Kathy Dalley

Kathy Dalley Email and Phone Number

Provider Credentialing Coordinator at Lifeline Vascular Care @ Lifeline Vascular Care
vernon hills, illinois, united states
Kathy Dalley's Location
Greater Chicago Area, United States
Kathy Dalley's Contact Details

Kathy Dalley personal email

About Kathy Dalley

Manage Commercial Payer enrollment processes. Complete and submit Credentialing and ReCredentialing Providers Applications. Responsible for data collection, completing all applications, and DocuSigns and managing CAQH Databases. Complete and submit all documentation for Commercial Payers. Manage work log, assign tasks for follow up. Update and keep Excel Worksheet current showing all Data Process Status. Send Bi-Weekly updates providing Credentialing status for all the East Coast territory Centers. Conduct follow up calls to Payers for Enrollment to confirm approved status and demographic updates. Complete verifications and annual renewals, including Medicare & Medicaid. Create W-9 forms for groups, work with Physicians to assist with updating CAQH Profiles, completing applications, and collecting current licenses, board certificates etc. Establish relationships with Providers, offices and Payer Specialists. Looking up DEA, NPI and Licensure Verifications. Revises all systems, excel spreadsheets, smartsheet reports, ECred and manage data. Business Administration, team building, team meetings, WebEx, lead conference calls, work closely with Contracting, Management and worked with .Medicare/Medicaid. Handle Credentialing and ReCredentialing for more than 25 health plans, and 20+ Providers. Share statuses in Bi-Weekly Meetings and Provide Updates with Bi-Weekly Email Updates to Center Managers.*Processing – Reporting – Communication (Interpersonal, written, and group)– Multitask / Detail Oriented - Personnel Management – Assist Talent Acquisitions and Human Resources - Project Timelines –Time Management

Kathy Dalley's Current Company Details
Lifeline Vascular Care

Lifeline Vascular Care

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Provider Credentialing Coordinator at Lifeline Vascular Care
vernon hills, illinois, united states
Employees:
217
Kathy Dalley Work Experience Details
  • Lifeline Vascular Care
    Credentialing Coordinator
    Lifeline Vascular Care Apr 2019 - Present
    Vernon Hills, Il
    Once again back working with Lifeline Vascular Care, Process Credentialing and ReCredentialing Applications and Linking Providers to Service Locations. Complete, maintain and verify state medical licensure, NPI and DEA. Submit completed insurance applications, working closely with all Payers, meeting tight deadlines, and communicating by phone checking on status, linking Physicians to complete Payer Credentialing.Working closely with Payers, Physicians, Medical offices, and Legal. Setup, coordinate and lead team weekly meetings, taking minutes. Compile and maintain data in database, Salesforce, SharePoint.
  • Walgreens Boots Alliance
    340B Implementation Coordinator
    Walgreens Boots Alliance Feb 2018 - Feb 2019
    Deerfield
    Responsible assisting in development, facilitation and execution of 340B clients. Interacts with Pharmacy Services. Store Operations, Wholesalers, Health Systems Solutions, Clients and Specialty Teams to set up and administer the 340B Program. Ensure completion of client implementations and transition to the Operations Team. Complete reports and updates in Salesforce, complete Excel documentation applying Vookup and formulas. Responsible for Pharmacy Call Center, for resolving pharmacy rejected claims.
  • Lifeline Vascular Care
    Credentialing Coordinator
    Lifeline Vascular Care Mar 2017 - Feb 2018
    Process Credentialing and ReCredentialing Applications and Linking Providers to Service Locations. Complete, maintain and verify state medical licensure, NPI and DEA. Submit completed insurance applications, working closely with all Payers, meeting tight deadlines, and communicating by phone checking on status, linking Physicians to complete Payer Credentialing.Working closely with Payers, Physicians, Medical offices, and Legal. Setup, coordinate and lead team weekly meetings, taking minutes. Compile and maintain data in database, Salesforce, SharePoint.
  • Walgreens Boots Alliance
    Credentialing Specialist
    Walgreens Boots Alliance Jul 2014 - Jan 2017
    Deerfield Il
    Analyzes provider credentialing applications and eligibility status.defined in HCC Credentialing Policies and Procedures. Assists in development and implementation of credentialing policies and procedures. Performs timely primary source verification following guidelines. Collaborates with manager and internal departments with applications requiring additional investigation. Gathers and verifies provider information, compiling required documents and researching necessary information. Updates and maintains credentialing database. Assists with NPI enrollment and in areas of Human Resources.
  • The Glen Endoscopy Center
    Insurance Specialist
    The Glen Endoscopy Center May 2013 - Jul 2014
    Glenview Illinois
    Insurance verification specialist. Customer Service with BCBS, Medicare, Cigna, Aetna etc. Configure active coverage, eligibility, copays, deductibles and coinsurance totals. Collect patient responsibility amounts and insurance information for patients and doctors. Maintains medical records, scan medical documents and payment posting. Process and disseminate monthly patient comments reports.
  • Advocate Condell Medical Center
    Icc Secretary Registrar
    Advocate Condell Medical Center Oct 2010 - May 2013
    Gurnee Illinois
    Quality Customer service, facilitates patient flow through clinic. Creates patient registrations, identifies and obtains service authorizations to comply with insurance and government regulations. Maintains medical records and screens for insurance eligibility and benefits. Optimizes revenue cycle through payment collection and posting.

Kathy Dalley Skills

Customer Service Office Management Microsoft Excel Healthcare Management Healthcare Medical Terminology Medical Records Emr Hospitals Microsoft Word Powerpoint Outlook Medicare Medical Staff Credentialing Hipaa Cross Functional Team Building Data Analysis Project Coordination Credentialing Vlookup Analytical Skills

Kathy Dalley Education Details

  • University Of Phoenix - Aahca
    University Of Phoenix - Aahca
    Health/Health Care Administration/Management
  • William Rainey Harper College
    William Rainey Harper College
    Business Administration And Management, General

Frequently Asked Questions about Kathy Dalley

What company does Kathy Dalley work for?

Kathy Dalley works for Lifeline Vascular Care

What is Kathy Dalley's role at the current company?

Kathy Dalley's current role is Provider Credentialing Coordinator at Lifeline Vascular Care.

What is Kathy Dalley's email address?

Kathy Dalley's email address is ka****@****hoo.com

What schools did Kathy Dalley attend?

Kathy Dalley attended University Of Phoenix - Aahca, William Rainey Harper College.

What are some of Kathy Dalley's interests?

Kathy Dalley has interest in Children.

What skills is Kathy Dalley known for?

Kathy Dalley has skills like Customer Service, Office Management, Microsoft Excel, Healthcare Management, Healthcare, Medical Terminology, Medical Records, Emr, Hospitals, Microsoft Word, Powerpoint, Outlook.

Who are Kathy Dalley's colleagues?

Kathy Dalley's colleagues are Clementine Pollard, Steven Irving, Shellie Kolbrek, Judith Dimakatso, Sharon Johnson Rn Bsn Msm, Cherreese Mitchell, Donna Lawrence.

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