestations ensuring the most accurate data is attested to as quickly as possible with 100% up-to-date attestations (CAQH, Availity, etc.).• Ensure accurate documentation within credentialing system Modio. -
Credentialing CoordinatorBreakthrough Behavior Jan 2022 - May 2022Maitland, Fl, Us• Performed all aspects of credentialing verification, including initial credentialing and recredentialing to ensure current credentials and prompt submission of provider files.• Completed accurate and compliant payer initial contracting and credentialing applications for Behavior Technicians and Analysts to payers including Florida Medicaid, Tricare East/Humana, Tricare West, Aetna, Anthem BCBS, Optum/United Healthcare, Magellan, Cigna/Evernorth and Beacon.• Conducted PSV/CVO verifications via NPPES, CAQH, BACB and state license verification as including specialty providers such as SLP's and Psychologist's as well as monitored expiring licensure, board and professional certifications and other expiring documents with providers within the prescribed timeframe.• Maintained certification & credentialing requirements for renewals for BACB providers to ensure timely billing reducing delay in services for clients resulting in a 70% reduction in adjusted revenue on weekly basis from Billing.• Organized and structured training materials for Credentialing Department while accruing personal knowledge and education to grow consistent and thorough training processes.• Managed provider NPPES NPI profiles, Analyst CAQH profiles and group payer roster maintenance through individual payer portals, as well as Availity, sustaining up-to-date ABA demographics and group maintenance.• Utilized Central Reach platform to work closely with the Revenue Cycle Management team to identify and resolve any denials or authorization issues related to provider credentialing reducing interruption in services for clients.
-
Credentialing AnalystAmn Healthcare Aug 2021 - Dec 2021Dallas, Tx, Us• Contract position providing leadership and direction to training team helping to improve team knowledge scope and reduce error rate of processing and promoting team engagement.• Managed multiple professional relationships by cultivating a customer-centric approach which enhanced customer engagement with the company.• Reviewed healthcare providers’ submitted requirements including licensure, certifications, screens and other critical documents using AMIE system and Salesforce to determine provider document status versus requirements needed for specific assignment in order to pursue outstanding requirements.• Communicated timely updates of provider document status with all internal stakeholders within AMIE system and Salesforce, email, phone, etc. to facilitate a team approach to gathering all required documents.• Coordinated with 3rd party vendors to determine appropriate dates, times, and locations for HP candidates to complete necessary compliance steps including drug screens, background checks, immunizations, etc.• Maintained up-to-date and accurate documentation including updated contact information, new requirements, and client correspondence by following up regularly with clients in order to optimize service coverage and prevent gaps in service delivery.• Conducted PSV/CVO verifications via NPPES, CAQH, NPDB, DEA, NURSYS, ABMS, BACB, state license verification as well as specialty providers such as SLP's, OT's, PT's, Pharmacy and other allied professionals. -
Credentialing Quality SpecialistIntellicentrics | Experience Sec3Ure Healthcare Jun 2019 - Aug 2021Flower Mound, Texas, Us• Despite the uncertainty of COVID-19 outbreak, organized and executed the most successful annual flu vaccination season 2 years in a row by maintaining 1 hour SLA exceeding the company’s expectations of 45% from the previous year with quality vendor credentialing processes and delegation applications.• Organized, prepared, and co-facilitated my first and only NCQA CVO audit, passing with a 100% score and commendable feedback on process organization and data management.• Implemented new methods of standardized training and eliminated operational process gaps by establishing clear goals, overseeing performance, and implementing a continuous training plan through daily audits which reduced the error rate by 30%.• Collected and analyzed information to monitor operations process outcomes and identify and address trends of critical errors.• Maximized team knowledge and productivity by providing effective training, delegation, monitoring, and directing employees in application of best practices with HIPPA and NCQA regulatory standards.• Provided directors with ongoing resource management and performance improvement solutions for Operations.• Maximized performance by managing employee utilization, providing re-allocation of resources based on areas of need, and assigning training resulting in stronger staff development and increased productivity.• Provided feedback on new hire development including need for training, detailed review of work with coaching for errors, and report any new hire issues with quality production to Operations Supervisor immediately.• Delivered feedback to decision-makers regarding existing employee performance and training needs.• Created Customer Service call center scorecard audit form resulting in improved training expectations for employees.• Provided prompt credential escalation support reducing service ticket creation and helping CSR maintain call volume contact SLA. -
