Nancy Vue Email and Phone Number

Maintained credentialing files for all providers and clinical staff, ensuring timely updates for compliance.Renewed insurance policies on time, avoiding any lapses and protecting company from potential financial risks.Ensured timely renewal of licenses, DEA, and professional liability insurance for all providers and staff through a comprehensive tracking database.Successfully tracked CME requirements for 40+ providers and 250+ employees, ensuring compliance with funding, licensing, and credentialing requirements.Proactively communicated changes in regulations and health plan requirements.Improved compliance by conducting timely annual and monthly query NPDB, SAM, OIG, ensuring clinician eligibility.Streamlined provider enrollment process for the company.Successfully managed 4+ clinical and facility PAVE DHCS accounts for medical group, ensuring timely and accurate enrollment.Implemented efficient onboarding system for new providers.Implemented protocols to comply with HIPAA, CLR and CLIA requirements, resulting in increased efficiency and accuracy.Ensured compliance with professional standards, policies, and procedures, as well as federal, state, and local requirements.Streamlined credentialing process and maintained attestation provider enrollment.Maintained provider hospital affiliation for 20+ providers, 20+ allied health ensuring compliance with credentialing policy.Manage-end-year budget for professional medical license, facility permits, malpractice and credentialing.Efficiently completed provider roster audits with payers and networks.Log and maintain all incident reports, patient inquiries. QAPI & Board Meetings

Scheduling Responsibilities:• Scheduled Breast Cancer surgical cases for 2 surgeons and 3 clinics.• Coordinated combination surgical cases with plastic surgeons.2. Preparation and Optimization:• Obtained pre-optimization for surgical cases.3. Patient Referral and Coordination:• Referred patients to specialists prior to surgery.• Coordinated breast localization with breast centers before surgery.4. Appointment Scheduling:• Scheduled pre and post-operative appointments.5. Collaboration and Follow-Up:• Coordinated combination surgical cases with plastic surgeons and followed through with the care plan.

Implemented new onboarding process for clinical staff resulting in improved provider satisfaction.Streamlined credentialing process, reducing turnaround time.Maintained 100% accurate credentialing files for all providers and clinical staff, ensuring timely updates for compliance.Renewed insurance policies on time, avoiding any lapses and protecting company from potential financial risks.Ensured timely renewal of licenses, DEA, and professional liability insurance for all providers and staff through a comprehensive tracking database.Successfully tracked CME requirements for 20+ providers and 50+ employees, ensuring compliance with funding, licensing, and credentialing requirements.Proactively communicated changes in regulations and health plan requirements.Improved compliance by conducting timely annual and monthly query NPDB, SAM, OIG, ensuring clinician eligibility.Streamlined provider enrollment process for the company.Successfully managed 20+ clinical and facility PAVE DHCS accounts for medical group, ensuring timely and accurate enrollment.Implemented efficient onboarding system for new providers, resulting in a 100% decrease in processing time and increased productivity for HR.Implemented protocols to comply with HIPAA, CLR and CLIA requirements, resulting in increased efficiency and accuracy.Ensured compliance with professional standards, policies, and procedures, as well as federal, state, and local requirements.Streamlined credentialing process and maintained attestation, resulting in 100% provider enrollment and increased patient access.Maintained provider hospital affiliation for 20+ providers, ensuring compliance with credentialing policy.Manage-end-year budget for professional medical license, facility permits, malpractice and credentialing.Efficiently completed provider roster audits with payers and networks.Log and maintain all incident reports, patient inquiries and report to quarterly QAPI meeting.

Implemented new onboarding process for clinical staff resulting in improved provider satisfaction.Streamlined credentialing process, reducing turnaround time.Maintained 100% accurate credentialing files for all providers and clinical staff, ensuring timely updates for compliance.Renewed insurance policies on time, avoiding any lapses and protecting company from potential financial risks.Ensured timely renewal of licenses, DEA, and professional liability insurance for all providers and staff through a comprehensive tracking database.Successfully tracked CME requirements for 20+ providers and 50+ employees, ensuring compliance with funding, licensing, and credentialing requirements.Proactively communicated changes in regulations and health plan requirements.Improved compliance by conducting timely annual and monthly query NPDB, SAM, OIG, ensuring clinician eligibility.Streamlined provider enrollment process for the company.Successfully managed 20+ clinical and facility PAVE DHCS accounts for medical group, ensuring timely and accurate enrollment.Implemented efficient onboarding system for new providers, resulting in a 100% decrease in processing time and increased productivity for HR.Implemented protocols to comply with HIPAA, CLR and CLIA requirements, resulting in increased efficiency and accuracy.Ensured compliance with professional standards, policies, and procedures, as well as federal, state, and local requirements.Streamlined credentialing process and maintained attestation, resulting in 100% provider enrollment and increased patient access.Maintained provider hospital affiliation for 20+ providers, ensuring compliance with credentialing policy.Manage-end-year budget for professional medical license, facility permits, malpractice and credentialing.Efficiently completed provider roster audits with payers and networks.Log and maintain all incident reports, patient inquiries and report to quarterly QAPI meeting.

• Designed, developed, and implemented improved business processes to streamline front office operations.• Supervised and trained personnel on comprehensive department procedures.• Collected, analyzed, and assembled data from clinical schedules into meaningful logs and charts for managers’ use. • Directed and organized the department for smooth patient flow between the front and back offices.• Handled and balanced cash on a daily basis, as well as prepared bank deposits.• Managed multi-line telephone system, answering inquiries, scheduling appointments, and transferring calls as necessary. • Represented organization at community and health fairs.• Verified medical and vision insurances and collected copays and billing insurances.