Randee Meyer Email & Phone Number

Over 23 years experience in the Health Care Industry with 15 years in the Credentialing field. Experience with obtaining Primary VerificationsCreating and retrieving information in the National Practitioners Data Bank and CAQH.Create and maintain extensive data base containing all vital Provider information.Maintain Provider monthly work schedulesMonitor all expiration dates on required license, certifications, etc.Extensive communication with providers

Listed skills include Microsoft Office, Microsoft Excel, Microsoft Word, Sales, and 13 others.

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  Credentialing Specialist

  Legacy Er & Urgent Care

  Jun 2014 - Present - Frisco, Tx 75035

  Responsible for the Credentialing and Recredentialing of Doctors located at 7 facilities. •Receive, review and analyze practitioner applications and accompanying documents, ensuring applicant eligibility.•Conduct thorough background investigation, research and primary source verification of all components of the application.•Identify issues that require additional investigation and evaluation, validate discrepancies and ensure appropriate follow up.•Create and maintain Access Database recording information for all Providers.•Prepare credentials file for completion and presentation to Medical Executive Staff Committee, ensuring file completion within time periods specified.•Processes requests for clinical privileges.•Enroll new providers with contracted Health Plans, Medicare and CAQH.•Respond to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.•Submit and retrieve National Practitioner Database reports. •Run monthly Access queries to identify providers requiring license, DEA, DPS or Life Support renewals.