Fresh Production SupervisorWalmart Nov 2018 - Aug 2019Bentonville, Arkansas, Us• Executed daily operations goals of product stocking and inventory levels leading to 10% overall improvement in departmental goals within 3 months.• Increased department sales by 20% and decreased waste by 30% with consistent rotation of stock within compliance of Health and Safety Guidelines.• Trained and led team of 12 department members in successful strategies to meet operational and sales targets.• Developed and nurtured trusting relationships with employees through dedicated assistance, issue resolution and servant leadership talents.• Performed daily quality checks of inventory to protect consumers for food consumption and asset protection and profit building.• Set and updated daily work schedules to meet coverage demands by considering factors like expected customer levels, planned promotions and individual employee strengths. -
Qualified Intellectual Disabilities Professional LeaderTexas Department Of Aging And Disability Services Jan 2018 - Jun 2018Austin, Texas, Us• Recruited to provide exceptional leadership due years of success holistically enhancing the training of departmental members to effectively meet the day-to-day needs of clients within the state-run organization.• Fostered internal team collaboration improvements which elevated teamwide performance and client satisfaction improving client goal completion.• Responsible for managing the quality integrated health care program services facilitated within a clinical interdisciplinary team setting in a comprehensive, collaborative approach providing quality health improvement for individuals with intellectual disabilities and significant health needs.• Implemented improvements to progress standard operating procedures which uplifted teamwide morale and performance standards and family satisfaction ratings.• Provided new creative perspective to plans that needed improvement and increased patient compliance and improved health statuses.• Facilitated coordination of program implementation goals of clinical interdisciplinary team.• Created and maintained monthly reports reviewing patient EHR files and clinical documentation addressing all aging health care plans lacking progress thus exceeding monthly goal completion by 35%. -
Qualified Intellectual Disabilities Professional ManagerTexas Department Of Aging And Disability Services Apr 2016 - May 2017Austin, Texas, Us• Executed proven teaching and communication strategies to continually improve clients' physical, health, independence, behavior management, and program goals.• Initiated and provided leadership in quality assurance and quality improvement activities based resident satisfaction, employee satisfaction, process and system refinement improving operational performance.• Identified resource management concerns in the annual client assessment process with suggested operational improvements that resulted in a 35% increase in assessment completion and quality scores.• Recognized by administration for producing a 100% documentation deadline compliance, as well as a 100% positive client satisfaction survey scores.• Internal subject matter expert for new EHR/EMR software program providing training to group of 80 clinical, administrative and operations staff working with the state office to document best practices for software utilization.• Improved internal collaboration on resource management with executive administrative team and directors by facilitating consistent trust and integrity.• Hired, trained, coached, and mentored over 20 employees leading to enhanced teamwide performance and morale; designed and presented new training materials that became standard issue within 6 months.• Developed, implemented, and monitored program policies and processes, as well as maintained operational and CMS and State of Texas Health and Human Services requirements involving standard operating procedures and processes for overseeing interdisciplinary teams that provided health care services.• Developed, evaluated, and maintained training manuals, program guidelines and quality processes by providing proactive communication to Agency internal and external stakeholders.• Improved compliance from 30% to 100% in the first 60 days by completing annual planning documents well within aggressive timelines, boosting the facility’s organizational compliance ranking from #11 to #3.
-
Qidp Facilitator (Intellectual Disability Service Coordinator)Texas Department Of Aging And Disability Services Sep 2011 - Apr 2016Austin, Texas, UsMy second position with the organization involved supporting the efficient execution of all recreational, physical, health, independence, behavior management, and nutrition activities while effectively managing client relationships through the provision of exceptional client care with individuals with intellectual disabilities and major health concerns.I hit the ground running and improved compliance with internal and external guidelines from 30% to 100% in the first 60 days by completing annual planning documents well within aggressive timelines, which boosted the facility’s organizational compliance ranking from #11 to #3.My success led to being designated as a trainer and mentor for new hires and peers to equip all employees with the knowledge and skills necessary to develop and complete action plans for clients while concurrently managing a case load consisting of 80 – 192 clients.
-
Pharmacy TechnicianTexas Department Of Aging And Disability Services Aug 2007 - Sep 2011Austin, Texas, Us• Filed prescriptions for residents residing at facility with less than 10% error rate.• Charged and credited medicines to patient profile and to Medicare.• Created purchase orders for pharmacy management on daily basis with no out-of-stock medications and supplies.• Maintained medication inventory to ensure no less than 20% error rate.• Conducted medication room inspections/audits to ensure medication storage compliance.• Appropriately reconciled vendor invoices in a timely manner to ensure prompt payment.• Delegated to assist with auditing reports to Accounting Department to ensure no discrepancies between vendor reconciliations and financial budgets.• Commendable performance reviews regarding my initiative to assist others with technical and process assistance between nurses and physicians.
