Radka Thompson Email & Phone Number

Novato, Ca, Us

San Francisco, California

Responsible for building and managing a credentialing program for a quickly growing telemedicine company. Oversee an enrollment of providers with major payors and delegated contract negotiations. Participate in annual oversight audits and budget preparations.

San Francisco, California

Responsible for operations of the Credentialing Department at Blue Shield of California, including the credentialing process, peer review committee support, provider records management, staff support, work allocation, training, promotion, performance evaluation. Developed and maintained policies and procedures, ensured compliance with accrediting organizations, State and Federal laws. Provided on-site consultations across all BSC segments with regards to credentialing, compliance and regulatory audits, and implementation of new technology. Ensured timely preparation and meetings of the BSC Credentialing Committee. Participated in the development and management of the annual operating budget.

Oakland, California

Supervised day to day operations of Credentialing Team processing practitioner applications for KP facilities. Monitored recredentialing process including sending out reappointment applications, escalation process of non-responders and receipt of applications for timely processing. Managed process of updating expiring documents including a license, DEA certificate and others between credentialing cycles. Worked in partnership with all Medical Staff Offices, Chiefs, Contracting, Human Resources and other departments within the organization to ensure organizational goals were met.

San Rafael, California

Created and facilitated educational program for credentialing staff. Implemented CAQH interface and managed daily operations of this vendor. Managed operations of credentialing department.