Manage/Supervise 3 employee’s • Processed applications and reappointment paperwork, checking for full completeness and accuracy • Collected and processed significant amounts of verification and accreditation information, and maintained/updated accurate databases for both practitioners and facilities • Working knowledge of the DoD, Health Affairs and Tri-Service Command regulations and policies, the Joint Commission (TJC) regulations, knowledge of missions, organizational techniques, programs, systems and procedures of the health care system. Performed a wide variety of privileging/credentialing activities and projects related to performance improvement to include developing guidance or techniques for clinical competence improvement and analyzing and advising on proposed new directives • Ensured continuity of credentialing processes between and appropriate external agencies • Initiated requests for renewal of privileges, updated expired credentials, requested missing information, etc. Made recommendations regarding database revisions • Provided office automation support and production to improve the efficiency and/or effectiveness of office operations• Performed qualitative analysis to ensure accuracy, internal consistency and correlation of recorded data • Integrated data from various types of software, including Microsoft 365, JCCQAS, and SharePoint • Extensive skill in research of data, policies, legal issues involving actions of such nature that results in the potential for reporting to the NPDB or loss of specialty status • Attended and participated in meetings and professional staff conferences and other appropriate professional activities but not limited to the following: professional staff meetings, Department meetings, and others required by applicable regulations, MTF guidance, or as directed by the Commander of the Virtual Medical Center, VMC Director • Participate in special event informational seminars as directed by the Director.

Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. Other duties as assigned: EMG Benefits Coordinator, Medical Records, Front Office/PBX Operator Back up.

Gathered and input provider credentials and demographic information in MSOW/TENET ECHO systems. Responsible for up to 1900 physicians in a fiscal year Prepared TSCA along with all pertinent information for 2 year provider renewal of hospital privileges with credential verifications of state licensure, DEA, DPS and any additional information required per company bylaws. Email, postal and telephone notification reminders of any upcoming renewals of licensure or other necessary documents (FPPE's) including 90-120 day advanced notification of privileging renewals. Delivered files to appropriate committee members for signature. Once approved scanned and filed approval of renewed privileges to providers files.

Manage and maintain provider licensing/certification. Privilege and staff both Active Duty Air Force and civilian DoD providers. Maintain staff records and transfer records to other ADAF locations. Connect with outside military contractors to provide both privileged and non-privileged providers to facility. Verfy employment of providers. Uphold AF guidlines, rules and regulations in accordance with code of conduct. Use of CCQAS system to connect with all departments of the uniformed services.

Maintain provider contracts with insurance companies, medical facilities and licensure/certification. Complete/Apply for contracts with new providers/companies with use of CAQH. Verify employment with facilities. Recruitment of new providers. Apply for and maintain provider/facility NPI numbers.

Add doctors orders for patient to facility systems. Maintain patients records. Order supplies. Add new patients to unit. Add in ICD-9 codes. Confirm doctors orders via phone and relay to unit nurse.