-
Home Health AttendantCaprock Home Health Services, Inc. Nov 2008 - May 2017Lubbock, Tx, Us• Delivered assistance to elderly client in daily activities including bathing, dressing, physical transfers and care for incontinence.• Offered support for client mental and emotional needs to enhance physical outcomes and overall happiness.• Developed rapport to create safe and trusting environment for care.• Promoted development of healthy lifestyle to meet health and wellness objectives.• Coordinated daily medicine schedules and administration to help client address symptoms and enhance quality of life.• Increased medication knowledge and medical terminology prowess through consistent research and continuing education.• Maintained clean, safe and well-organized patient environment.• Maintained records of patient care, condition, progress or problems to report, and discussed observations with physicians.• Worked to improve and enhance patient life through effective and compassionate care. -
Pharmacy Technician, Photolab Associate, Floor AssociateWalgreens Pharmacy Mar 2005 - Aug 2008Deerfield, Il, Us• Primary duties: Filled prescriptions, customer service, inventory management and, physician correspondence on patient behalf.• Implemented Medicare Part B changes according to regulation and educated patients in enrollment plans.• Assisted with processing third-party insurance claims including Medicaid and Medicare according to policy and learned prescription coverage rules.• Educated patients on insurance process concerns.• Ensured insurance adjudications and third-party processing claims were resolved in a timely manner for patients.• Trained new pharmacy technicians and pharmacy interns.• Inventory management, merchandise and stockroom management.• Cash register handling and counting down cash register.• Photo lab duties such as printing photos, changing inks for photo printer, and lab machine cleanup• Abided by OSHA standards.• Received outstanding customer service reviews that were sent to store manager and Corporate level management. -
Customer Service AssociateWal-Mart Feb 2003 - Mar 2005Bentonville, Arkansas, Us• Provided above standard customer service and received excellent customer satisfaction reviews.• Garden Center duties, cashier duties, and other departmental duties.• Inventory control and management.• Product ordering. • Abided by OSHA standards and Health Department regulation.
-
Customer Service ClerkDyess Air Force Base-Traffic Management Office Jun 2002 - Aug 2003• Answered incoming phone calls and directed calls to appointed office personnel.• Customer service.• Set up appointments for airmen to schedule moves.• Created new forms for customers to complete.• Filing, copying, delivering mail, and other clerical duties.• Interdepartmental delivery of customer forms to complete moves.• Received exemplary review of hard work from departmental leadership.
-
Customer Service ManagerHollywood Video Jun 2002 - Feb 2003Us• Promoted to Assistant Manager at age 17 within 3 months of hire.• Provided excellent customer service.• Data entry and maintenance of customer information.• Maintained proper inventory management of merchandise.• Managed cash registers and cash inventory with deposits to bank.• Nightly cash audits. -
Administrative ClerkAbilene Independent School District Aug 2001 - May 2002• Clerical duties including filing educational documents pertaining to elementary and secondary school levels, copying, • PBX phone operations involving transferring calls in administration building and to schools in town.• Created pamphlets and various newsletters for all schools. • Secretarial work and print shop duties such as mass copying, book binding, mass mailing of letters and district notes and other print shop duties.• Provided initiative to assist other professional departments with clerical work outside of assigned duties.
Kate W. Education Details
-
University Of PhoenixGeneral -
University Of PhoenixBusiness Information Systems
-
Abilene High SchoolGeneral
-
Udemy AlumniCertificate Of Completion
Frequently Asked Questions about Kate W.
What company does Kate W. work for?
Kate W. works for R3 Wound Care And Hyperbarics
What is Kate W.'s role at the current company?
Kate W.'s current role is Compassionate Credentialing Professional & Servant Leader.
What schools did Kate W. attend?
Kate W. attended University Of Phoenix, University Of Phoenix, Abilene High School, Udemy Alumni.
Free Chrome Extension
Find emails, phones & company data instantly
Find verified emails from LinkedIn profiles
Get direct phone numbers & mobile contacts
Access company data & employee information
Works directly on LinkedIn - no copy/paste needed
Aero Online
Your AI prospecting assistant
Select data to include:
Total price:
$0.00
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial